Medical Fee Schedule Eff. January 1, 2022

North Carolina Industrial Commission
Workers' Compensation Fee Schedule
Fees Effective January 1, 2022

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Code-Mod	Category	NC Non-Facility	NC Facility
0001U	Clinical Laboratory	$1,080.00	$1,080.00
0002U	Clinical Laboratory	$37.50	$37.50
0003U	Clinical Laboratory	$1,425.00	$1,425.00
0005U	Clinical Laboratory	$1,140.00	$1,140.00
0007U	Clinical Laboratory	$171.65	$171.65
0008U	Clinical Laboratory	$896.87	$896.87
0009U	Clinical Laboratory	$160.50	$160.50
0042T	Other professional services	$310.94	$310.94
0054T	Other professional services	$224.31	$224.31
0055T	Other professional services	$224.31	$224.31
0071T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0072T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0075T	Other professional services	$1,853.45	$1,853.45
0075T-26	Other professional services	$1,395.75	$1,395.75
0075T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0076T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0076T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0076T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0095T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0098T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0100T	Other professional services	$2,763.23	$2,763.23
0101T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0102T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0106T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0107T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0108T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0109T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0110T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0163T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0164T	Major surgery	$2,365.41	$2,365.41
0165T	Major surgery	$2,303.11	$2,303.11
0174T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0175T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0184T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0198T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0199U	Clinical Laboratory	$412.25	$412.25
0200T	Other professional services	$3,171.02	$848.40
0200U	Clinical Laboratory	$412.25	$412.25
0201T	Other professional services	$3,171.02	$848.40
0201U	Clinical Laboratory	$277.80	$277.80
0202T	Other professional services	$3,535.14	$2,160.56
0202U	Clinical Laboratory	$625.17	$625.17
0203U	Clinical Laboratory	$1,140.00	$1,140.00
0204U	Clinical Laboratory	$4,379.40	$4,379.40
0205U	Clinical Laboratory	$70.50	$70.50
0206U	Clinical Laboratory	$3,323.10	$3,323.10
0207T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0207U	Clinical Laboratory	$766.80	$766.80
0208T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0209T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0209U	Clinical Laboratory	$1,180.73	$1,180.73
0210T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0210U	Clinical Laboratory	$27.95	$27.95
0211T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0211U	Clinical Laboratory	$12,682.50	$12,682.50
0212T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0212U	Clinical Laboratory	$8,212.80	$8,212.80
0213T	Other professional services	$301.97	$171.72
0213U	Clinical Laboratory	$4,064.93	$4,064.93
0214T	Major surgery	$194.77	$126.34
0214U	Clinical Laboratory	$7,836.90	$7,836.90
0215T	Major surgery	$196.77	$128.35
0215U	Clinical Laboratory	$3,861.98	$3,861.98
0216T	Other professional services	$269.48	$144.90
0216U	Clinical Laboratory	$2,305.53	$2,305.53
0217T	Major surgery	$175.99	$107.48
0217U	Clinical Laboratory	$3,297.53	$3,297.53
0218T	Major surgery	$178.68	$108.87
0218U	Clinical Laboratory	$3,418.50	$3,418.50
0219T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0219U	Clinical Laboratory	$1,087.50	$1,087.50
0220T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0220U	Clinical Laboratory	$1,059.38	$1,059.38
0221T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0221U	Clinical Laboratory	$412.25	$412.25
0222T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0222U	Clinical Laboratory	$424.32	$424.32
0223U	Clinical Laboratory	$625.17	$625.17
0224U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0225U	Clinical Laboratory	$625.17	$625.17
0226U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0227U	Clinical Laboratory	$93.21	$93.21
0228U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0229U	Clinical Laboratory	$288.00	$288.00
0230U	Clinical Laboratory	$452.03	$452.03
0231U	Clinical Laboratory	$1,269.41	$1,269.41
0232T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0232U	Clinical Laboratory	$412.25	$412.25
0233U	Clinical Laboratory	$412.25	$412.25
0234T	Major surgery	$2,673.43	$2,673.43
0234U	Clinical Laboratory	$791.81	$791.81
0235T	Major surgery	$2,673.16	$2,673.16
0235U	Clinical Laboratory	$900.00	$900.00
0236T	Major surgery	$2,276.24	$2,276.24
0236U	Clinical Laboratory	$904.05	$904.05
0237T	Major surgery	$2,516.24	$2,516.24
0237U	Clinical Laboratory	$877.35	$877.35
0238T	Major surgery	$2,089.11	$2,089.11
0238U	Clinical Laboratory	$877.35	$877.35
0239U	Clinical Laboratory	$5,250.00	$5,250.00
0240U	Clinical Laboratory	$213.95	$213.95
0241U	Clinical Laboratory	$213.95	$213.95
0242U	Clinical Laboratory	$7,500.00	$7,500.00
0243U	Clinical Laboratory	$96.62	$96.62
0244U	Clinical Laboratory	$5,250.00	$5,250.00
0245U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0246U	Clinical Laboratory	$1,080.00	$1,080.00
0247U	Clinical Laboratory	$1,125.00	$1,125.00
0248U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0249U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0250U	Clinical Laboratory	$4,379.40	$4,379.40
0251U	Clinical Laboratory	$25.91	$25.91
0252U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0253T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0253U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0254U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0255U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0256U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0257U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0258U	Clinical Laboratory	$5,512.50	$5,512.50
0259U	Clinical Laboratory	$79.07	$79.07
0260U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0261U	Clinical Laboratory	$3,769.88	$3,769.88
0262U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0263T	Other professional services	$504.72	$504.72
0263U	Clinical Laboratory	$1,125.00	$1,125.00
0264T	Other professional services	$226.50	$226.50
0264U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0265T	Other professional services	$36.36	$36.36
0265U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0266T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0266U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0267T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0267U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0268T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0268U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0269T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0269U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0270T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0270U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0271T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0271U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0272T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0272U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0273T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0273U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0274T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0274U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0275T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0275U	Clinical Laboratory	$27.56	$27.56
0276U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0277U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0278T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0278U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0279U	Clinical Laboratory	$17.30	$17.30
0280U	Clinical Laboratory	$25.91	$25.91
0281U	Clinical Laboratory	$25.91	$25.91
0282U	Clinical Laboratory	$1,080.00	$1,080.00
0283U	Clinical Laboratory	$27.60	$27.60
0284U	Clinical Laboratory	$25.91	$25.91
0285U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0286U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0287U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0288U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0289U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0290U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0291U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0292U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0293U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0294U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0295U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0296U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0297U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0298U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0299U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0300U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0301U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0302U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0303U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0304U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0305U	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0308T	Major surgery	$2,984.36	$2,984.36
0312T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0313T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0314T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0315T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0316T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0317T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0329T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0330T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0331T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0332T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0333T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0335T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0338T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0339T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0342T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0345T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0347T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0348T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0349T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0350T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0351T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0352T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0353T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0354T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0358T	Major surgery	$9.75	$9.75
0362T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0373T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0378T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0379T	Other professional services	$116.85	$116.85
0394T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0395T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0397T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0398T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0402T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0403T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0404T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0408T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0409T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0410T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0411T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0412T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0413T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0414T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0415T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0416T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0417T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0418T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0419T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0420T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0421T	Other professional services	$1,210.61	$1,210.61
0422T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0424T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0425T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0426T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0427T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0428T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0429T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0430T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0431T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0432T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0433T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0434T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0435T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0436T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0437T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0439T	Other professional services	$374.63	$374.63
0440T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0441T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0442T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0443T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0444T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0445T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0446T	Other professional services	$2,615.69	$86.18
0447T	Other professional services	$149.01	$99.89
0448T	Other professional services	$2,474.84	$141.39
0449T	Other professional services	$1,212.08	$1,212.08
0450T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0464T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0465T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0469T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0470T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0470T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0470T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0471T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0471T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0471T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0472T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0473T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0474T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0475T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0476T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0477T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0478T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0479T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0480T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0481T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0483T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0484T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0485T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0485T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0485T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0486T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0486T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0486T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0487T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0488T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0489T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0490T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0491T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0492T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0493T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0494T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0495T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0496T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0497T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0498T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0499T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0500T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0501T	Other professional services	$1,487.73	$1,487.73
0502T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0503T	Other professional services	$1,333.82	$1,333.82
0504T	Other professional services	$116.60	$116.60
0505T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0506T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0506T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0506T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0507T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0507T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0507T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0508T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0508T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0508T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0509T	Other professional services	$107.36	$107.36
0509T-26	Other professional services	$30.83	$30.83
0509T-TC	Other professional services	$76.53	$76.53
0510T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0511T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0512T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0513T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0514T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0515T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0516T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0517T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0518T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0519T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0520T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0521T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0521T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0521T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0522T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0522T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0522T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0523T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0524T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0525T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0526T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0527T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0528T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0528T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0528T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0529T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0529T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0529T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0530T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0531T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0532T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0533T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0533T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0533T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0534T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0534T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0534T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0535T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0535T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0535T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0536T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0536T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0536T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0537T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0538T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0539T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0540T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0541T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0542T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0543T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0544T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0545T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0546T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0547T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0552T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0553T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0554T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0555T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0556T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0557T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0558T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0559T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0560T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0561T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0562T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0563T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0564T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0565T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0566T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0567T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0568T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0569T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0570T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0571T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0572T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0573T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0574T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0575T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0576T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0577T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0578T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0579T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0580T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0581T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0582T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0583T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0584T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0585T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0586T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0587T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0588T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0589T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0590T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0591T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0592T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0593T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0594T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0596T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0597T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0598T	Other professional services	$224.78	$224.78
0599T	Other professional services	$112.40	$112.40
0600T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0601T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0602T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0603T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0604T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0605T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0606T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0607T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0608T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0609T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0610T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0611T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0612T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0613T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0614T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0615T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0616T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0617T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0618T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0619T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0620T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0621T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0622T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0623T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0624T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0625T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0626T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0627T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0628T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0629T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0630T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0631T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0632T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0633T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0633T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0633T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0634T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0634T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0634T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0635T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0635T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0635T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0636T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0636T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0636T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0637T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0637T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0637T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0638T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0638T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0638T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0639T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0640T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0641T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0642T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0643T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0644T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0645T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0646T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0647T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0648T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0648T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0648T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0649T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0649T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0649T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0650T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0650T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0650T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0651T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0652T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0653T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0654T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0655T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0656T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0657T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0658T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0659T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0660T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0661T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0662T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0663T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0664T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0665T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0666T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0667T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0668T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0669T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0670T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0671T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0672T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0673T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0674T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0675T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0676T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0677T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0678T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0679T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0680T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0681T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0682T	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0683T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0683T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0683T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0684T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0684T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0684T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0685T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0685T-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0685T-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0686T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0687T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0688T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0689T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0689T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0689T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0690T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0690T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0690T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0691T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0691T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0691T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0692T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0693T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0694T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0694T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0694T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0695T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0696T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0697T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0697T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0697T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0698T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0698T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0698T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0699T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0700T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0700T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0700T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0701T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0701T-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0701T-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0702T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0703T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0704T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0705T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0706T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0707T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0708T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0709T	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0710T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0711T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0712T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
0713T	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
10004	Other professional services	$75.11	$63.06
10005	Other professional services	$202.49	$109.04
10006	Other professional services	$88.92	$74.46
10007	Other professional services	$440.15	$134.25
10008	Other professional services	$240.80	$84.72
10009	Other professional services	$660.90	$163.76
10010	Other professional services	$388.82	$117.62
10011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
10012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
10021	Other professional services	$148.65	$80.25
10030	Other professional services	$967.97	$198.66
10035	Other professional services	$553.59	$124.86
10036	Other professional services	$460.25	$62.82
10040	Other professional services	$169.08	$76.11
10060	Other professional services	$181.64	$152.25
10061	Other professional services	$311.79	$267.48
10080	Other professional services	$374.84	$152.28
10081	Other professional services	$511.38	$250.29
10120	Other professional services	$218.73	$150.33
10121	Other professional services	$388.11	$268.65
10140	Other professional services	$248.96	$171.87
10160	Other professional services	$188.87	$138.29
10180	Other professional services	$385.37	$259.16
11000	Other professional services	$85.29	$40.98
11001	Major surgery	$50.64	$27.46
11004	Other professional services	$837.63	$837.63
11005	Other professional services	$1,139.45	$1,139.45
11006	Other professional services	$1,030.67	$1,030.67
11008	Major surgery	$522.09	$522.09
11010	Other professional services	$665.54	$402.99
11011	Other professional services	$732.30	$433.64
11012	Other professional services	$951.72	$607.77
11042	Other professional services	$189.53	$87.89
11043	Other professional services	$341.12	$225.03
11044	Other professional services	$454.35	$329.58
11045	Major surgery	$77.53	$49.98
11046	Major surgery	$140.05	$105.61
11047	Major surgery	$229.81	$184.72
11055	Other professional services	$105.14	$23.73
11056	Other professional services	$120.63	$32.96
11057	Other professional services	$132.69	$42.62
11102	Other professional services	$149.00	$55.07
11103	Other professional services	$74.42	$32.03
11104	Other professional services	$185.16	$68.60
11105	Other professional services	$86.67	$37.53
11106	Other professional services	$229.08	$83.12
11107	Other professional services	$104.72	$45.47
11200	Other professional services	$131.18	$109.50
11201	Major surgery	$34.92	$31.18
11300	Other professional services	$149.25	$50.03
11301	Other professional services	$179.16	$74.63
11302	Other professional services	$202.74	$87.60
11303	Other professional services	$223.65	$103.23
11305	Other professional services	$157.17	$56.49
11306	Other professional services	$180.35	$72.45
11307	Other professional services	$206.67	$92.51
11308	Other professional services	$219.63	$104.49
11310	Other professional services	$170.60	$66.56
11311	Other professional services	$201.48	$91.16
11312	Other professional services	$228.18	$107.75
11313	Other professional services	$266.78	$140.57
11400	Other professional services	$186.77	$120.77
11401	Other professional services	$228.78	$153.15
11402	Other professional services	$251.90	$168.08
11403	Other professional services	$289.20	$215.01
11404	Other professional services	$328.71	$238.16
11406	Other professional services	$467.60	$361.62
11420	Other professional services	$186.83	$119.39
11421	Other professional services	$234.32	$158.69
11422	Other professional services	$262.82	$196.34
11423	Other professional services	$300.02	$225.84
11424	Other professional services	$344.01	$258.27
11426	Other professional services	$489.48	$396.99
11440	Other professional services	$209.48	$152.16
11441	Other professional services	$255.08	$191.97
11442	Other professional services	$282.72	$211.92
11443	Other professional services	$334.02	$259.35
11444	Other professional services	$416.06	$328.88
11446	Other professional services	$567.23	$466.55
11450	Major surgery	$831.75	$497.35
11451	Major surgery	$1,010.31	$627.69
11462	Major surgery	$806.91	$472.50
11463	Major surgery	$1,027.16	$633.89
11470	Major surgery	$873.09	$543.08
11471	Major surgery	$1,045.94	$669.57
11600	Other professional services	$289.61	$177.36
11601	Other professional services	$334.37	$215.39
11602	Other professional services	$356.79	$233.96
11603	Other professional services	$406.58	$279.89
11604	Other professional services	$453.24	$308.73
11606	Other professional services	$653.73	$462.98
11620	Other professional services	$290.60	$178.37
11621	Other professional services	$335.37	$216.39
11622	Other professional services	$368.78	$244.97
11623	Other professional services	$432.84	$303.75
11624	Other professional services	$492.90	$345.98
11626	Other professional services	$595.82	$426.72
11640	Other professional services	$297.45	$183.29
11641	Other professional services	$345.83	$224.91
11642	Other professional services	$391.43	$263.78
11643	Other professional services	$460.76	$330.21
11644	Other professional services	$568.25	$410.73
11646	Other professional services	$740.60	$570.08
11719	Other professional services	$20.33	$11.18
11720	Other professional services	$47.22	$21.69
11721	Other professional services	$64.41	$35.51
11730	Other professional services	$168.65	$79.05
11732	Major surgery	$64.17	$33.48
11740	Other professional services	$83.06	$45.48
11750	Other professional services	$234.53	$148.29
11755	Other professional services	$180.90	$89.37
11760	Other professional services	$276.17	$162.48
11762	Other professional services	$426.23	$276.42
11765	Other professional services	$242.45	$133.58
11770	Other professional services	$532.59	$272.94
11771	Major surgery	$1,210.38	$858.45
11772	Major surgery	$1,488.96	$1,109.47
11900	Other professional services	$82.59	$43.10
11901	Other professional services	$103.16	$67.04
11920	Other professional services	$283.89	$159.60
11921	Other professional services	$323.22	$188.82
11922	Major surgery	$113.20	$55.58
11950	Other professional services	$116.52	$75.57
11951	Other professional services	$156.39	$106.77
11952	Other professional services	$209.30	$150.53
11954	Other professional services	$230.43	$164.45
11960	Major surgery	$1,920.77	$1,920.77
11970	Major surgery	$1,066.42	$1,066.42
11971	Major surgery	$1,041.69	$1,041.69
11976	Other professional services	$211.73	$137.06
11980	Other professional services	$135.42	$80.51
11981	Other professional services	$148.02	$93.09
11982	Other professional services	$165.93	$109.10
11983	Other professional services	$209.04	$152.19
12001	Other professional services	$137.06	$66.24
12002	Other professional services	$165.36	$86.84
12004	Other professional services	$192.21	$107.43
12005	Other professional services	$259.50	$140.52
12006	Other professional services	$303.50	$172.47
12007	Other professional services	$341.99	$214.82
12011	Other professional services	$164.19	$81.33
12013	Other professional services	$171.32	$86.06
12014	Other professional services	$210.29	$110.58
12015	Other professional services	$252.32	$139.59
12016	Other professional services	$323.09	$190.61
12017	Other professional services	$225.41	$225.41
12018	Other professional services	$255.78	$255.78
12020	Other professional services	$440.24	$273.57
12021	Other professional services	$259.65	$205.23
12031	Other professional services	$386.63	$218.99
12032	Other professional services	$442.88	$273.80
12034	Other professional services	$490.56	$297.87
12035	Other professional services	$570.66	$351.00
12036	Other professional services	$636.53	$413.49
12037	Other professional services	$711.30	$479.10
12041	Other professional services	$388.44	$209.24
12042	Other professional services	$455.18	$283.68
12044	Other professional services	$558.17	$310.08
12045	Other professional services	$598.04	$394.76
12046	Other professional services	$737.78	$465.62
12047	Other professional services	$807.23	$517.71
12051	Other professional services	$416.54	$245.04
12052	Other professional services	$463.07	$288.68
12053	Other professional services	$534.66	$311.15
12054	Other professional services	$566.78	$318.69
12055	Other professional services	$740.22	$434.82
12056	Other professional services	$851.12	$559.68
12057	Other professional services	$899.73	$610.70
13100	Other professional services	$500.58	$291.03
13101	Other professional services	$584.07	$360.06
13102	Major surgery	$223.12	$137.32
13120	Other professional services	$522.42	$338.40
13121	Other professional services	$624.84	$373.86
13122	Major surgery	$242.25	$156.45
13131	Other professional services	$569.88	$351.66
13132	Other professional services	$692.70	$440.28
13133	Major surgery	$320.66	$237.37
13151	Other professional services	$621.69	$404.91
13152	Other professional services	$730.41	$488.12
13153	Major surgery	$352.87	$259.56
13160	Major surgery	$1,518.52	$1,518.52
14000	Major surgery	$1,201.51	$947.25
14001	Major surgery	$1,532.19	$1,232.22
14020	Major surgery	$1,325.20	$1,062.81
14021	Major surgery	$1,635.66	$1,334.44
14040	Major surgery	$1,433.00	$1,173.10
14041	Major surgery	$1,739.05	$1,434.07
14060	Major surgery	$1,450.86	$1,251.10
14061	Major surgery	$1,872.64	$1,538.86
14301	Major surgery	$2,057.41	$1,642.21
14302	Major surgery	$410.38	$410.38
14350	Major surgery	$1,298.25	$1,298.25
15002	Other professional services	$510.95	$320.67
15003	Major surgery	$133.44	$86.48
15004	Other professional services	$582.35	$382.92
15005	Major surgery	$224.52	$173.18
15040	Other professional services	$387.27	$180.62
15050	Major surgery	$1,131.60	$875.47
15100	Major surgery	$1,656.49	$1,358.39
15101	Major surgery	$359.60	$213.06
15110	Major surgery	$1,586.64	$1,351.80
15111	Major surgery	$215.77	$194.47
15115	Major surgery	$1,537.17	$1,314.85
15116	Major surgery	$311.38	$283.20
15120	Major surgery	$1,607.85	$1,308.51
15121	Major surgery	$403.81	$256.64
15130	Major surgery	$1,375.34	$1,129.23
15131	Major surgery	$185.04	$170.63
15135	Major surgery	$1,671.91	$1,437.07
15136	Major surgery	$183.14	$170.63
15150	Major surgery	$1,358.31	$1,224.29
15151	Major surgery	$227.66	$210.11
15152	Major surgery	$281.09	$265.45
15155	Major surgery	$1,516.14	$1,382.76
15156	Major surgery	$306.31	$288.76
15157	Major surgery	$339.63	$314.59
15200	Major surgery	$1,589.91	$1,271.17
15201	Major surgery	$268.22	$144.85
15220	Major surgery	$1,453.32	$1,147.71
15221	Major surgery	$249.80	$131.43
15240	Major surgery	$1,755.68	$1,495.79
15241	Major surgery	$330.74	$200.48
15260	Major surgery	$1,884.21	$1,590.52
15261	Major surgery	$392.44	$258.41
15271	Other professional services	$226.92	$122.87
15272	Major surgery	$48.05	$33.66
15273	Other professional services	$465.59	$289.77
15274	Major surgery	$159.74	$86.48
15275	Other professional services	$234.53	$137.70
15276	Major surgery	$62.60	$48.81
15277	Other professional services	$511.32	$330.20
15278	Major surgery	$185.00	$107.97
15570	Major surgery	$1,731.17	$1,389.26
15572	Major surgery	$1,660.43	$1,386.74
15574	Major surgery	$1,674.47	$1,402.05
15576	Major surgery	$1,490.23	$1,232.85
15600	Major surgery	$638.29	$396.57
15610	Major surgery	$693.01	$456.28
15620	Major surgery	$846.07	$614.99
15630	Major surgery	$872.39	$645.70
15650	Major surgery	$967.80	$719.82
15730	Major surgery	$2,721.28	$1,732.46
15731	Major surgery	$2,135.50	$1,893.16
15733	Major surgery	$1,962.25	$1,962.25
15734	Major surgery	$2,863.07	$2,863.07
15736	Major surgery	$2,310.05	$2,310.05
15738	Major surgery	$2,426.23	$2,426.23
15740	Major surgery	$1,907.72	$1,585.84
15750	Major surgery	$1,767.87	$1,767.87
15756	Major surgery	$4,365.86	$4,365.86
15757	Major surgery	$4,344.17	$4,344.17
15758	Major surgery	$4,338.28	$4,338.28
15760	Major surgery	$1,600.58	$1,323.15
15769	Major surgery	$909.46	$909.46
15770	Major surgery	$1,272.84	$1,272.84
15771	Major surgery	$1,118.05	$937.70
15772	Major surgery	$359.60	$280.70
15773	Major surgery	$1,143.73	$960.88
15774	Major surgery	$352.42	$272.88
15775	Other professional services	$553.05	$372.41
15776	Other professional services	$747.23	$509.73
15777	Major surgery	$409.46	$409.46
15780	Major surgery	$1,597.36	$1,242.29
15781	Major surgery	$1,024.32	$808.88
15782	Major surgery	$914.63	$690.44
15783	Major surgery	$845.60	$662.10
15786	Other professional services	$338.49	$194.46
15787	Major surgery	$59.07	$32.76
15788	Major surgery	$738.58	$401.04
15789	Major surgery	$999.78	$765.59
15792	Major surgery	$628.10	$388.87
15793	Major surgery	$892.92	$665.59
15819	Major surgery	$1,515.38	$1,515.38
15820	Major surgery	$1,090.99	$969.48
15821	Major surgery	$1,172.98	$1,039.60
15822	Major surgery	$874.54	$754.92
15823	Major surgery	$1,172.81	$1,038.16
15824	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15825	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15826	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15828	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15829	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15830	Major surgery	$2,228.79	$2,228.79
15832	Major surgery	$1,742.70	$1,742.70
15833	Major surgery	$1,663.80	$1,663.80
15834	Major surgery	$1,694.80	$1,694.80
15835	Major surgery	$1,766.56	$1,766.56
15836	Major surgery	$1,511.45	$1,511.45
15837	Major surgery	$1,642.47	$1,357.53
15838	Major surgery	$1,229.53	$1,229.53
15839	Major surgery	$1,695.10	$1,405.77
15840	Major surgery	$1,935.65	$1,935.65
15841	Major surgery	$3,383.37	$3,383.37
15842	Major surgery	$5,133.92	$5,133.92
15845	Major surgery	$2,012.93	$2,012.93
15847	Major surgery	$1,265.28	$1,265.28
15850	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15851	Other professional services	$156.86	$66.29
15852	Other professional services	$68.73	$68.73
15860	Other professional services	$156.57	$156.57
15876	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15877	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15878	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15879	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
15920	Major surgery	$1,220.19	$1,220.19
15922	Major surgery	$1,514.99	$1,514.99
15931	Major surgery	$1,337.37	$1,337.37
15933	Major surgery	$1,662.38	$1,662.38
15934	Major surgery	$1,810.30	$1,810.30
15935	Major surgery	$2,197.77	$2,197.77
15936	Major surgery	$1,726.80	$1,726.80
15937	Major surgery	$1,996.51	$1,996.51
15940	Major surgery	$1,340.47	$1,340.47
15941	Major surgery	$1,774.70	$1,774.70
15944	Major surgery	$1,775.90	$1,775.90
15945	Major surgery	$1,938.40	$1,938.40
15946	Major surgery	$3,089.99	$3,089.99
15950	Major surgery	$1,209.27	$1,209.27
15951	Major surgery	$1,710.13	$1,710.13
15952	Major surgery	$1,740.98	$1,740.98
15953	Major surgery	$1,919.42	$1,919.42
15956	Major surgery	$2,235.54	$2,235.54
15958	Major surgery	$2,272.06	$2,272.06
15999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
16000	Other professional services	$111.03	$66.24
16020	Other professional services	$122.94	$79.11
16025	Other professional services	$230.42	$162.50
16030	Other professional services	$288.33	$191.99
16035	Other professional services	$282.98	$282.98
16036	Major surgery	$150.11	$150.11
17000	Other professional services	$97.74	$79.44
17003	Major surgery	$12.71	$3.96
17004	Other professional services	$245.30	$141.26
17106	Major surgery	$646.85	$517.86
17107	Major surgery	$842.65	$674.82
17108	Major surgery	$1,191.76	$988.24
17110	Other professional services	$164.51	$96.11
17111	Other professional services	$192.86	$117.71
17250	Other professional services	$130.46	$54.35
17260	Other professional services	$145.67	$102.32
17261	Other professional services	$214.94	$124.85
17262	Other professional services	$260.45	$159.29
17263	Other professional services	$281.82	$176.81
17264	Other professional services	$301.61	$188.88
17266	Other professional services	$343.34	$221.94
17270	Other professional services	$216.39	$136.43
17271	Other professional services	$241.49	$150.93
17272	Other professional services	$275.49	$175.29
17273	Other professional services	$304.85	$198.39
17274	Other professional services	$356.73	$242.57
17276	Other professional services	$415.41	$292.56
17280	Other professional services	$203.37	$124.37
17281	Other professional services	$262.35	$170.82
17282	Other professional services	$299.99	$197.39
17283	Other professional services	$354.03	$246.12
17284	Other professional services	$403.71	$288.59
17286	Other professional services	$517.71	$390.54
17311	Other professional services	$976.95	$517.88
17312	Major surgery	$772.04	$358.12
17313	Other professional services	$917.04	$465.18
17314	Major surgery	$738.54	$331.48
17315	Major surgery	$145.72	$95.00
17340	Other professional services	$76.56	$71.73
17360	Other professional services	$177.72	$132.92
17380	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
17999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
19000	Other professional services	$150.95	$62.79
19001	Major surgery	$51.15	$40.50
19020	Major surgery	$899.44	$595.08
19030	Other professional services	$243.02	$111.02
19081	Other professional services	$749.39	$242.13
19082	Major surgery	$759.51	$158.32
19083	Other professional services	$757.89	$228.48
19084	Major surgery	$751.10	$147.40
19085	Other professional services	$1,161.71	$265.23
19086	Major surgery	$1,173.86	$171.89
19100	Other professional services	$227.00	$102.23
19101	Other professional services	$489.44	$329.51
19105	Other professional services	$3,536.58	$310.04
19110	Major surgery	$935.30	$671.03
19112	Major surgery	$886.37	$614.58
19120	Major surgery	$991.42	$796.65
19125	Major surgery	$1,093.66	$883.88
19126	Major surgery	$307.57	$307.57
19281	Other professional services	$351.86	$146.16
19282	Major surgery	$324.21	$95.00
19283	Other professional services	$383.04	$147.00
19284	Major surgery	$370.40	$96.12
19285	Other professional services	$557.93	$124.86
19286	Major surgery	$596.51	$81.74
19287	Other professional services	$964.56	$185.61
19288	Major surgery	$971.69	$121.27
19294	Other professional services	$242.54	$242.54
19296	Other professional services	$5,656.68	$308.64
19297	Major surgery	$179.99	$179.99
19298	Other professional services	$1,294.71	$463.74
19300	Major surgery	$1,116.98	$825.14
19301	Major surgery	$1,267.01	$1,267.01
19302	Major surgery	$1,740.10	$1,740.10
19303	Major surgery	$1,837.10	$1,837.10
19305	Major surgery	$2,200.97	$2,200.97
19306	Major surgery	$2,345.01	$2,345.01
19307	Major surgery	$2,264.52	$2,264.52
19316	Major surgery	$1,505.11	$1,505.11
19318	Major surgery	$2,080.51	$2,080.51
19325	Major surgery	$1,166.98	$1,166.98
19328	Major surgery	$1,052.88	$1,052.88
19330	Major surgery	$1,229.36	$1,229.36
19340	Major surgery	$1,441.26	$1,441.26
19342	Major surgery	$1,446.92	$1,446.92
19350	Major surgery	$1,575.58	$1,278.11
19355	Major surgery	$1,435.88	$1,172.24
19357	Major surgery	$2,200.59	$2,200.59
19361	Major surgery	$2,966.22	$2,966.22
19364	Major surgery	$5,188.31	$5,188.31
19367	Major surgery	$3,371.80	$3,371.80
19368	Major surgery	$4,140.08	$4,140.08
19369	Major surgery	$3,846.02	$3,846.02
19370	Major surgery	$1,275.20	$1,275.20
19371	Major surgery	$1,353.81	$1,353.81
19380	Major surgery	$1,534.01	$1,534.01
19396	Other professional services	$405.20	$208.17
19499	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
20100	Other professional services	$888.54	$888.54
20101	Other professional services	$877.37	$310.38
20102	Other professional services	$916.64	$376.14
20103	Other professional services	$830.87	$505.71
20150	Major surgery	$1,911.80	$1,911.80
20200	Other professional services	$323.34	$137.88
20205	Other professional services	$448.46	$224.46
20206	Other professional services	$335.58	$83.64
20220	Other professional services	$351.26	$127.73
20225	Other professional services	$578.69	$190.43
20240	Other professional services	$207.92	$207.92
20245	Other professional services	$508.80	$508.80
20250	Other professional services	$564.41	$564.41
20251	Other professional services	$616.80	$616.80
20500	Other professional services	$177.05	$127.43
20501	Other professional services	$215.31	$54.90
20520	Other professional services	$318.69	$215.12
20525	Other professional services	$684.50	$361.26
20526	Other professional services	$120.03	$83.91
20527	Other professional services	$126.95	$95.64
20550	Other professional services	$84.14	$57.63
20551	Other professional services	$85.16	$57.69
20552	Other professional services	$78.56	$55.43
20553	Other professional services	$90.39	$62.94
20555	Other professional services	$489.18	$489.18
20560	Other professional services	$38.66	$22.28
20561	Other professional services	$55.16	$33.00
20600	Other professional services	$77.58	$52.55
20604	Other professional services	$119.82	$67.80
20605	Other professional services	$80.07	$54.54
20606	Other professional services	$130.29	$76.34
20610	Other professional services	$94.77	$66.35
20611	Other professional services	$145.43	$87.14
20612	Other professional services	$93.57	$60.35
20615	Other professional services	$368.48	$234.08
20650	Other professional services	$325.98	$235.89
20660	Other professional services	$351.03	$351.03
20661	Major surgery	$963.67	$963.67
20662	Major surgery	$990.07	$990.07
20663	Major surgery	$911.59	$911.59
20664	Major surgery	$1,667.56	$1,667.56
20665	Other professional services	$169.26	$140.36
20670	Other professional services	$525.90	$209.90
20680	Major surgery	$1,147.28	$797.22
20690	Major surgery	$1,137.34	$1,137.34
20692	Major surgery	$2,132.79	$2,132.79
20693	Major surgery	$844.33	$844.33
20694	Major surgery	$816.08	$645.74
20696	Major surgery	$2,253.46	$2,253.46
20697	Other professional services	$2,721.48	$2,721.48
20700	Major surgery	$162.34	$162.34
20701	Major surgery	$123.42	$123.42
20702	Major surgery	$273.37	$273.37
20703	Major surgery	$198.90	$198.90
20704	Major surgery	$288.58	$288.58
20705	Major surgery	$236.55	$236.55
20802	Major surgery	$5,219.99	$5,219.99
20805	Major surgery	$6,205.76	$6,205.76
20808	Major surgery	$7,493.79	$7,493.79
20816	Major surgery	$3,908.70	$3,908.70
20822	Major surgery	$3,372.43	$3,372.43
20824	Major surgery	$3,915.58	$3,915.58
20827	Major surgery	$3,461.72	$3,461.72
20838	Major surgery	$5,302.17	$5,302.17
20900	Other professional services	$576.21	$266.00
20902	Other professional services	$405.77	$405.77
20910	Major surgery	$901.00	$901.00
20912	Major surgery	$917.49	$917.49
20920	Major surgery	$758.80	$758.80
20922	Major surgery	$1,144.55	$927.87
20924	Major surgery	$961.99	$961.99
20930	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
20931	Major surgery	$208.83	$208.83
20932	Other professional services	$1,107.21	$1,107.21
20933	Other professional services	$1,016.73	$1,016.73
20934	Other professional services	$1,106.21	$1,106.21
20936	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
20937	Major surgery	$316.15	$316.15
20938	Major surgery	$347.88	$347.88
20939	Other professional services	$101.28	$101.28
20950	Other professional services	$390.17	$128.12
20955	Major surgery	$4,706.60	$4,706.60
20956	Major surgery	$5,024.06	$5,024.06
20957	Major surgery	$5,230.04	$5,230.04
20962	Major surgery	$5,058.85	$5,058.85
20969	Major surgery	$5,183.78	$5,183.78
20970	Major surgery	$5,416.96	$5,416.96
20972	Major surgery	$5,401.03	$5,401.03
20973	Major surgery	$5,708.12	$5,708.12
20974	Other professional services	$117.26	$71.49
20975	Other professional services	$251.94	$251.94
20979	Other professional services	$80.81	$46.61
20982	Other professional services	$5,241.72	$534.86
20983	Other professional services	$7,662.51	$497.91
20985	Major surgery	$276.43	$276.43
20999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
21010	Major surgery	$1,415.49	$1,415.49
21011	Major surgery	$710.68	$490.25
21012	Major surgery	$645.63	$645.63
21013	Major surgery	$1,022.50	$763.87
21014	Major surgery	$993.02	$993.02
21015	Major surgery	$1,331.85	$1,331.85
21016	Major surgery	$1,920.95	$1,920.95
21025	Major surgery	$1,503.08	$1,257.59
21026	Major surgery	$1,015.52	$812.00
21029	Major surgery	$1,453.45	$1,173.53
21030	Major surgery	$879.82	$688.19
21031	Major surgery	$730.78	$515.37
21032	Major surgery	$706.49	$493.56
21034	Major surgery	$2,481.06	$2,154.81
21040	Major surgery	$892.34	$693.83
21044	Major surgery	$1,650.89	$1,650.89
21045	Major surgery	$2,289.77	$2,289.77
21046	Major surgery	$1,913.24	$1,913.24
21047	Major surgery	$2,393.06	$2,393.06
21048	Major surgery	$1,930.40	$1,930.40
21049	Major surgery	$2,332.61	$2,332.61
21050	Major surgery	$1,649.00	$1,649.00
21060	Major surgery	$1,498.22	$1,498.22
21070	Major surgery	$1,161.60	$1,161.60
21073	Major surgery	$713.70	$468.21
21076	Other professional services	$1,259.52	$1,040.82
21077	Major surgery	$4,026.91	$3,336.78
21079	Major surgery	$2,757.77	$2,242.99
21080	Major surgery	$3,187.53	$2,556.29
21081	Major surgery	$2,925.12	$2,333.33
21082	Major surgery	$2,684.08	$2,123.61
21083	Major surgery	$2,559.77	$1,971.72
21084	Major surgery	$2,924.53	$2,282.65
21085	Other professional services	$984.05	$711.39
21086	Major surgery	$2,997.91	$2,460.59
21087	Major surgery	$2,997.91	$2,460.59
21088	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
21089	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
21100	Major surgery	$1,184.14	$671.25
21110	Major surgery	$1,660.70	$1,381.40
21116	Other professional services	$322.86	$66.59
21120	Major surgery	$1,262.12	$967.16
21121	Major surgery	$1,209.02	$1,012.38
21122	Major surgery	$1,427.05	$1,427.05
21123	Major surgery	$1,625.19	$1,625.19
21125	Major surgery	$5,097.32	$1,274.15
21127	Major surgery	$7,795.18	$1,460.82
21137	Major surgery	$1,426.93	$1,426.93
21138	Major surgery	$1,739.28	$1,739.28
21139	Major surgery	$2,080.42	$2,080.42
21141	Major surgery	$2,543.68	$2,543.68
21142	Major surgery	$2,612.38	$2,612.38
21143	Major surgery	$2,691.99	$2,691.99
21145	Major surgery	$2,964.98	$2,964.98
21146	Major surgery	$3,094.22	$3,094.22
21147	Major surgery	$3,258.55	$3,258.55
21150	Major surgery	$3,145.55	$3,145.55
21151	Major surgery	$3,462.30	$3,462.30
21154	Major surgery	$3,725.79	$3,725.79
21155	Major surgery	$4,133.47	$4,133.47
21159	Major surgery	$4,956.45	$4,956.45
21160	Major surgery	$5,376.48	$5,376.48
21172	Major surgery	$4,009.59	$4,009.59
21175	Major surgery	$4,219.02	$4,219.02
21179	Major surgery	$2,899.53	$2,899.53
21180	Major surgery	$3,239.26	$3,239.26
21181	Major surgery	$1,409.52	$1,409.52
21182	Major surgery	$4,032.17	$4,032.17
21183	Major surgery	$4,387.50	$4,387.50
21184	Major surgery	$4,719.66	$4,719.66
21188	Major surgery	$3,024.41	$3,024.41
21193	Major surgery	$2,351.74	$2,351.74
21194	Major surgery	$2,723.33	$2,723.33
21195	Major surgery	$2,566.34	$2,566.34
21196	Major surgery	$2,743.53	$2,743.53
21198	Major surgery	$1,980.21	$1,980.21
21199	Major surgery	$1,946.28	$1,946.28
21206	Major surgery	$1,856.89	$1,856.89
21208	Major surgery	$3,174.00	$1,404.25
21209	Major surgery	$1,557.87	$1,177.12
21210	Major surgery	$3,398.25	$1,441.26
21215	Major surgery	$7,947.60	$1,496.76
21230	Major surgery	$1,432.45	$1,432.45
21235	Major surgery	$1,389.88	$1,078.02
21240	Major surgery	$1,996.39	$1,996.39
21242	Major surgery	$1,927.40	$1,927.40
21243	Major surgery	$3,061.36	$3,061.36
21244	Major surgery	$1,918.74	$1,918.74
21245	Major surgery	$2,241.33	$1,751.61
21246	Major surgery	$1,622.93	$1,622.93
21247	Major surgery	$3,018.27	$3,018.27
21248	Major surgery	$1,872.59	$1,508.73
21249	Major surgery	$2,554.68	$2,124.45
21255	Major surgery	$2,555.24	$2,555.24
21256	Major surgery	$2,355.93	$2,355.93
21260	Major surgery	$2,612.86	$2,612.86
21261	Major surgery	$4,627.35	$4,627.35
21263	Major surgery	$4,280.23	$4,280.23
21267	Major surgery	$3,052.90	$3,052.90
21268	Major surgery	$3,831.77	$3,831.77
21270	Major surgery	$1,916.07	$1,421.98
21275	Major surgery	$1,609.90	$1,609.90
21280	Major surgery	$1,103.49	$1,103.49
21282	Major surgery	$748.22	$748.22
21295	Major surgery	$367.48	$367.48
21296	Major surgery	$775.42	$775.42
21299	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
21315	Other professional services	$220.05	$86.61
21320	Other professional services	$320.12	$139.95
21325	Major surgery	$848.80	$848.80
21330	Major surgery	$1,021.49	$1,021.49
21335	Major surgery	$1,367.52	$1,367.52
21336	Major surgery	$1,229.16	$1,229.16
21337	Major surgery	$797.94	$568.74
21338	Major surgery	$1,284.27	$1,284.27
21339	Major surgery	$1,453.39	$1,453.39
21340	Major surgery	$1,437.75	$1,437.75
21343	Major surgery	$2,080.51	$2,080.51
21344	Major surgery	$2,676.86	$2,676.86
21345	Major surgery	$1,524.96	$1,217.48
21346	Major surgery	$1,968.06	$1,968.06
21347	Major surgery	$1,995.30	$1,995.30
21348	Major surgery	$2,093.31	$2,093.31
21355	Other professional services	$652.85	$480.39
21356	Other professional services	$794.85	$590.12
21360	Major surgery	$996.29	$996.29
21365	Major surgery	$2,068.48	$2,068.48
21366	Major surgery	$2,431.20	$2,431.20
21385	Major surgery	$1,397.57	$1,397.57
21386	Major surgery	$1,316.15	$1,316.15
21387	Major surgery	$1,458.39	$1,458.39
21390	Major surgery	$1,527.84	$1,527.84
21395	Major surgery	$1,924.71	$1,924.71
21400	Major surgery	$398.09	$311.04
21401	Major surgery	$966.09	$619.77
21406	Major surgery	$1,110.68	$1,110.68
21407	Major surgery	$1,222.30	$1,222.30
21408	Major surgery	$1,720.13	$1,720.13
21421	Major surgery	$1,230.78	$1,040.40
21422	Major surgery	$1,193.67	$1,193.67
21423	Major surgery	$1,524.14	$1,524.14
21431	Major surgery	$1,333.29	$1,333.29
21432	Major surgery	$1,372.33	$1,372.33
21433	Major surgery	$3,305.48	$3,305.48
21435	Major surgery	$2,677.39	$2,677.39
21436	Major surgery	$3,875.76	$3,875.76
21440	Major surgery	$1,314.53	$1,057.15
21445	Major surgery	$1,538.55	$1,243.59
21450	Major surgery	$1,135.93	$923.64
21451	Major surgery	$1,476.64	$1,234.92
21452	Major surgery	$1,437.15	$889.82
21453	Major surgery	$2,095.65	$1,786.28
21454	Major surgery	$927.13	$927.13
21461	Major surgery	$3,512.55	$2,020.86
21462	Major surgery	$3,845.77	$2,255.14
21465	Major surgery	$1,519.91	$1,519.91
21470	Major surgery	$2,215.80	$2,215.80
21480	Other professional services	$204.95	$45.50
21485	Major surgery	$1,865.45	$1,525.41
21490	Major surgery	$1,497.23	$1,497.23
21497	Major surgery	$1,359.74	$1,132.42
21499	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
21501	Major surgery	$926.58	$633.50
21502	Major surgery	$972.95	$972.95
21510	Major surgery	$865.35	$865.35
21550	Other professional services	$392.58	$227.84
21552	Major surgery	$855.43	$855.43
21554	Major surgery	$1,398.64	$1,398.64
21555	Major surgery	$832.55	$584.55
21556	Major surgery	$1,015.77	$1,015.77
21557	Major surgery	$1,823.50	$1,823.50
21558	Major surgery	$2,565.79	$2,565.79
21600	Major surgery	$1,066.59	$1,066.59
21601	Major surgery	$2,196.95	$2,196.95
21602	Major surgery	$2,953.78	$2,953.78
21603	Major surgery	$3,213.39	$3,213.39
21610	Major surgery	$2,276.78	$2,276.78
21615	Major surgery	$1,173.65	$1,173.65
21616	Major surgery	$1,361.49	$1,361.49
21620	Major surgery	$965.50	$965.50
21627	Major surgery	$1,034.14	$1,034.14
21630	Major surgery	$2,501.46	$2,501.46
21632	Major surgery	$2,311.34	$2,311.34
21685	Major surgery	$1,885.53	$1,885.53
21700	Major surgery	$679.79	$679.79
21705	Major surgery	$1,019.40	$1,019.40
21720	Major surgery	$1,001.31	$1,001.31
21725	Major surgery	$1,035.41	$1,035.41
21740	Major surgery	$1,954.68	$1,954.68
21742	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
21743	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
21750	Major surgery	$1,291.97	$1,291.97
21811	Other professional services	$872.09	$872.09
21812	Other professional services	$1,057.19	$1,057.19
21813	Other professional services	$1,446.29	$1,446.29
21820	Major surgery	$283.30	$277.66
21825	Major surgery	$1,048.91	$1,048.91
21899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
21920	Other professional services	$380.06	$227.36
21925	Major surgery	$943.84	$717.15
21930	Major surgery	$963.22	$693.95
21931	Major surgery	$899.57	$899.57
21932	Major surgery	$1,269.37	$1,269.37
21933	Major surgery	$1,414.55	$1,414.55
21935	Major surgery	$1,959.03	$1,959.03
21936	Major surgery	$2,700.20	$2,700.20
22010	Major surgery	$1,837.08	$1,837.08
22015	Major surgery	$1,805.54	$1,805.54
22100	Major surgery	$1,639.74	$1,639.74
22101	Major surgery	$1,630.77	$1,630.77
22102	Major surgery	$1,485.10	$1,485.10
22103	Major surgery	$257.19	$257.19
22110	Major surgery	$1,999.49	$1,999.49
22112	Major surgery	$2,142.17	$2,142.17
22114	Major surgery	$2,142.17	$2,142.17
22116	Major surgery	$267.68	$267.68
22206	Major surgery	$4,644.32	$4,644.32
22207	Major surgery	$4,551.11	$4,551.11
22208	Major surgery	$1,114.37	$1,114.37
22210	Major surgery	$3,389.63	$3,389.63
22212	Major surgery	$2,865.54	$2,865.54
22214	Major surgery	$2,866.46	$2,866.46
22216	Major surgery	$686.95	$686.95
22220	Major surgery	$3,073.51	$3,073.51
22222	Major surgery	$3,319.15	$3,319.15
22224	Major surgery	$3,020.45	$3,020.45
22226	Major surgery	$682.52	$682.52
22310	Major surgery	$591.14	$564.84
22315	Major surgery	$1,672.71	$1,464.80
22318	Major surgery	$3,108.92	$3,108.92
22319	Major surgery	$3,461.43	$3,461.43
22325	Major surgery	$2,783.37	$2,783.37
22326	Major surgery	$2,856.52	$2,856.52
22327	Major surgery	$2,898.23	$2,898.23
22328	Major surgery	$530.36	$530.36
22505	Other professional services	$189.29	$189.29
22510	Other professional services	$2,728.23	$633.24
22511	Other professional services	$2,721.99	$596.18
22512	Major surgery	$1,426.25	$394.23
22513	Other professional services	$8,672.81	$746.63
22514	Other professional services	$8,628.69	$694.79
22515	Major surgery	$5,803.30	$415.82
22526	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
22527	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
22532	Major surgery	$3,417.24	$3,417.24
22533	Major surgery	$3,147.81	$3,147.81
22534	Major surgery	$680.08	$680.08
22548	Major surgery	$3,708.65	$3,708.65
22551	Major surgery	$3,226.06	$3,226.06
22552	Major surgery	$748.86	$748.86
22554	Major surgery	$2,386.88	$2,386.88
22556	Major surgery	$3,161.79	$3,161.79
22558	Major surgery	$2,907.76	$2,907.76
22585	Major surgery	$616.67	$616.67
22586	Major surgery	$3,837.29	$3,837.29
22590	Major surgery	$3,000.68	$3,000.68
22595	Major surgery	$2,867.98	$2,867.98
22600	Major surgery	$2,459.94	$2,459.94
22610	Major surgery	$2,419.70	$2,419.70
22612	Major surgery	$3,013.49	$3,013.49
22614	Major surgery	$739.01	$739.01
22630	Major surgery	$2,994.07	$2,994.07
22632	Major surgery	$605.28	$605.28
22633	Major surgery	$3,511.62	$3,511.62
22634	Major surgery	$938.28	$938.28
22800	Major surgery	$2,579.97	$2,579.97
22802	Major surgery	$4,019.75	$4,019.75
22804	Major surgery	$4,615.65	$4,615.65
22808	Major surgery	$3,470.59	$3,470.59
22810	Major surgery	$3,827.58	$3,827.58
22812	Major surgery	$4,192.44	$4,192.44
22818	Major surgery	$4,098.82	$4,098.82
22819	Major surgery	$4,717.52	$4,717.52
22830	Major surgery	$1,560.72	$1,560.72
22840	Major surgery	$1,435.12	$1,435.12
22841	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
22842	Major surgery	$1,442.32	$1,442.32
22843	Major surgery	$1,542.53	$1,542.53
22844	Major surgery	$1,864.38	$1,864.38
22845	Major surgery	$1,374.77	$1,374.77
22846	Major surgery	$1,429.14	$1,429.14
22847	Major surgery	$1,524.53	$1,524.53
22848	Major surgery	$680.84	$680.84
22849	Major surgery	$2,481.84	$2,481.84
22850	Major surgery	$1,398.83	$1,398.83
22852	Major surgery	$1,343.41	$1,343.41
22853	Other professional services	$375.23	$375.23
22854	Other professional services	$486.87	$486.87
22855	Major surgery	$2,103.64	$2,103.64
22856	Major surgery	$3,092.00	$3,092.00
22857	Major surgery	$3,364.02	$3,364.02
22858	Major surgery	$958.13	$958.13
22859	Other professional services	$484.44	$484.44
22861	Major surgery	$4,375.31	$4,375.31
22862	Major surgery	$4,371.88	$4,371.88
22864	Major surgery	$3,906.20	$3,906.20
22865	Major surgery	$4,267.95	$4,267.95
22867	Major surgery	$2,037.11	$2,037.11
22868	Other professional services	$353.75	$353.75
22869	Major surgery	$831.69	$831.69
22870	Other professional services	$176.00	$176.00
22899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
22900	Major surgery	$1,082.27	$1,082.27
22901	Major surgery	$1,280.25	$1,280.25
22902	Major surgery	$907.45	$636.93
22903	Major surgery	$843.36	$843.36
22904	Major surgery	$2,017.28	$2,017.28
22905	Major surgery	$2,538.65	$2,538.65
22999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
23000	Major surgery	$1,099.23	$704.09
23020	Major surgery	$1,318.71	$1,318.71
23030	Other professional services	$650.55	$374.52
23031	Other professional services	$623.81	$320.81
23035	Major surgery	$1,305.14	$1,305.14
23040	Major surgery	$1,374.83	$1,374.83
23044	Major surgery	$1,083.81	$1,083.81
23065	Other professional services	$332.85	$235.07
23066	Major surgery	$1,075.19	$693.81
23071	Major surgery	$804.00	$804.00
23073	Major surgery	$1,332.03	$1,332.03
23075	Major surgery	$996.39	$628.17
23076	Major surgery	$1,038.43	$1,038.43
23077	Major surgery	$2,159.47	$2,159.47
23078	Major surgery	$2,731.33	$2,731.33
23100	Major surgery	$967.57	$967.57
23101	Major surgery	$874.56	$874.56
23105	Major surgery	$1,223.55	$1,223.55
23106	Major surgery	$960.41	$960.41
23107	Major surgery	$1,263.05	$1,263.05
23120	Major surgery	$1,121.48	$1,121.48
23125	Major surgery	$1,357.32	$1,357.32
23130	Major surgery	$1,183.26	$1,183.26
23140	Major surgery	$1,062.07	$1,062.07
23145	Major surgery	$1,331.46	$1,331.46
23146	Major surgery	$1,191.84	$1,191.84
23150	Major surgery	$1,266.23	$1,266.23
23155	Major surgery	$1,524.30	$1,524.30
23156	Major surgery	$1,298.08	$1,298.08
23170	Major surgery	$1,079.34	$1,079.34
23172	Major surgery	$1,090.34	$1,090.34
23174	Major surgery	$1,458.91	$1,458.91
23180	Major surgery	$1,272.49	$1,272.49
23182	Major surgery	$1,283.70	$1,283.70
23184	Major surgery	$1,411.88	$1,411.88
23190	Major surgery	$1,100.29	$1,100.29
23195	Major surgery	$1,419.52	$1,419.52
23200	Major surgery	$2,865.23	$2,865.23
23210	Major surgery	$3,363.09	$3,363.09
23220	Major surgery	$3,692.40	$3,692.40
23330	Other professional services	$441.81	$243.35
23333	Major surgery	$902.40	$902.40
23334	Major surgery	$2,023.85	$2,023.85
23335	Major surgery	$2,414.92	$2,414.92
23350	Other professional services	$247.46	$73.56
23395	Major surgery	$2,436.80	$2,436.80
23397	Major surgery	$2,169.26	$2,169.26
23400	Major surgery	$1,856.87	$1,856.87
23405	Major surgery	$1,184.72	$1,184.72
23406	Major surgery	$1,425.82	$1,425.82
23410	Major surgery	$1,565.25	$1,565.25
23412	Major surgery	$1,626.55	$1,626.55
23415	Major surgery	$1,334.70	$1,334.70
23420	Major surgery	$1,858.29	$1,858.29
23430	Major surgery	$1,422.37	$1,422.37
23440	Major surgery	$1,446.02	$1,446.02
23450	Major surgery	$1,807.34	$1,807.34
23455	Major surgery	$1,896.41	$1,896.41
23460	Major surgery	$2,081.18	$2,081.18
23462	Major surgery	$2,037.09	$2,037.09
23465	Major surgery	$2,135.31	$2,135.31
23466	Major surgery	$2,135.31	$2,135.31
23470	Major surgery	$2,287.08	$2,287.08
23472	Major surgery	$2,757.40	$2,757.40
23473	Major surgery	$3,073.30	$3,073.30
23474	Major surgery	$3,316.97	$3,316.97
23480	Major surgery	$1,567.27	$1,567.27
23485	Major surgery	$1,815.55	$1,815.55
23490	Major surgery	$1,643.85	$1,643.85
23491	Major surgery	$1,939.18	$1,939.18
23500	Major surgery	$426.60	$435.36
23505	Major surgery	$691.16	$642.93
23515	Major surgery	$1,374.83	$1,374.83
23520	Major surgery	$461.84	$455.58
23525	Major surgery	$758.59	$695.35
23530	Major surgery	$1,102.14	$1,102.14
23532	Major surgery	$1,197.92	$1,197.92
23540	Major surgery	$458.27	$451.39
23545	Major surgery	$673.84	$606.22
23550	Major surgery	$1,095.04	$1,095.04
23552	Major surgery	$1,251.28	$1,251.28
23570	Major surgery	$450.90	$464.06
23575	Major surgery	$788.03	$729.16
23585	Major surgery	$1,868.65	$1,868.65
23600	Major surgery	$638.90	$605.71
23605	Major surgery	$901.33	$819.92
23615	Major surgery	$1,685.93	$1,685.93
23616	Major surgery	$2,354.06	$2,354.06
23620	Major surgery	$519.64	$499.61
23625	Major surgery	$738.29	$676.92
23630	Major surgery	$1,486.35	$1,486.35
23650	Major surgery	$628.00	$568.50
23655	Major surgery	$784.52	$784.52
23660	Major surgery	$1,117.56	$1,117.56
23665	Major surgery	$832.26	$767.75
23670	Major surgery	$1,659.10	$1,659.10
23675	Major surgery	$1,057.68	$960.63
23680	Major surgery	$1,769.61	$1,769.61
23700	Other professional services	$287.57	$287.57
23800	Major surgery	$1,959.36	$1,959.36
23802	Major surgery	$2,442.49	$2,442.49
23900	Major surgery	$2,638.78	$2,638.78
23920	Major surgery	$2,139.58	$2,139.58
23921	Major surgery	$898.97	$898.97
23929	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
23930	Other professional services	$533.22	$315.96
23931	Other professional services	$446.21	$234.26
23935	Major surgery	$974.30	$974.30
24000	Major surgery	$905.50	$905.50
24006	Major surgery	$1,361.96	$1,361.96
24065	Other professional services	$383.88	$239.36
24066	Major surgery	$1,184.76	$799.64
24071	Major surgery	$776.57	$776.57
24073	Major surgery	$1,324.97	$1,324.97
24075	Major surgery	$1,027.85	$629.58
24076	Major surgery	$1,042.24	$1,042.24
24077	Major surgery	$1,972.29	$1,972.29
24079	Major surgery	$2,526.69	$2,526.69
24100	Major surgery	$802.91	$802.91
24101	Major surgery	$964.12	$964.12
24102	Major surgery	$1,184.31	$1,184.31
24105	Major surgery	$686.05	$686.05
24110	Major surgery	$1,128.86	$1,128.86
24115	Major surgery	$1,409.71	$1,409.71
24116	Major surgery	$1,643.50	$1,643.50
24120	Major surgery	$1,019.69	$1,019.69
24125	Major surgery	$1,192.00	$1,192.00
24126	Major surgery	$1,244.94	$1,244.94
24130	Major surgery	$975.35	$975.35
24134	Major surgery	$1,428.77	$1,428.77
24136	Major surgery	$1,210.48	$1,210.48
24138	Major surgery	$1,312.84	$1,312.84
24140	Major surgery	$1,345.01	$1,345.01
24145	Major surgery	$1,138.29	$1,138.29
24147	Major surgery	$1,201.57	$1,201.57
24149	Major surgery	$2,243.36	$2,243.36
24150	Major surgery	$2,942.16	$2,942.16
24152	Major surgery	$2,557.35	$2,557.35
24155	Major surgery	$1,627.94	$1,627.94
24160	Major surgery	$2,385.63	$2,385.63
24164	Major surgery	$1,384.23	$1,384.23
24200	Other professional services	$322.41	$207.27
24201	Major surgery	$1,047.36	$699.17
24220	Other professional services	$285.06	$97.67
24300	Major surgery	$829.32	$829.32
24301	Major surgery	$1,434.07	$1,434.07
24305	Major surgery	$1,108.17	$1,108.17
24310	Major surgery	$911.57	$911.57
24320	Major surgery	$1,491.11	$1,491.11
24330	Major surgery	$1,372.92	$1,372.92
24331	Major surgery	$1,501.42	$1,501.42
24332	Major surgery	$1,176.83	$1,176.83
24340	Major surgery	$1,182.60	$1,182.60
24341	Major surgery	$1,419.68	$1,419.68
24342	Major surgery	$1,481.82	$1,481.82
24343	Major surgery	$1,363.42	$1,363.42
24344	Major surgery	$2,086.62	$2,086.62
24345	Major surgery	$1,357.01	$1,357.01
24346	Major surgery	$2,104.30	$2,104.30
24357	Major surgery	$803.85	$803.85
24358	Major surgery	$1,011.76	$1,011.76
24359	Major surgery	$1,266.54	$1,266.54
24360	Major surgery	$1,724.97	$1,724.97
24361	Major surgery	$1,924.30	$1,924.30
24362	Major surgery	$2,025.02	$2,025.02
24363	Major surgery	$2,756.95	$2,756.95
24365	Major surgery	$1,227.41	$1,227.41
24366	Major surgery	$1,303.34	$1,303.34
24370	Major surgery	$2,930.17	$2,930.17
24371	Major surgery	$3,367.59	$3,367.59
24400	Major surgery	$1,576.30	$1,576.30
24410	Major surgery	$2,018.72	$2,018.72
24420	Major surgery	$2,039.74	$2,039.74
24430	Major surgery	$2,011.85	$2,011.85
24435	Major surgery	$2,058.32	$2,058.32
24470	Major surgery	$1,286.08	$1,286.08
24495	Major surgery	$1,544.61	$1,544.61
24498	Major surgery	$1,655.08	$1,655.08
24500	Major surgery	$693.62	$641.00
24505	Major surgery	$966.23	$869.15
24515	Major surgery	$1,682.23	$1,682.23
24516	Major surgery	$1,641.02	$1,641.02
24530	Major surgery	$732.73	$673.86
24535	Major surgery	$1,185.07	$1,090.50
24538	Major surgery	$1,513.10	$1,513.10
24545	Major surgery	$1,771.48	$1,771.48
24546	Major surgery	$1,977.30	$1,977.30
24560	Major surgery	$638.18	$566.16
24565	Major surgery	$1,037.03	$948.11
24566	Major surgery	$1,375.57	$1,375.57
24575	Major surgery	$1,398.09	$1,398.09
24576	Major surgery	$673.00	$600.99
24577	Major surgery	$1,066.51	$974.45
24579	Major surgery	$1,590.77	$1,590.77
24582	Major surgery	$1,556.90	$1,556.90
24586	Major surgery	$2,073.26	$2,073.26
24587	Major surgery	$2,077.35	$2,077.35
24600	Major surgery	$720.37	$653.37
24605	Major surgery	$916.56	$916.56
24615	Major surgery	$1,364.24	$1,364.24
24620	Major surgery	$1,080.73	$1,080.73
24635	Major surgery	$1,288.76	$1,288.76
24640	Other professional services	$153.98	$118.82
24650	Major surgery	$504.66	$469.60
24655	Major surgery	$857.88	$775.22
24665	Major surgery	$1,256.60	$1,256.60
24666	Major surgery	$1,398.21	$1,398.21
24670	Major surgery	$561.44	$514.47
24675	Major surgery	$891.35	$808.68
24685	Major surgery	$1,248.35	$1,248.35
24800	Major surgery	$1,591.92	$1,591.92
24802	Major surgery	$1,914.61	$1,914.61
24900	Major surgery	$1,410.55	$1,410.55
24920	Major surgery	$1,401.00	$1,401.00
24925	Major surgery	$1,088.41	$1,088.41
24930	Major surgery	$1,479.06	$1,479.06
24931	Major surgery	$1,777.64	$1,777.64
24935	Major surgery	$2,340.12	$2,340.12
24940	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
24999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
25000	Major surgery	$657.42	$657.42
25001	Major surgery	$660.93	$660.93
25020	Major surgery	$1,432.18	$1,432.18
25023	Major surgery	$2,530.32	$2,530.32
25024	Major surgery	$1,494.34	$1,494.34
25025	Major surgery	$2,252.33	$2,252.33
25028	Major surgery	$1,342.81	$1,342.81
25031	Major surgery	$704.89	$704.89
25035	Major surgery	$1,120.39	$1,120.39
25040	Major surgery	$1,070.00	$1,070.00
25065	Other professional services	$377.93	$231.48
25066	Major surgery	$698.33	$698.33
25071	Major surgery	$810.93	$810.93
25073	Major surgery	$1,021.78	$1,021.78
25075	Major surgery	$1,000.45	$602.16
25076	Major surgery	$987.66	$987.66
25077	Major surgery	$1,701.28	$1,701.28
25078	Major surgery	$2,218.24	$2,218.24
25085	Major surgery	$857.65	$857.65
25100	Major surgery	$670.27	$670.27
25101	Major surgery	$774.93	$774.93
25105	Major surgery	$930.31	$930.31
25107	Major surgery	$1,177.22	$1,177.22
25109	Major surgery	$1,023.85	$1,023.85
25110	Major surgery	$663.37	$663.37
25111	Major surgery	$618.48	$618.48
25112	Major surgery	$745.70	$745.70
25115	Major surgery	$1,440.76	$1,440.76
25116	Major surgery	$1,150.52	$1,150.52
25118	Major surgery	$731.52	$731.52
25119	Major surgery	$961.37	$961.37
25120	Major surgery	$959.26	$959.26
25125	Major surgery	$1,139.17	$1,139.17
25126	Major surgery	$1,147.42	$1,147.42
25130	Major surgery	$862.64	$862.64
25135	Major surgery	$1,072.75	$1,072.75
25136	Major surgery	$953.59	$953.59
25145	Major surgery	$997.60	$997.60
25150	Major surgery	$1,086.17	$1,086.17
25151	Major surgery	$1,118.03	$1,118.03
25170	Major surgery	$2,797.57	$2,797.57
25210	Major surgery	$940.88	$940.88
25215	Major surgery	$1,182.68	$1,182.68
25230	Major surgery	$827.91	$827.91
25240	Major surgery	$821.42	$821.42
25246	Other professional services	$294.26	$107.34
25248	Major surgery	$803.71	$803.71
25250	Major surgery	$1,022.70	$1,022.70
25251	Major surgery	$1,375.57	$1,375.57
25259	Major surgery	$820.07	$820.07
25260	Major surgery	$1,212.16	$1,212.16
25263	Major surgery	$1,213.02	$1,213.02
25265	Major surgery	$1,434.11	$1,434.11
25270	Major surgery	$944.52	$944.52
25272	Major surgery	$1,071.84	$1,071.84
25274	Major surgery	$1,270.62	$1,270.62
25275	Major surgery	$1,284.27	$1,284.27
25280	Major surgery	$1,083.46	$1,083.46
25290	Major surgery	$834.39	$834.39
25295	Major surgery	$1,007.90	$1,007.90
25300	Major surgery	$1,319.70	$1,319.70
25301	Major surgery	$1,228.58	$1,228.58
25310	Major surgery	$1,185.03	$1,185.03
25312	Major surgery	$1,367.44	$1,367.44
25315	Major surgery	$1,471.67	$1,471.67
25316	Major surgery	$1,750.77	$1,750.77
25320	Major surgery	$1,873.74	$1,873.74
25332	Major surgery	$1,612.49	$1,612.49
25335	Major surgery	$1,805.58	$1,805.58
25337	Major surgery	$1,687.39	$1,687.39
25350	Major surgery	$1,289.15	$1,289.15
25355	Major surgery	$1,463.01	$1,463.01
25360	Major surgery	$1,253.15	$1,253.15
25365	Major surgery	$1,752.70	$1,752.70
25370	Major surgery	$1,932.68	$1,932.68
25375	Major surgery	$1,823.11	$1,823.11
25390	Major surgery	$1,468.92	$1,468.92
25391	Major surgery	$1,903.22	$1,903.22
25392	Major surgery	$1,936.23	$1,936.23
25393	Major surgery	$2,155.69	$2,155.69
25394	Major surgery	$1,499.20	$1,499.20
25400	Major surgery	$1,533.03	$1,533.03
25405	Major surgery	$1,981.10	$1,981.10
25415	Major surgery	$1,850.26	$1,850.26
25420	Major surgery	$2,225.55	$2,225.55
25425	Major surgery	$1,842.44	$1,842.44
25426	Major surgery	$2,143.48	$2,143.48
25430	Major surgery	$1,397.58	$1,397.58
25431	Major surgery	$1,505.03	$1,505.03
25440	Major surgery	$1,466.54	$1,466.54
25441	Major surgery	$1,792.30	$1,792.30
25442	Major surgery	$1,546.21	$1,546.21
25443	Major surgery	$1,500.53	$1,500.53
25444	Major surgery	$1,582.56	$1,582.56
25445	Major surgery	$1,373.99	$1,373.99
25446	Major surgery	$2,232.01	$2,232.01
25447	Major surgery	$1,584.51	$1,584.51
25449	Major surgery	$1,972.09	$1,972.09
25450	Major surgery	$1,182.34	$1,182.34
25455	Major surgery	$1,397.58	$1,397.58
25490	Major surgery	$1,374.52	$1,374.52
25491	Major surgery	$1,413.54	$1,413.54
25492	Major surgery	$1,732.44	$1,732.44
25500	Major surgery	$545.63	$493.66
25505	Major surgery	$969.09	$880.80
25515	Major surgery	$1,279.43	$1,279.43
25520	Major surgery	$1,107.05	$1,044.44
25525	Major surgery	$1,504.54	$1,504.54
25526	Major surgery	$1,824.97	$1,824.97
25530	Major surgery	$504.41	$463.69
25535	Major surgery	$951.48	$878.22
25545	Major surgery	$1,193.22	$1,193.22
25560	Major surgery	$556.16	$496.67
25565	Major surgery	$997.78	$895.69
25574	Major surgery	$1,288.62	$1,288.62
25575	Major surgery	$1,724.85	$1,724.85
25600	Major surgery	$647.60	$620.04
25605	Major surgery	$1,037.40	$981.67
25606	Major surgery	$1,274.85	$1,274.85
25607	Major surgery	$1,409.30	$1,409.30
25608	Major surgery	$1,578.37	$1,578.37
25609	Major surgery	$2,004.52	$2,004.52
25622	Major surgery	$589.49	$545.01
25624	Major surgery	$940.84	$853.79
25628	Major surgery	$1,375.69	$1,375.69
25630	Major surgery	$586.66	$545.96
25635	Major surgery	$893.39	$811.98
25645	Major surgery	$1,094.48	$1,094.48
25650	Major surgery	$634.32	$587.34
25651	Major surgery	$934.42	$934.42
25652	Major surgery	$1,190.67	$1,190.67
25660	Major surgery	$859.60	$859.60
25670	Major surgery	$1,165.26	$1,165.26
25671	Major surgery	$1,013.30	$1,013.30
25675	Major surgery	$863.15	$781.11
25676	Major surgery	$1,206.39	$1,206.39
25680	Major surgery	$1,015.87	$1,015.87
25685	Major surgery	$1,405.87	$1,405.87
25690	Major surgery	$942.18	$942.18
25695	Major surgery	$1,215.18	$1,215.18
25800	Major surgery	$1,398.27	$1,398.27
25805	Major surgery	$1,619.96	$1,619.96
25810	Major surgery	$1,648.80	$1,648.80
25820	Major surgery	$1,243.46	$1,243.46
25825	Major surgery	$1,517.53	$1,517.53
25830	Major surgery	$1,983.42	$1,983.42
25900	Major surgery	$1,368.06	$1,368.06
25905	Major surgery	$1,343.36	$1,343.36
25907	Major surgery	$1,176.24	$1,176.24
25909	Major surgery	$1,312.31	$1,312.31
25915	Major surgery	$2,226.59	$2,226.59
25920	Major surgery	$1,401.09	$1,401.09
25922	Major surgery	$1,241.14	$1,241.14
25924	Major surgery	$1,369.64	$1,369.64
25927	Major surgery	$1,664.95	$1,664.95
25929	Major surgery	$1,147.03	$1,147.03
25931	Major surgery	$1,542.41	$1,542.41
25999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
26010	Other professional services	$512.63	$205.77
26011	Other professional services	$715.68	$271.53
26020	Major surgery	$1,062.59	$1,062.59
26025	Major surgery	$803.95	$803.95
26030	Major surgery	$937.87	$937.87
26034	Major surgery	$1,053.72	$1,053.72
26035	Major surgery	$1,641.88	$1,641.88
26037	Major surgery	$1,071.53	$1,071.53
26040	Major surgery	$602.78	$602.78
26045	Major surgery	$902.73	$902.73
26055	Major surgery	$1,134.78	$554.89
26060	Major surgery	$490.68	$490.68
26070	Major surgery	$613.59	$613.59
26075	Major surgery	$645.49	$645.49
26080	Major surgery	$761.38	$761.38
26100	Major surgery	$649.00	$649.00
26105	Major surgery	$653.50	$653.50
26110	Major surgery	$622.05	$622.05
26111	Major surgery	$792.23	$792.23
26113	Major surgery	$1,041.94	$1,041.94
26115	Major surgery	$1,051.54	$630.71
26116	Major surgery	$1,001.11	$1,001.11
26117	Major surgery	$1,407.72	$1,407.72
26118	Major surgery	$2,011.78	$2,011.78
26121	Major surgery	$1,144.86	$1,144.86
26123	Major surgery	$1,594.91	$1,594.91
26125	Major surgery	$512.64	$512.64
26130	Major surgery	$897.86	$897.86
26135	Major surgery	$1,060.64	$1,060.64
26140	Major surgery	$971.02	$971.02
26145	Major surgery	$985.78	$985.78
26160	Major surgery	$1,181.66	$601.77
26170	Major surgery	$780.62	$780.62
26180	Major surgery	$858.08	$858.08
26185	Major surgery	$1,061.99	$1,061.99
26200	Major surgery	$858.96	$858.96
26205	Major surgery	$1,159.96	$1,159.96
26210	Major surgery	$854.18	$854.18
26215	Major surgery	$1,085.84	$1,085.84
26230	Major surgery	$956.32	$956.32
26235	Major surgery	$940.84	$940.84
26236	Major surgery	$844.88	$844.88
26250	Major surgery	$2,028.53	$2,028.53
26260	Major surgery	$1,520.79	$1,520.79
26262	Major surgery	$1,202.58	$1,202.58
26320	Major surgery	$669.38	$669.38
26340	Major surgery	$669.20	$669.20
26341	Other professional services	$170.99	$114.63
26350	Major surgery	$1,441.25	$1,441.25
26352	Major surgery	$1,608.89	$1,608.89
26356	Major surgery	$1,516.91	$1,516.91
26357	Major surgery	$1,701.98	$1,701.98
26358	Major surgery	$1,880.64	$1,880.64
26370	Major surgery	$1,518.31	$1,518.31
26372	Major surgery	$1,770.54	$1,770.54
26373	Major surgery	$1,704.01	$1,704.01
26390	Major surgery	$1,696.07	$1,696.07
26392	Major surgery	$1,936.29	$1,936.29
26410	Major surgery	$1,162.57	$1,162.57
26412	Major surgery	$1,385.96	$1,385.96
26415	Major surgery	$1,646.66	$1,646.66
26416	Major surgery	$1,780.33	$1,780.33
26418	Major surgery	$1,203.42	$1,203.42
26420	Major surgery	$1,439.51	$1,439.51
26426	Major surgery	$962.64	$962.64
26428	Major surgery	$1,540.27	$1,540.27
26432	Major surgery	$1,051.60	$1,051.60
26433	Major surgery	$1,106.57	$1,106.57
26434	Major surgery	$1,346.05	$1,346.05
26437	Major surgery	$1,287.82	$1,287.82
26440	Major surgery	$1,259.35	$1,259.35
26442	Major surgery	$1,902.97	$1,902.97
26445	Major surgery	$1,175.93	$1,175.93
26449	Major surgery	$1,328.07	$1,328.07
26450	Major surgery	$895.48	$895.48
26455	Major surgery	$885.61	$885.61
26460	Major surgery	$871.18	$871.18
26471	Major surgery	$1,275.14	$1,275.14
26474	Major surgery	$1,259.70	$1,259.70
26476	Major surgery	$1,244.70	$1,244.70
26477	Major surgery	$1,208.01	$1,208.01
26478	Major surgery	$1,281.52	$1,281.52
26479	Major surgery	$1,306.73	$1,306.73
26480	Major surgery	$1,515.87	$1,515.87
26483	Major surgery	$1,680.55	$1,680.55
26485	Major surgery	$1,611.48	$1,611.48
26489	Major surgery	$1,865.33	$1,865.33
26490	Major surgery	$1,621.21	$1,621.21
26492	Major surgery	$1,790.24	$1,790.24
26494	Major surgery	$1,627.14	$1,627.14
26496	Major surgery	$1,751.12	$1,751.12
26497	Major surgery	$1,749.15	$1,749.15
26498	Major surgery	$2,274.93	$2,274.93
26499	Major surgery	$1,682.81	$1,682.81
26500	Major surgery	$1,292.17	$1,292.17
26502	Major surgery	$1,461.68	$1,461.68
26508	Major surgery	$1,306.34	$1,306.34
26510	Major surgery	$1,239.95	$1,239.95
26516	Major surgery	$1,437.01	$1,437.01
26517	Major surgery	$1,673.67	$1,673.67
26518	Major surgery	$1,695.99	$1,695.99
26520	Major surgery	$1,319.92	$1,319.92
26525	Major surgery	$1,324.36	$1,324.36
26530	Major surgery	$1,034.61	$1,034.61
26531	Major surgery	$1,205.78	$1,205.78
26535	Major surgery	$834.66	$834.66
26536	Major surgery	$1,445.85	$1,445.85
26540	Major surgery	$1,351.95	$1,351.95
26541	Major surgery	$1,609.41	$1,609.41
26542	Major surgery	$1,395.73	$1,395.73
26545	Major surgery	$1,412.79	$1,412.79
26546	Major surgery	$1,989.80	$1,989.80
26548	Major surgery	$1,541.75	$1,541.75
26550	Major surgery	$3,184.21	$3,184.21
26551	Major surgery	$6,311.60	$6,311.60
26553	Major surgery	$6,269.29	$6,269.29
26554	Major surgery	$7,296.45	$7,296.45
26555	Major surgery	$2,675.93	$2,675.93
26556	Major surgery	$6,516.88	$6,516.88
26560	Major surgery	$1,230.35	$1,230.35
26561	Major surgery	$1,897.70	$1,897.70
26562	Major surgery	$2,644.43	$2,644.43
26565	Major surgery	$1,386.76	$1,386.76
26567	Major surgery	$1,390.92	$1,390.92
26568	Major surgery	$1,801.22	$1,801.22
26580	Major surgery	$2,960.55	$2,960.55
26587	Major surgery	$1,992.22	$1,992.22
26590	Major surgery	$2,757.71	$2,757.71
26591	Major surgery	$939.16	$939.16
26593	Major surgery	$1,244.84	$1,244.84
26596	Major surgery	$1,575.58	$1,575.58
26600	Major surgery	$576.32	$548.77
26605	Major surgery	$635.29	$572.68
26607	Major surgery	$979.74	$979.74
26608	Major surgery	$922.27	$922.27
26615	Major surgery	$1,098.55	$1,098.55
26641	Major surgery	$804.67	$734.55
26645	Major surgery	$833.12	$759.86
26650	Major surgery	$920.97	$920.97
26665	Major surgery	$1,192.64	$1,192.64
26670	Major surgery	$672.36	$602.24
26675	Major surgery	$887.21	$810.81
26676	Major surgery	$973.77	$973.77
26685	Major surgery	$1,100.37	$1,100.37
26686	Major surgery	$1,193.38	$1,193.38
26700	Major surgery	$651.14	$599.80
26705	Major surgery	$813.91	$739.40
26706	Major surgery	$855.72	$855.72
26715	Major surgery	$1,094.61	$1,094.61
26720	Major surgery	$383.04	$360.50
26725	Major surgery	$656.99	$585.60
26727	Major surgery	$907.53	$907.53
26735	Major surgery	$1,135.45	$1,135.45
26740	Major surgery	$445.56	$422.39
26742	Major surgery	$719.57	$646.91
26746	Major surgery	$1,417.57	$1,417.57
26750	Major surgery	$358.82	$361.32
26755	Major surgery	$614.68	$528.88
26756	Major surgery	$813.05	$813.05
26765	Major surgery	$958.56	$958.56
26770	Major surgery	$549.37	$500.53
26775	Major surgery	$753.79	$677.39
26776	Major surgery	$862.06	$862.06
26785	Major surgery	$1,043.07	$1,043.07
26820	Major surgery	$1,603.93	$1,603.93
26841	Major surgery	$1,491.42	$1,491.42
26842	Major surgery	$1,607.89	$1,607.89
26843	Major surgery	$1,514.51	$1,514.51
26844	Major surgery	$1,662.69	$1,662.69
26850	Major surgery	$1,418.90	$1,418.90
26852	Major surgery	$1,606.23	$1,606.23
26860	Major surgery	$1,180.63	$1,180.63
26861	Major surgery	$193.97	$193.97
26862	Major surgery	$1,478.82	$1,478.82
26863	Major surgery	$432.71	$432.71
26910	Major surgery	$1,470.98	$1,470.98
26951	Major surgery	$1,346.48	$1,346.48
26952	Major surgery	$1,320.15	$1,320.15
26989	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
26990	Major surgery	$1,306.29	$1,306.29
26991	Major surgery	$1,351.55	$1,000.86
26992	Major surgery	$1,928.06	$1,928.06
27000	Major surgery	$772.08	$772.08
27001	Major surgery	$1,033.36	$1,033.36
27003	Major surgery	$1,145.80	$1,145.80
27005	Major surgery	$1,381.79	$1,381.79
27006	Major surgery	$1,370.54	$1,370.54
27025	Major surgery	$1,760.19	$1,760.19
27027	Major surgery	$1,690.61	$1,690.61
27030	Major surgery	$1,788.54	$1,788.54
27033	Major surgery	$1,854.68	$1,854.68
27035	Major surgery	$2,200.79	$2,200.79
27036	Major surgery	$1,941.83	$1,941.83
27040	Other professional services	$499.41	$289.86
27041	Major surgery	$1,354.55	$1,354.55
27043	Major surgery	$897.60	$897.60
27045	Major surgery	$1,404.90	$1,404.90
27047	Major surgery	$951.72	$689.33
27048	Major surgery	$1,165.20	$1,165.20
27049	Major surgery	$2,571.93	$2,571.93
27050	Major surgery	$774.19	$774.19
27052	Major surgery	$1,103.88	$1,103.88
27054	Major surgery	$1,313.60	$1,313.60
27057	Major surgery	$1,926.76	$1,926.76
27059	Major surgery	$3,456.71	$3,456.71
27060	Major surgery	$890.16	$890.16
27062	Major surgery	$870.46	$870.46
27065	Major surgery	$1,004.60	$1,004.60
27066	Major surgery	$1,556.20	$1,556.20
27067	Major surgery	$1,974.98	$1,974.98
27070	Major surgery	$1,701.78	$1,701.78
27071	Major surgery	$1,863.79	$1,863.79
27075	Major surgery	$3,965.07	$3,965.07
27076	Major surgery	$4,794.19	$4,794.19
27077	Major surgery	$5,348.15	$5,348.15
27078	Major surgery	$3,909.52	$3,909.52
27080	Major surgery	$977.05	$977.05
27086	Other professional services	$456.77	$245.78
27087	Major surgery	$1,174.76	$1,174.76
27090	Major surgery	$1,586.09	$1,586.09
27091	Major surgery	$3,034.14	$3,034.14
27093	Other professional services	$352.46	$99.56
27095	Other professional services	$473.93	$121.79
27096	Other professional services	$238.49	$120.95
27097	Major surgery	$1,307.73	$1,307.73
27098	Major surgery	$1,329.82	$1,329.82
27100	Major surgery	$1,585.43	$1,585.43
27105	Major surgery	$1,662.77	$1,662.77
27110	Major surgery	$1,853.88	$1,853.88
27111	Major surgery	$1,725.34	$1,725.34
27120	Major surgery	$2,475.33	$2,475.33
27122	Major surgery	$2,105.38	$2,105.38
27125	Major surgery	$2,156.15	$2,156.15
27130	Major surgery	$2,446.68	$2,446.68
27132	Major surgery	$3,181.46	$3,181.46
27134	Major surgery	$3,628.33	$3,628.33
27137	Major surgery	$2,791.29	$2,791.29
27138	Major surgery	$2,901.70	$2,901.70
27140	Major surgery	$1,706.09	$1,706.09
27146	Major surgery	$2,439.51	$2,439.51
27147	Major surgery	$2,785.91	$2,785.91
27151	Major surgery	$3,011.40	$3,011.40
27156	Major surgery	$3,245.11	$3,245.11
27158	Major surgery	$2,666.74	$2,666.74
27161	Major surgery	$2,326.68	$2,326.68
27165	Major surgery	$2,626.55	$2,626.55
27170	Major surgery	$2,223.35	$2,223.35
27175	Major surgery	$1,273.14	$1,273.14
27176	Major surgery	$1,760.27	$1,760.27
27177	Major surgery	$2,127.22	$2,127.22
27178	Major surgery	$1,760.27	$1,760.27
27179	Major surgery	$1,868.96	$1,868.96
27181	Major surgery	$2,133.77	$2,133.77
27185	Major surgery	$1,372.92	$1,372.92
27187	Major surgery	$1,902.42	$1,902.42
27197	Other professional services	$196.17	$196.17
27198	Other professional services	$468.54	$468.54
27200	Major surgery	$359.79	$361.06
27202	Major surgery	$1,008.31	$1,008.31
27215	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
27216	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
27217	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
27218	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
27220	Major surgery	$801.98	$790.08
27222	Major surgery	$1,878.88	$1,878.88
27226	Major surgery	$2,012.85	$2,012.85
27227	Major surgery	$3,143.11	$3,143.11
27228	Major surgery	$3,573.67	$3,573.67
27230	Major surgery	$931.96	$913.81
27232	Major surgery	$1,413.57	$1,413.57
27235	Major surgery	$1,731.93	$1,731.93
27236	Major surgery	$2,274.07	$2,274.07
27238	Major surgery	$894.82	$894.82
27240	Major surgery	$1,831.05	$1,831.05
27244	Major surgery	$2,339.14	$2,339.14
27245	Major surgery	$2,337.41	$2,337.41
27246	Major surgery	$749.58	$740.18
27248	Major surgery	$1,426.43	$1,426.43
27250	Other professional services	$266.63	$266.63
27252	Major surgery	$1,444.97	$1,444.97
27253	Major surgery	$1,795.77	$1,795.77
27254	Major surgery	$2,424.86	$2,424.86
27256	Other professional services	$451.68	$351.48
27257	Other professional services	$528.84	$528.84
27258	Major surgery	$2,120.63	$2,120.63
27259	Major surgery	$2,937.79	$2,937.79
27265	Major surgery	$786.61	$786.61
27266	Major surgery	$1,119.51	$1,119.51
27267	Major surgery	$844.08	$844.08
27268	Major surgery	$1,041.42	$1,041.42
27269	Major surgery	$2,363.95	$2,363.95
27275	Other professional services	$268.29	$268.29
27279	Major surgery	$1,594.87	$1,594.87
27280	Major surgery	$2,586.97	$2,586.97
27282	Major surgery	$1,642.10	$1,642.10
27284	Major surgery	$3,055.85	$3,055.85
27286	Major surgery	$3,127.61	$3,127.61
27290	Major surgery	$3,095.51	$3,095.51
27295	Major surgery	$2,409.87	$2,409.87
27299	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
27301	Major surgery	$1,286.79	$968.04
27303	Major surgery	$1,220.12	$1,220.12
27305	Major surgery	$924.42	$924.42
27306	Major surgery	$649.78	$649.78
27307	Major surgery	$802.44	$802.44
27310	Major surgery	$1,398.85	$1,398.85
27323	Other professional services	$401.31	$253.91
27324	Major surgery	$775.94	$775.94
27325	Major surgery	$1,080.55	$1,080.55
27326	Major surgery	$999.82	$999.82
27327	Major surgery	$966.60	$600.25
27328	Major surgery	$1,189.77	$1,189.77
27329	Major surgery	$1,986.58	$1,986.58
27330	Major surgery	$807.42	$807.42
27331	Major surgery	$910.85	$910.85
27332	Major surgery	$1,233.88	$1,233.88
27333	Major surgery	$1,126.20	$1,126.20
27334	Major surgery	$1,310.99	$1,310.99
27335	Major surgery	$1,463.73	$1,463.73
27337	Major surgery	$802.68	$802.68
27339	Major surgery	$1,443.47	$1,443.47
27340	Major surgery	$716.45	$716.45
27345	Major surgery	$929.14	$929.14
27347	Major surgery	$1,005.81	$1,005.81
27350	Major surgery	$1,251.53	$1,251.53
27355	Major surgery	$1,164.05	$1,164.05
27356	Major surgery	$1,414.02	$1,414.02
27357	Major surgery	$1,565.87	$1,565.87
27358	Major surgery	$523.65	$523.65
27360	Major surgery	$1,732.44	$1,732.44
27364	Major surgery	$2,979.91	$2,979.91
27365	Major surgery	$3,906.94	$3,906.94
27369	Other professional services	$258.11	$58.68
27372	Major surgery	$1,135.27	$767.68
27380	Major surgery	$1,195.60	$1,195.60
27381	Major surgery	$1,574.98	$1,574.98
27385	Major surgery	$1,163.82	$1,163.82
27386	Major surgery	$1,644.59	$1,644.59
27390	Major surgery	$859.03	$859.03
27391	Major surgery	$1,065.58	$1,065.58
27392	Major surgery	$1,362.89	$1,362.89
27393	Major surgery	$961.17	$961.17
27394	Major surgery	$1,252.43	$1,252.43
27395	Major surgery	$1,683.61	$1,683.61
27396	Major surgery	$1,182.64	$1,182.64
27397	Major surgery	$1,744.98	$1,744.98
27400	Major surgery	$1,330.50	$1,330.50
27403	Major surgery	$1,233.26	$1,233.26
27405	Major surgery	$1,294.39	$1,294.39
27407	Major surgery	$1,522.99	$1,522.99
27409	Major surgery	$1,846.85	$1,846.85
27412	Major surgery	$3,137.45	$3,137.45
27415	Major surgery	$2,613.14	$2,613.14
27416	Major surgery	$1,870.85	$1,870.85
27418	Major surgery	$1,588.67	$1,588.67
27420	Major surgery	$1,419.44	$1,419.44
27422	Major surgery	$1,419.83	$1,419.83
27424	Major surgery	$1,431.22	$1,431.22
27425	Major surgery	$866.72	$866.72
27427	Major surgery	$1,359.03	$1,359.03
27428	Major surgery	$2,129.17	$2,129.17
27429	Major surgery	$2,396.39	$2,396.39
27430	Major surgery	$1,419.29	$1,419.29
27435	Major surgery	$1,536.74	$1,536.74
27437	Major surgery	$1,262.51	$1,262.51
27438	Major surgery	$1,604.52	$1,604.52
27440	Major surgery	$1,523.79	$1,523.79
27441	Major surgery	$1,573.53	$1,573.53
27442	Major surgery	$1,662.75	$1,662.75
27443	Major surgery	$1,558.71	$1,558.71
27445	Major surgery	$2,390.90	$2,390.90
27446	Major surgery	$2,199.13	$2,199.13
27447	Major surgery	$2,444.25	$2,444.25
27448	Major surgery	$1,547.11	$1,547.11
27450	Major surgery	$1,931.67	$1,931.67
27454	Major surgery	$2,463.81	$2,463.81
27455	Major surgery	$1,837.52	$1,837.52
27457	Major surgery	$1,834.74	$1,834.74
27465	Major surgery	$2,378.57	$2,378.57
27466	Major surgery	$2,258.35	$2,258.35
27468	Major surgery	$2,556.00	$2,556.00
27470	Major surgery	$2,247.96	$2,247.96
27472	Major surgery	$2,408.58	$2,408.58
27475	Major surgery	$1,269.18	$1,269.18
27477	Major surgery	$1,402.85	$1,402.85
27479	Major surgery	$1,753.64	$1,753.64
27485	Major surgery	$1,284.95	$1,284.95
27486	Major surgery	$2,673.47	$2,673.47
27487	Major surgery	$3,337.85	$3,337.85
27488	Major surgery	$2,285.85	$2,285.85
27495	Major surgery	$2,155.20	$2,155.20
27496	Major surgery	$1,047.79	$1,047.79
27497	Major surgery	$1,110.64	$1,110.64
27498	Major surgery	$1,255.78	$1,255.78
27499	Major surgery	$1,340.37	$1,340.37
27500	Major surgery	$998.83	$919.91
27501	Major surgery	$971.63	$953.47
27502	Major surgery	$1,453.35	$1,453.35
27503	Major surgery	$1,527.10	$1,527.10
27506	Major surgery	$2,547.19	$2,547.19
27507	Major surgery	$1,847.06	$1,847.06
27508	Major surgery	$1,007.25	$955.89
27509	Major surgery	$1,297.41	$1,297.41
27510	Major surgery	$1,299.23	$1,299.23
27511	Major surgery	$1,900.80	$1,900.80
27513	Major surgery	$2,359.70	$2,359.70
27514	Major surgery	$1,845.13	$1,845.13
27516	Major surgery	$991.79	$927.93
27517	Major surgery	$1,316.91	$1,316.91
27519	Major surgery	$1,701.39	$1,701.39
27520	Major surgery	$624.06	$577.73
27524	Major surgery	$1,439.51	$1,439.51
27530	Major surgery	$590.05	$554.97
27532	Major surgery	$1,187.65	$1,109.37
27535	Major surgery	$1,712.80	$1,712.80
27536	Major surgery	$2,261.40	$2,261.40
27538	Major surgery	$932.63	$867.52
27540	Major surgery	$1,554.03	$1,554.03
27550	Major surgery	$988.08	$909.19
27552	Major surgery	$1,213.00	$1,213.00
27556	Major surgery	$1,674.17	$1,674.17
27557	Major surgery	$1,996.25	$1,996.25
27558	Major surgery	$2,270.21	$2,270.21
27560	Major surgery	$708.69	$647.32
27562	Major surgery	$938.61	$938.61
27566	Major surgery	$1,704.51	$1,704.51
27570	Other professional services	$223.29	$223.29
27580	Major surgery	$2,817.40	$2,817.40
27590	Major surgery	$1,505.60	$1,505.60
27591	Major surgery	$1,840.70	$1,840.70
27592	Major surgery	$1,280.92	$1,280.92
27594	Major surgery	$969.31	$969.31
27596	Major surgery	$1,364.79	$1,364.79
27598	Major surgery	$1,339.07	$1,339.07
27599	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
27600	Major surgery	$772.84	$772.84
27601	Major surgery	$854.70	$854.70
27602	Major surgery	$917.48	$917.48
27603	Major surgery	$1,016.13	$749.35
27604	Major surgery	$856.05	$613.06
27605	Other professional services	$485.81	$268.55
27606	Other professional services	$401.18	$401.18
27607	Major surgery	$1,140.42	$1,140.42
27610	Major surgery	$1,237.88	$1,237.88
27612	Major surgery	$1,068.58	$1,068.58
27613	Other professional services	$370.35	$234.51
27614	Major surgery	$1,111.03	$787.25
27615	Major surgery	$1,953.32	$1,953.32
27616	Major surgery	$2,420.18	$2,420.18
27618	Major surgery	$937.89	$583.44
27619	Major surgery	$882.65	$882.65
27620	Major surgery	$860.57	$860.57
27625	Major surgery	$1,098.65	$1,098.65
27626	Major surgery	$1,152.88	$1,152.88
27630	Major surgery	$1,031.88	$684.94
27632	Major surgery	$788.25	$788.25
27634	Major surgery	$1,291.29	$1,291.29
27635	Major surgery	$1,107.02	$1,107.02
27637	Major surgery	$1,403.81	$1,403.81
27638	Major surgery	$1,435.01	$1,435.01
27640	Major surgery	$1,589.93	$1,589.93
27641	Major surgery	$1,247.81	$1,247.81
27645	Major surgery	$3,363.09	$3,363.09
27646	Major surgery	$2,921.33	$2,921.33
27647	Major surgery	$1,919.44	$1,919.44
27648	Other professional services	$322.29	$75.17
27650	Major surgery	$1,258.45	$1,258.45
27652	Major surgery	$1,264.59	$1,264.59
27654	Major surgery	$1,362.86	$1,362.86
27656	Major surgery	$1,044.62	$672.63
27658	Major surgery	$703.99	$703.99
27659	Major surgery	$899.79	$899.79
27664	Major surgery	$696.15	$696.15
27665	Major surgery	$805.53	$805.53
27675	Major surgery	$941.32	$941.32
27676	Major surgery	$1,161.95	$1,161.95
27680	Major surgery	$798.54	$798.54
27681	Major surgery	$971.18	$971.18
27685	Major surgery	$1,248.08	$886.74
27686	Major surgery	$1,017.65	$1,017.65
27687	Major surgery	$866.44	$866.44
27690	Major surgery	$1,224.33	$1,224.33
27691	Major surgery	$1,420.59	$1,420.59
27692	Major surgery	$192.80	$192.80
27695	Major surgery	$916.32	$916.32
27696	Major surgery	$1,051.42	$1,051.42
27698	Major surgery	$1,218.69	$1,218.69
27700	Major surgery	$1,174.35	$1,174.35
27702	Major surgery	$1,838.62	$1,838.62
27703	Major surgery	$2,116.12	$2,116.12
27704	Major surgery	$1,089.74	$1,089.74
27705	Major surgery	$1,449.77	$1,449.77
27707	Major surgery	$769.57	$769.57
27709	Major surgery	$2,182.34	$2,182.34
27712	Major surgery	$2,100.13	$2,100.13
27715	Major surgery	$2,046.80	$2,046.80
27720	Major surgery	$1,669.53	$1,669.53
27722	Major surgery	$1,708.06	$1,708.06
27724	Major surgery	$2,392.07	$2,392.07
27725	Major surgery	$2,313.81	$2,313.81
27726	Major surgery	$1,831.42	$1,831.42
27727	Major surgery	$1,980.97	$1,980.97
27730	Major surgery	$1,126.01	$1,126.01
27732	Major surgery	$866.29	$866.29
27734	Major surgery	$1,258.26	$1,258.26
27740	Major surgery	$1,353.42	$1,353.42
27742	Major surgery	$1,483.46	$1,483.46
27745	Major surgery	$1,446.20	$1,446.20
27750	Major surgery	$665.93	$618.97
27752	Major surgery	$1,026.77	$941.62
27756	Major surgery	$1,108.07	$1,108.07
27758	Major surgery	$1,711.09	$1,711.09
27759	Major surgery	$1,902.71	$1,902.71
27760	Major surgery	$637.63	$590.05
27762	Major surgery	$925.98	$840.18
27766	Major surgery	$1,155.22	$1,155.22
27767	Major surgery	$559.61	$554.60
27768	Major surgery	$856.40	$856.40
27769	Major surgery	$1,392.30	$1,392.30
27780	Major surgery	$593.91	$547.56
27781	Major surgery	$835.83	$770.70
27784	Major surgery	$1,351.66	$1,351.66
27786	Major surgery	$602.98	$554.13
27788	Major surgery	$815.63	$739.85
27792	Major surgery	$1,233.51	$1,233.51
27808	Major surgery	$643.03	$587.28
27810	Major surgery	$905.42	$817.75
27814	Major surgery	$1,460.57	$1,460.57
27816	Major surgery	$634.24	$564.72
27818	Major surgery	$938.71	$840.39
27822	Major surgery	$1,677.35	$1,677.35
27823	Major surgery	$1,885.77	$1,885.77
27824	Major surgery	$609.65	$584.59
27825	Major surgery	$1,040.97	$942.03
27826	Major surgery	$1,637.92	$1,637.92
27827	Major surgery	$2,142.56	$2,142.56
27828	Major surgery	$2,543.05	$2,543.05
27829	Major surgery	$1,355.74	$1,355.74
27830	Major surgery	$749.58	$691.98
27831	Major surgery	$784.15	$784.15
27832	Major surgery	$1,445.57	$1,445.57
27840	Major surgery	$733.84	$733.84
27842	Major surgery	$951.52	$951.52
27846	Major surgery	$1,382.71	$1,382.71
27848	Major surgery	$1,512.52	$1,512.52
27860	Other professional services	$243.48	$243.48
27870	Major surgery	$1,932.39	$1,932.39
27871	Major surgery	$1,317.93	$1,317.93
27880	Major surgery	$1,721.05	$1,721.05
27881	Major surgery	$1,631.47	$1,631.47
27882	Major surgery	$1,131.68	$1,131.68
27884	Major surgery	$1,102.88	$1,102.88
27886	Major surgery	$1,241.43	$1,241.43
27888	Major surgery	$1,242.25	$1,242.25
27889	Major surgery	$1,218.07	$1,218.07
27892	Major surgery	$1,025.10	$1,025.10
27893	Major surgery	$1,171.77	$1,171.77
27894	Major surgery	$1,565.28	$1,565.28
27899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
28001	Other professional services	$255.45	$143.69
28002	Other professional services	$366.81	$209.30
28003	Major surgery	$733.61	$504.41
28005	Major surgery	$1,095.71	$1,095.71
28008	Major surgery	$812.72	$560.98
28010	Major surgery	$441.56	$393.33
28011	Major surgery	$597.13	$532.00
28020	Major surgery	$1,043.54	$704.13
28022	Major surgery	$921.73	$621.13
28024	Major surgery	$862.33	$578.02
28035	Major surgery	$992.63	$676.38
28039	Major surgery	$931.14	$661.87
28041	Major surgery	$858.16	$858.16
28043	Major surgery	$726.51	$494.19
28045	Major surgery	$906.91	$657.66
28046	Major surgery	$1,362.37	$1,362.37
28047	Major surgery	$1,971.92	$1,971.92
28050	Major surgery	$787.22	$529.21
28052	Major surgery	$738.72	$486.35
28054	Major surgery	$693.50	$444.25
28055	Major surgery	$729.42	$729.42
28060	Major surgery	$986.23	$687.51
28062	Major surgery	$1,080.79	$765.16
28070	Major surgery	$976.05	$661.67
28072	Major surgery	$928.80	$617.57
28080	Major surgery	$1,004.70	$712.88
28086	Major surgery	$1,015.95	$677.16
28088	Major surgery	$860.89	$546.53
28090	Major surgery	$878.48	$584.14
28092	Major surgery	$790.14	$510.84
28100	Major surgery	$1,164.33	$799.23
28102	Major surgery	$1,167.41	$1,167.41
28103	Major surgery	$741.64	$741.64
28104	Major surgery	$991.81	$671.17
28106	Major surgery	$814.71	$814.71
28107	Major surgery	$956.44	$659.61
28108	Major surgery	$821.40	$547.11
28110	Major surgery	$868.47	$552.22
28111	Major surgery	$912.03	$613.31
28112	Major surgery	$914.18	$594.81
28113	Major surgery	$1,105.46	$806.73
28114	Major surgery	$2,021.10	$1,591.49
28116	Major surgery	$1,466.83	$1,114.25
28118	Major surgery	$1,142.13	$801.47
28119	Major surgery	$996.61	$692.89
28120	Major surgery	$1,277.64	$947.00
28122	Major surgery	$1,120.26	$833.43
28124	Major surgery	$900.92	$632.89
28126	Major surgery	$735.13	$470.24
28130	Major surgery	$1,170.74	$1,170.74
28140	Major surgery	$1,096.06	$821.77
28150	Major surgery	$789.13	$527.98
28153	Major surgery	$769.72	$502.32
28160	Major surgery	$777.48	$508.21
28171	Major surgery	$2,108.85	$2,108.85
28173	Major surgery	$1,392.55	$1,392.55
28175	Major surgery	$895.87	$895.87
28190	Other professional services	$354.66	$193.77
28192	Major surgery	$872.29	$591.12
28193	Major surgery	$990.50	$698.04
28200	Major surgery	$939.47	$623.22
28202	Major surgery	$1,130.26	$816.52
28208	Major surgery	$913.30	$607.07
28210	Major surgery	$1,110.95	$797.82
28220	Major surgery	$852.42	$579.38
28222	Major surgery	$987.34	$686.75
28225	Major surgery	$783.74	$501.93
28226	Major surgery	$1,170.41	$757.71
28230	Major surgery	$818.49	$539.82
28232	Major surgery	$715.46	$456.83
28234	Major surgery	$769.94	$505.67
28238	Major surgery	$1,274.50	$934.46
28240	Major surgery	$842.17	$558.50
28250	Major surgery	$1,099.02	$772.12
28260	Major surgery	$1,347.35	$1,005.42
28261	Major surgery	$2,281.36	$1,786.65
28262	Major surgery	$2,656.11	$2,148.86
28264	Major surgery	$1,717.91	$1,324.01
28270	Major surgery	$920.81	$633.98
28272	Major surgery	$726.22	$476.97
28280	Major surgery	$967.94	$662.34
28285	Major surgery	$1,016.11	$729.28
28286	Major surgery	$837.14	$565.34
28288	Major surgery	$1,143.40	$824.03
28289	Major surgery	$1,301.47	$872.51
28291	Major surgery	$1,343.82	$935.51
28292	Major surgery	$1,315.18	$915.64
28295	Major surgery	$2,067.20	$1,172.30
28296	Major surgery	$1,686.42	$976.27
28297	Major surgery	$1,966.65	$1,151.30
28298	Major surgery	$1,576.58	$956.61
28299	Major surgery	$1,908.82	$1,121.02
28300	Major surgery	$1,240.12	$1,240.12
28302	Major surgery	$1,367.67	$1,367.67
28304	Major surgery	$1,569.36	$1,166.70
28305	Major surgery	$1,296.96	$1,296.96
28306	Major surgery	$1,145.63	$767.38
28307	Major surgery	$1,489.06	$984.95
28308	Major surgery	$1,077.67	$731.99
28309	Major surgery	$1,702.95	$1,702.95
28310	Major surgery	$1,031.37	$688.19
28312	Major surgery	$978.69	$624.23
28313	Major surgery	$997.72	$682.71
28315	Major surgery	$910.20	$622.75
28320	Major surgery	$1,165.11	$1,165.11
28322	Major surgery	$1,487.95	$1,099.06
28340	Major surgery	$1,076.36	$781.40
28341	Major surgery	$1,248.98	$931.48
28344	Major surgery	$792.29	$529.89
28345	Major surgery	$972.78	$691.61
28360	Major surgery	$2,094.01	$2,094.01
28400	Major surgery	$471.30	$437.46
28405	Major surgery	$745.78	$673.76
28406	Major surgery	$1,078.25	$1,078.25
28415	Major surgery	$2,153.48	$2,153.48
28420	Major surgery	$2,478.96	$2,478.96
28430	Major surgery	$458.46	$402.73
28435	Major surgery	$705.71	$626.79
28436	Major surgery	$948.91	$948.91
28445	Major surgery	$1,954.43	$1,954.43
28446	Major surgery	$2,333.60	$2,333.60
28450	Major surgery	$402.95	$364.75
28455	Major surgery	$555.18	$495.71
28456	Major surgery	$707.73	$707.73
28465	Major surgery	$1,216.37	$1,216.37
28470	Major surgery	$415.41	$390.99
28475	Major surgery	$488.07	$431.07
28476	Major surgery	$740.98	$740.98
28485	Major surgery	$1,071.76	$1,071.76
28490	Major surgery	$267.46	$235.52
28495	Major surgery	$339.22	$282.87
28496	Major surgery	$848.27	$463.13
28505	Major surgery	$1,253.52	$951.05
28510	Major surgery	$227.74	$225.24
28515	Major surgery	$309.97	$270.52
28525	Major surgery	$1,077.98	$771.13
28530	Major surgery	$215.07	$186.89
28531	Major surgery	$622.15	$342.85
28540	Major surgery	$371.20	$333.63
28545	Major surgery	$588.47	$515.83
28546	Major surgery	$1,112.28	$666.41
28555	Major surgery	$1,633.79	$1,255.53
28570	Major surgery	$444.97	$372.96
28575	Major surgery	$721.11	$647.21
28576	Major surgery	$733.02	$733.02
28585	Major surgery	$1,684.18	$1,332.86
28600	Major surgery	$410.65	$351.16
28605	Major surgery	$650.27	$580.13
28606	Major surgery	$725.42	$725.42
28615	Major surgery	$1,576.30	$1,576.30
28630	Other professional services	$224.31	$162.17
28635	Other professional services	$254.12	$194.37
28636	Other professional services	$456.99	$291.77
28645	Major surgery	$1,234.62	$924.63
28660	Other professional services	$179.31	$135.96
28665	Other professional services	$220.59	$185.43
28666	Other professional services	$262.14	$262.14
28675	Major surgery	$1,092.18	$782.18
28705	Major surgery	$2,339.71	$2,339.71
28715	Major surgery	$1,791.64	$1,791.64
28725	Major surgery	$1,481.94	$1,481.94
28730	Major surgery	$1,396.28	$1,396.28
28735	Major surgery	$1,495.22	$1,495.22
28737	Major surgery	$1,313.23	$1,313.23
28740	Major surgery	$1,572.34	$1,177.82
28750	Major surgery	$1,489.59	$1,103.82
28755	Major surgery	$960.12	$636.99
28760	Major surgery	$1,449.20	$1,083.50
28800	Major surgery	$1,012.46	$1,012.46
28805	Major surgery	$1,361.35	$1,361.35
28810	Major surgery	$809.84	$809.84
28820	Major surgery	$572.56	$342.73
28825	Major surgery	$561.58	$333.00
28890	Major surgery	$585.20	$418.00
28899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
29000	Other professional services	$500.63	$282.41
29010	Other professional services	$388.29	$230.76
29015	Other professional services	$418.53	$260.52
29035	Other professional services	$364.37	$206.36
29040	Other professional services	$416.24	$248.60
29044	Other professional services	$407.78	$240.15
29046	Other professional services	$447.92	$270.65
29049	Other professional services	$142.43	$101.01
29055	Other professional services	$317.67	$198.21
29058	Other professional services	$177.38	$135.47
29065	Other professional services	$138.56	$99.06
29075	Other professional services	$124.44	$89.28
29085	Other professional services	$137.18	$97.67
29086	Other professional services	$109.29	$71.24
29105	Other professional services	$117.33	$60.96
29125	Other professional services	$93.86	$57.72
29126	Other professional services	$110.85	$71.34
29130	Other professional services	$59.64	$42.78
29131	Other professional services	$76.22	$50.21
29200	Other professional services	$48.56	$27.84
29240	Other professional services	$44.22	$27.36
29260	Other professional services	$43.62	$28.70
29280	Other professional services	$43.14	$29.18
29305	Other professional services	$352.59	$227.82
29325	Other professional services	$389.94	$255.54
29345	Other professional services	$194.94	$144.36
29355	Other professional services	$204.47	$154.38
29358	Other professional services	$229.16	$149.19
29365	Other professional services	$176.48	$126.38
29405	Other professional services	$114.56	$84.21
29425	Other professional services	$108.41	$78.54
29435	Other professional services	$161.76	$116.00
29440	Other professional services	$61.58	$41.36
29445	Other professional services	$187.13	$145.70
29450	Other professional services	$212.54	$167.73
29505	Other professional services	$124.80	$74.22
29515	Other professional services	$102.30	$71.48
29520	Other professional services	$51.45	$27.36
29530	Other professional services	$44.22	$26.88
29540	Other professional services	$40.73	$26.28
29550	Other professional services	$27.80	$16.73
29580	Other professional services	$93.14	$39.66
29581	Other professional services	$130.26	$40.67
29584	Other professional services	$119.76	$23.42
29700	Other professional services	$88.76	$48.29
29705	Other professional services	$91.34	$65.33
29710	Other professional services	$175.46	$120.54
29720	Other professional services	$120.84	$62.57
29730	Other professional services	$92.21	$64.76
29740	Other professional services	$142.59	$101.16
29750	Other professional services	$154.08	$112.65
29799	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
29800	Major surgery	$1,011.76	$1,011.76
29804	Major surgery	$1,148.88	$1,148.88
29805	Major surgery	$894.84	$894.84
29806	Major surgery	$2,020.22	$2,020.22
29807	Major surgery	$1,970.46	$1,970.46
29819	Major surgery	$1,121.17	$1,121.17
29820	Major surgery	$1,025.45	$1,025.45
29821	Major surgery	$1,135.86	$1,135.86
29822	Major surgery	$1,033.34	$1,033.34
29823	Major surgery	$1,131.90	$1,131.90
29824	Major surgery	$1,292.40	$1,292.40
29825	Major surgery	$1,121.25	$1,121.25
29826	Major surgery	$329.55	$329.55
29827	Major surgery	$2,039.02	$2,039.02
29828	Major surgery	$1,749.35	$1,749.35
29830	Major surgery	$868.84	$868.84
29834	Major surgery	$940.13	$940.13
29835	Major surgery	$973.34	$973.34
29836	Major surgery	$1,117.94	$1,117.94
29837	Major surgery	$1,011.62	$1,011.62
29838	Major surgery	$1,133.65	$1,133.65
29840	Major surgery	$860.50	$860.50
29843	Major surgery	$928.57	$928.57
29844	Major surgery	$953.53	$953.53
29845	Major surgery	$1,117.66	$1,117.66
29846	Major surgery	$997.23	$997.23
29847	Major surgery	$1,039.31	$1,039.31
29848	Major surgery	$974.10	$974.10
29850	Major surgery	$1,189.97	$1,189.97
29851	Major surgery	$1,771.58	$1,771.58
29855	Major surgery	$1,490.42	$1,490.42
29856	Major surgery	$1,892.57	$1,892.57
29860	Major surgery	$1,228.25	$1,228.25
29861	Major surgery	$1,370.89	$1,370.89
29862	Major surgery	$1,554.05	$1,554.05
29863	Major surgery	$1,548.42	$1,548.42
29866	Major surgery	$2,004.80	$2,004.80
29867	Major surgery	$2,434.91	$2,434.91
29868	Major surgery	$3,177.45	$3,177.45
29870	Major surgery	$1,051.85	$776.94
29871	Major surgery	$982.04	$982.04
29873	Major surgery	$1,024.20	$1,024.20
29874	Major surgery	$1,023.96	$1,023.96
29875	Major surgery	$947.43	$947.43
29876	Major surgery	$1,246.77	$1,246.77
29877	Major surgery	$1,185.87	$1,185.87
29879	Major surgery	$1,262.10	$1,262.10
29880	Major surgery	$1,072.71	$1,072.71
29881	Major surgery	$1,033.27	$1,033.27
29882	Major surgery	$1,314.79	$1,314.79
29883	Major surgery	$1,603.39	$1,603.39
29884	Major surgery	$1,179.73	$1,179.73
29885	Major surgery	$1,442.49	$1,442.49
29886	Major surgery	$1,213.37	$1,213.37
29887	Major surgery	$1,436.14	$1,436.14
29888	Major surgery	$1,864.34	$1,864.34
29889	Major surgery	$2,331.97	$2,331.97
29891	Major surgery	$1,279.90	$1,279.90
29892	Major surgery	$1,219.35	$1,219.35
29893	Major surgery	$1,261.59	$825.10
29894	Major surgery	$963.89	$963.89
29895	Major surgery	$895.73	$895.73
29897	Major surgery	$941.07	$941.07
29898	Major surgery	$1,073.42	$1,073.42
29899	Major surgery	$1,939.94	$1,939.94
29900	Major surgery	$959.01	$959.01
29901	Major surgery	$1,030.24	$1,030.24
29902	Major surgery	$1,092.96	$1,092.96
29904	Major surgery	$1,218.77	$1,218.77
29905	Major surgery	$983.60	$983.60
29906	Major surgery	$1,247.40	$1,247.40
29907	Major surgery	$1,672.13	$1,672.13
29914	Major surgery	$1,904.58	$1,904.58
29915	Major surgery	$1,958.79	$1,958.79
29916	Major surgery	$1,946.65	$1,946.65
29999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
30000	Other professional services	$395.99	$175.83
30020	Other professional services	$399.78	$177.71
30100	Other professional services	$208.53	$98.22
30110	Other professional services	$365.73	$192.80
30115	Major surgery	$900.00	$900.00
30117	Major surgery	$1,867.52	$631.31
30118	Major surgery	$1,530.85	$1,530.85
30120	Major surgery	$969.27	$798.31
30124	Major surgery	$581.55	$581.55
30125	Major surgery	$1,263.39	$1,263.39
30130	Major surgery	$803.09	$803.09
30140	Other professional services	$436.61	$260.78
30150	Major surgery	$1,549.41	$1,549.41
30160	Major surgery	$1,573.07	$1,573.07
30200	Other professional services	$162.23	$85.64
30210	Other professional services	$221.48	$149.70
30220	Other professional services	$451.20	$186.26
30300	Other professional services	$308.69	$181.52
30310	Other professional services	$307.97	$307.97
30320	Major surgery	$940.21	$940.21
30400	Major surgery	$2,368.98	$2,368.98
30410	Major surgery	$2,725.71	$2,725.71
30420	Major surgery	$2,805.60	$2,805.60
30430	Major surgery	$2,070.53	$2,070.53
30435	Major surgery	$2,582.21	$2,582.21
30450	Major surgery	$3,371.10	$3,371.10
30460	Major surgery	$1,592.58	$1,592.58
30462	Major surgery	$3,070.76	$3,070.76
30465	Major surgery	$1,982.64	$1,982.64
30468	Other professional services	$3,837.86	$246.17
30520	Major surgery	$1,298.58	$1,298.58
30540	Major surgery	$1,426.19	$1,426.19
30545	Major surgery	$1,938.75	$1,938.75
30560	Other professional services	$479.70	$221.51
30580	Major surgery	$1,171.38	$879.55
30600	Major surgery	$988.34	$732.21
30620	Major surgery	$1,304.67	$1,304.67
30630	Major surgery	$1,292.77	$1,292.77
30801	Other professional services	$322.68	$225.38
30802	Other professional services	$410.30	$300.47
30901	Other professional services	$232.34	$83.49
30903	Other professional services	$363.23	$113.69
30905	Other professional services	$518.96	$155.25
30906	Other professional services	$546.00	$199.64
30915	Major surgery	$1,161.28	$1,161.28
30920	Major surgery	$1,685.03	$1,685.03
30930	Other professional services	$171.47	$171.47
30999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
31000	Other professional services	$269.37	$159.06
31002	Other professional services	$286.34	$286.34
31020	Major surgery	$875.63	$709.04
31030	Major surgery	$1,219.82	$981.86
31032	Major surgery	$1,140.32	$1,140.32
31040	Major surgery	$1,553.35	$1,553.35
31050	Major surgery	$997.43	$997.43
31051	Major surgery	$1,340.31	$1,340.31
31070	Major surgery	$916.71	$916.71
31075	Major surgery	$1,598.81	$1,598.81
31080	Major surgery	$2,103.89	$2,103.89
31081	Major surgery	$2,254.12	$2,254.12
31084	Major surgery	$2,334.50	$2,334.50
31085	Major surgery	$2,405.54	$2,405.54
31086	Major surgery	$2,271.71	$2,271.71
31087	Major surgery	$2,160.41	$2,160.41
31090	Major surgery	$2,144.26	$2,144.26
31200	Major surgery	$1,194.67	$1,194.67
31201	Major surgery	$1,538.32	$1,538.32
31205	Major surgery	$1,797.61	$1,797.61
31225	Major surgery	$3,462.60	$3,462.60
31230	Major surgery	$3,858.64	$3,858.64
31231	Other professional services	$275.97	$93.41
31233	Other professional services	$403.34	$197.16
31235	Other professional services	$458.40	$232.01
31237	Other professional services	$375.18	$233.07
31238	Other professional services	$366.92	$244.08
31239	Other professional services	$890.21	$890.21
31240	Other professional services	$231.66	$231.66
31241	Other professional services	$652.20	$652.20
31253	Other professional services	$734.94	$734.94
31254	Other professional services	$647.48	$356.51
31255	Other professional services	$475.88	$475.88
31256	Other professional services	$263.12	$263.12
31257	Other professional services	$654.20	$654.20
31259	Other professional services	$692.57	$692.57
31267	Other professional services	$389.01	$389.01
31276	Other professional services	$554.57	$554.57
31287	Other professional services	$295.43	$295.43
31288	Other professional services	$343.83	$343.83
31290	Other professional services	$1,690.11	$1,690.11
31291	Other professional services	$1,777.02	$1,777.02
31292	Other professional services	$1,469.18	$1,469.18
31293	Other professional services	$1,588.37	$1,588.37
31294	Other professional services	$1,814.94	$1,814.94
31295	Other professional services	$2,505.60	$231.41
31296	Other professional services	$2,542.08	$262.11
31297	Other professional services	$2,484.20	$210.00
31298	Other professional services	$4,718.63	$374.97
31299	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
31300	Major surgery	$2,399.67	$2,399.67
31360	Major surgery	$3,939.84	$3,939.84
31365	Major surgery	$4,862.36	$4,862.36
31367	Major surgery	$4,171.54	$4,171.54
31368	Major surgery	$4,616.64	$4,616.64
31370	Major surgery	$3,916.38	$3,916.38
31375	Major surgery	$3,721.52	$3,721.52
31380	Major surgery	$3,668.94	$3,668.94
31382	Major surgery	$4,020.41	$4,020.41
31390	Major surgery	$5,372.39	$5,372.39
31395	Major surgery	$5,642.15	$5,642.15
31400	Major surgery	$1,938.03	$1,938.03
31420	Major surgery	$1,594.73	$1,594.73
31500	Other professional services	$208.76	$208.76
31502	Other professional services	$51.54	$51.54
31505	Other professional services	$133.28	$71.15
31510	Other professional services	$314.55	$175.32
31511	Other professional services	$311.61	$193.11
31512	Other professional services	$316.38	$187.76
31513	Other professional services	$190.23	$190.23
31515	Other professional services	$314.10	$162.84
31520	Other professional services	$226.77	$226.77
31525	Other professional services	$367.47	$233.55
31526	Other professional services	$228.62	$228.62
31527	Other professional services	$283.77	$283.77
31528	Other professional services	$209.31	$209.31
31529	Other professional services	$235.19	$235.19
31530	Other professional services	$291.08	$291.08
31531	Other professional services	$308.19	$308.19
31535	Other professional services	$275.24	$275.24
31536	Other professional services	$307.13	$307.13
31540	Other professional services	$353.06	$353.06
31541	Other professional services	$384.20	$384.20
31545	Other professional services	$528.60	$528.60
31546	Other professional services	$802.62	$802.62
31551	Major surgery	$2,957.14	$2,957.14
31552	Major surgery	$2,856.11	$2,856.11
31553	Major surgery	$3,231.33	$3,231.33
31554	Major surgery	$3,233.20	$3,233.20
31560	Other professional services	$456.30	$456.30
31561	Other professional services	$499.73	$499.73
31570	Other professional services	$502.86	$334.74
31571	Other professional services	$363.23	$363.23
31572	Other professional services	$779.15	$263.22
31573	Other professional services	$420.48	$216.23
31574	Other professional services	$1,411.85	$216.71
31575	Other professional services	$188.30	$97.74
31576	Other professional services	$392.96	$172.80
31577	Other professional services	$403.37	$197.67
31578	Other professional services	$448.41	$216.71
31579	Other professional services	$290.31	$173.73
31580	Major surgery	$2,464.22	$2,464.22
31584	Major surgery	$2,718.57	$2,718.57
31587	Major surgery	$2,312.68	$2,312.68
31590	Major surgery	$1,763.39	$1,763.39
31591	Major surgery	$2,107.54	$2,107.54
31592	Major surgery	$3,322.96	$3,322.96
31599	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
31600	Other professional services	$449.36	$449.36
31601	Other professional services	$659.43	$659.43
31603	Other professional services	$471.96	$471.96
31605	Other professional services	$489.80	$489.80
31610	Major surgery	$1,840.33	$1,840.33
31611	Major surgery	$1,027.71	$1,027.71
31612	Other professional services	$137.12	$70.65
31613	Major surgery	$818.18	$818.18
31614	Major surgery	$1,366.38	$1,366.38
31615	Other professional services	$254.03	$168.29
31622	Other professional services	$364.83	$193.34
31623	Other professional services	$409.86	$195.02
31624	Other professional services	$378.50	$196.88
31625	Other professional services	$523.07	$230.19
31626	Other professional services	$1,192.94	$288.75
31627	Major surgery	$2,159.35	$184.84
31628	Other professional services	$556.50	$258.81
31629	Other professional services	$680.78	$274.20
31630	Other professional services	$290.72	$290.72
31631	Other professional services	$331.77	$331.77
31632	Major surgery	$124.59	$94.52
31633	Major surgery	$154.65	$120.82
31634	Other professional services	$2,348.15	$281.09
31635	Other professional services	$434.72	$257.45
31636	Other professional services	$319.53	$319.53
31637	Major surgery	$147.56	$147.56
31638	Other professional services	$363.09	$363.09
31640	Other professional services	$365.81	$365.81
31641	Other professional services	$375.56	$375.56
31643	Other professional services	$258.05	$258.05
31645	Other professional services	$404.36	$215.52
31646	Other professional services	$208.41	$208.41
31647	Other professional services	$303.78	$303.78
31648	Other professional services	$290.99	$290.99
31649	Major surgery	$128.93	$128.93
31651	Major surgery	$145.67	$145.67
31652	Other professional services	$1,917.14	$325.55
31653	Other professional services	$1,991.04	$360.90
31654	Other professional services	$179.48	$98.55
31660	Other professional services	$289.53	$289.53
31661	Other professional services	$304.01	$304.01
31717	Other professional services	$433.28	$157.26
31720	Other professional services	$87.21	$87.21
31725	Other professional services	$117.47	$117.47
31730	Other professional services	$1,634.99	$220.17
31750	Major surgery	$2,606.04	$2,606.04
31755	Major surgery	$3,318.94	$3,318.94
31760	Major surgery	$2,606.94	$2,606.94
31766	Major surgery	$3,365.13	$3,365.13
31770	Major surgery	$2,516.96	$2,516.96
31775	Major surgery	$2,651.04	$2,651.04
31780	Major surgery	$2,257.71	$2,257.71
31781	Major surgery	$2,754.94	$2,754.94
31785	Major surgery	$2,058.81	$2,058.81
31786	Major surgery	$2,733.14	$2,733.14
31800	Major surgery	$1,363.83	$1,363.83
31805	Major surgery	$1,552.77	$1,552.77
31820	Major surgery	$853.26	$634.08
31825	Major surgery	$1,172.09	$926.60
31830	Major surgery	$949.86	$698.74
31899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
32035	Major surgery	$1,395.32	$1,395.32
32036	Major surgery	$1,503.20	$1,503.20
32096	Major surgery	$1,515.95	$1,515.95
32097	Major surgery	$1,519.01	$1,519.01
32098	Major surgery	$1,438.83	$1,438.83
32100	Major surgery	$1,535.92	$1,535.92
32110	Major surgery	$2,796.51	$2,796.51
32120	Major surgery	$1,654.40	$1,654.40
32124	Major surgery	$1,755.49	$1,755.49
32140	Major surgery	$1,876.74	$1,876.74
32141	Major surgery	$2,884.50	$2,884.50
32150	Major surgery	$1,916.48	$1,916.48
32151	Major surgery	$1,903.96	$1,903.96
32160	Major surgery	$1,510.29	$1,510.29
32200	Major surgery	$2,158.49	$2,158.49
32215	Major surgery	$1,514.21	$1,514.21
32220	Major surgery	$3,025.68	$3,025.68
32225	Major surgery	$1,892.53	$1,892.53
32310	Major surgery	$1,743.53	$1,743.53
32320	Major surgery	$3,041.88	$3,041.88
32400	Other professional services	$245.51	$125.09
32408	Other professional services	$1,287.87	$224.72
32440	Major surgery	$2,977.53	$2,977.53
32442	Major surgery	$5,784.91	$5,784.91
32445	Major surgery	$6,681.11	$6,681.11
32480	Major surgery	$2,807.69	$2,807.69
32482	Major surgery	$3,003.68	$3,003.68
32484	Major surgery	$2,720.41	$2,720.41
32486	Major surgery	$4,433.89	$4,433.89
32488	Major surgery	$4,528.13	$4,528.13
32491	Major surgery	$2,789.61	$2,789.61
32501	Major surgery	$459.26	$459.26
32503	Major surgery	$3,399.22	$3,399.22
32504	Major surgery	$3,872.49	$3,872.49
32505	Major surgery	$1,765.59	$1,765.59
32506	Major surgery	$296.71	$296.71
32507	Major surgery	$296.71	$296.71
32540	Major surgery	$3,275.14	$3,275.14
32550	Other professional services	$1,198.55	$300.15
32551	Other professional services	$230.33	$230.33
32552	Other professional services	$268.56	$230.03
32553	Other professional services	$762.41	$258.53
32554	Other professional services	$353.00	$131.88
32555	Other professional services	$472.70	$161.99
32556	Other professional services	$1,115.97	$182.40
32557	Other professional services	$997.65	$220.16
32560	Other professional services	$385.92	$113.27
32561	Other professional services	$139.59	$100.58
32562	Other professional services	$123.90	$88.26
32601	Other professional services	$448.25	$448.25
32604	Other professional services	$696.92	$696.92
32606	Other professional services	$672.35	$672.35
32607	Other professional services	$447.77	$447.77
32608	Other professional services	$551.06	$551.06
32609	Other professional services	$372.98	$372.98
32650	Major surgery	$1,265.41	$1,265.41
32651	Major surgery	$2,075.62	$2,075.62
32652	Major surgery	$3,148.76	$3,148.76
32653	Major surgery	$2,009.22	$2,009.22
32654	Major surgery	$2,211.89	$2,211.89
32655	Major surgery	$1,811.92	$1,811.92
32656	Major surgery	$1,524.10	$1,524.10
32658	Major surgery	$1,354.04	$1,354.04
32659	Major surgery	$1,386.66	$1,386.66
32661	Major surgery	$1,513.73	$1,513.73
32662	Major surgery	$1,692.39	$1,692.39
32663	Major surgery	$2,649.87	$2,649.87
32664	Major surgery	$1,606.90	$1,606.90
32665	Major surgery	$2,332.18	$2,332.18
32666	Major surgery	$1,648.16	$1,648.16
32667	Major surgery	$297.36	$297.36
32668	Major surgery	$297.90	$297.90
32669	Major surgery	$2,542.45	$2,542.45
32670	Major surgery	$3,038.96	$3,038.96
32671	Major surgery	$3,355.97	$3,355.97
32672	Major surgery	$2,877.73	$2,877.73
32673	Major surgery	$2,301.47	$2,301.47
32674	Major surgery	$407.34	$407.34
32701	Other professional services	$311.94	$311.94
32800	Major surgery	$1,790.45	$1,790.45
32810	Major surgery	$1,707.30	$1,707.30
32815	Major surgery	$5,307.84	$5,307.84
32820	Major surgery	$2,522.50	$2,522.50
32850	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
32851	Major surgery	$6,195.48	$6,195.48
32852	Major surgery	$6,719.56	$6,719.56
32853	Major surgery	$8,658.49	$8,658.49
32854	Major surgery	$9,178.10	$9,178.10
32855	Other professional services	$276.48	$228.80
32856	Other professional services	$276.48	$228.80
32900	Major surgery	$2,681.95	$2,681.95
32905	Major surgery	$2,527.47	$2,527.47
32906	Major surgery	$3,119.71	$3,119.71
32940	Major surgery	$2,335.94	$2,335.94
32960	Other professional services	$185.88	$133.86
32994	Other professional services	$7,425.24	$641.69
32997	Other professional services	$503.46	$503.46
32998	Other professional services	$4,701.08	$640.67
32999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
33016	Other professional services	$343.40	$343.40
33017	Other professional services	$359.46	$359.46
33018	Other professional services	$423.90	$423.90
33019	Other professional services	$316.61	$316.61
33020	Major surgery	$1,571.43	$1,571.43
33025	Major surgery	$1,457.96	$1,457.96
33030	Major surgery	$3,791.52	$3,791.52
33031	Major surgery	$4,687.47	$4,687.47
33050	Major surgery	$1,905.36	$1,905.36
33120	Major surgery	$3,964.08	$3,964.08
33130	Major surgery	$2,590.83	$2,590.83
33140	Major surgery	$2,952.63	$2,952.63
33141	Major surgery	$249.66	$249.66
33202	Major surgery	$1,461.49	$1,461.49
33203	Major surgery	$1,531.39	$1,531.39
33206	Major surgery	$868.04	$868.04
33207	Major surgery	$912.03	$912.03
33208	Major surgery	$989.51	$989.51
33210	Other professional services	$237.08	$237.08
33211	Other professional services	$247.85	$247.85
33212	Major surgery	$614.48	$614.48
33213	Major surgery	$641.18	$641.18
33214	Major surgery	$912.85	$912.85
33215	Major surgery	$589.91	$589.91
33216	Major surgery	$708.55	$708.55
33217	Major surgery	$702.21	$702.21
33218	Major surgery	$741.18	$741.18
33220	Major surgery	$718.65	$718.65
33221	Major surgery	$687.69	$687.69
33222	Major surgery	$651.73	$651.73
33223	Major surgery	$780.90	$780.90
33224	Other professional services	$752.84	$752.84
33225	Major surgery	$889.16	$889.16
33226	Other professional services	$721.49	$721.49
33227	Major surgery	$646.68	$646.68
33228	Major surgery	$676.83	$676.83
33229	Major surgery	$714.71	$714.71
33230	Major surgery	$732.56	$732.56
33231	Major surgery	$761.12	$761.12
33233	Major surgery	$443.86	$443.86
33234	Major surgery	$924.24	$924.24
33235	Major surgery	$1,214.21	$1,214.21
33236	Major surgery	$1,486.52	$1,486.52
33237	Major surgery	$1,595.22	$1,595.22
33238	Major surgery	$1,798.45	$1,798.45
33240	Major surgery	$698.90	$698.90
33241	Major surgery	$409.64	$409.64
33243	Major surgery	$2,604.38	$2,604.38
33244	Major surgery	$1,651.40	$1,651.40
33249	Major surgery	$1,746.63	$1,746.63
33250	Major surgery	$2,760.30	$2,760.30
33251	Major surgery	$3,081.72	$3,081.72
33254	Major surgery	$2,580.28	$2,580.28
33255	Major surgery	$3,082.60	$3,082.60
33256	Major surgery	$3,654.03	$3,654.03
33257	Major surgery	$1,101.03	$1,101.03
33258	Major surgery	$1,230.65	$1,230.65
33259	Major surgery	$1,601.32	$1,601.32
33261	Major surgery	$3,055.30	$3,055.30
33262	Major surgery	$712.32	$712.32
33263	Major surgery	$740.67	$740.67
33264	Major surgery	$771.52	$771.52
33265	Major surgery	$2,577.84	$2,577.84
33266	Major surgery	$3,487.56	$3,487.56
33267	Major surgery	$1,985.47	$1,985.47
33268	Major surgery	$248.43	$248.43
33269	Major surgery	$1,569.44	$1,569.44
33270	Major surgery	$1,073.48	$1,073.48
33271	Major surgery	$861.47	$861.47
33272	Major surgery	$661.54	$661.54
33273	Major surgery	$759.43	$759.43
33274	Major surgery	$917.67	$917.67
33275	Major surgery	$956.90	$956.90
33285	Other professional services	$6,609.12	$128.09
33286	Other professional services	$195.89	$126.53
33289	Other professional services	$488.15	$488.15
33300	Major surgery	$4,628.75	$4,628.75
33305	Major surgery	$7,744.17	$7,744.17
33310	Major surgery	$2,217.42	$2,217.42
33315	Major surgery	$3,634.45	$3,634.45
33320	Major surgery	$2,000.70	$2,000.70
33321	Major surgery	$2,253.91	$2,253.91
33322	Major surgery	$2,634.12	$2,634.12
33330	Major surgery	$2,700.75	$2,700.75
33335	Major surgery	$3,542.51	$3,542.51
33340	Other professional services	$1,148.27	$1,148.27
33361	Other professional services	$1,764.50	$1,764.50
33362	Other professional services	$1,923.50	$1,923.50
33363	Other professional services	$1,994.13	$1,994.13
33364	Other professional services	$1,993.44	$1,993.44
33365	Other professional services	$2,080.94	$2,080.94
33366	Other professional services	$2,293.22	$2,293.22
33367	Major surgery	$1,160.66	$1,160.66
33368	Major surgery	$1,406.50	$1,406.50
33369	Major surgery	$1,855.62	$1,855.62
33370	Major surgery	$252.70	$252.70
33390	Major surgery	$3,652.60	$3,652.60
33391	Major surgery	$4,341.93	$4,341.93
33404	Major surgery	$3,314.69	$3,314.69
33405	Major surgery	$4,300.53	$4,300.53
33406	Major surgery	$5,444.22	$5,444.22
33410	Major surgery	$4,810.81	$4,810.81
33411	Major surgery	$6,353.20	$6,353.20
33412	Major surgery	$5,965.30	$5,965.30
33413	Major surgery	$6,110.05	$6,110.05
33414	Major surgery	$4,064.74	$4,064.74
33415	Major surgery	$3,842.59	$3,842.59
33416	Major surgery	$3,831.36	$3,831.36
33417	Major surgery	$3,158.04	$3,158.04
33418	Major surgery	$3,410.59	$3,410.59
33419	Major surgery	$804.18	$804.18
33420	Major surgery	$2,750.51	$2,750.51
33422	Major surgery	$3,153.74	$3,153.74
33425	Major surgery	$5,172.38	$5,172.38
33426	Major surgery	$4,509.86	$4,509.86
33427	Major surgery	$4,619.51	$4,619.51
33430	Major surgery	$5,306.36	$5,306.36
33440	Major surgery	$6,454.89	$6,454.89
33460	Major surgery	$4,549.00	$4,549.00
33463	Major surgery	$5,825.68	$5,825.68
33464	Major surgery	$4,617.42	$4,617.42
33465	Major surgery	$5,214.46	$5,214.46
33468	Major surgery	$4,637.00	$4,637.00
33471	Major surgery	$2,508.29	$2,508.29
33474	Major surgery	$4,125.54	$4,125.54
33475	Major surgery	$4,398.09	$4,398.09
33476	Major surgery	$2,884.60	$2,884.60
33477	Other professional services	$1,976.67	$1,976.67
33478	Major surgery	$2,979.68	$2,979.68
33496	Major surgery	$3,157.11	$3,157.11
33500	Major surgery	$2,959.55	$2,959.55
33501	Major surgery	$2,117.10	$2,117.10
33502	Major surgery	$2,420.83	$2,420.83
33503	Major surgery	$2,513.73	$2,513.73
33504	Major surgery	$2,778.34	$2,778.34
33505	Major surgery	$3,900.29	$3,900.29
33506	Major surgery	$3,884.09	$3,884.09
33507	Major surgery	$3,257.81	$3,257.81
33508	Major surgery	$30.99	$30.99
33509	Major surgery	$327.99	$327.99
33510	Major surgery	$3,665.18	$3,665.18
33511	Major surgery	$4,023.49	$4,023.49
33512	Major surgery	$4,588.35	$4,588.35
33513	Major surgery	$4,699.13	$4,699.13
33514	Major surgery	$4,946.00	$4,946.00
33516	Major surgery	$5,121.48	$5,121.48
33517	Major surgery	$355.64	$355.64
33518	Major surgery	$778.28	$778.28
33519	Major surgery	$1,030.95	$1,030.95
33521	Major surgery	$1,236.07	$1,236.07
33522	Major surgery	$1,387.48	$1,387.48
33523	Major surgery	$1,570.28	$1,570.28
33530	Major surgery	$994.31	$994.31
33533	Major surgery	$3,546.04	$3,546.04
33534	Major surgery	$4,163.27	$4,163.27
33535	Major surgery	$4,636.01	$4,636.01
33536	Major surgery	$4,994.30	$4,994.30
33542	Major surgery	$4,958.13	$4,958.13
33545	Major surgery	$5,815.70	$5,815.70
33548	Major surgery	$5,627.31	$5,627.31
33572	Major surgery	$436.00	$436.00
33600	Major surgery	$3,254.51	$3,254.51
33602	Major surgery	$3,159.35	$3,159.35
33606	Major surgery	$3,367.18	$3,367.18
33608	Major surgery	$3,409.01	$3,409.01
33610	Major surgery	$3,362.40	$3,362.40
33611	Major surgery	$3,690.92	$3,690.92
33612	Major surgery	$3,788.66	$3,788.66
33615	Major surgery	$3,782.69	$3,782.69
33617	Major surgery	$4,095.90	$4,095.90
33619	Major surgery	$5,200.57	$5,200.57
33620	Major surgery	$3,120.06	$3,120.06
33621	Major surgery	$1,759.99	$1,759.99
33622	Major surgery	$6,489.81	$6,489.81
33641	Major surgery	$3,101.77	$3,101.77
33645	Major surgery	$3,277.44	$3,277.44
33647	Major surgery	$3,437.99	$3,437.99
33660	Major surgery	$3,322.41	$3,322.41
33665	Major surgery	$3,619.79	$3,619.79
33670	Major surgery	$3,732.44	$3,732.44
33675	Major surgery	$3,729.06	$3,729.06
33676	Major surgery	$3,827.97	$3,827.97
33677	Major surgery	$3,975.47	$3,975.47
33681	Major surgery	$3,491.85	$3,491.85
33684	Major surgery	$3,572.56	$3,572.56
33688	Major surgery	$3,564.35	$3,564.35
33690	Major surgery	$2,275.88	$2,275.88
33692	Major surgery	$3,701.55	$3,701.55
33694	Major surgery	$3,690.92	$3,690.92
33697	Major surgery	$3,887.56	$3,887.56
33702	Major surgery	$2,930.44	$2,930.44
33710	Major surgery	$3,881.57	$3,881.57
33720	Major surgery	$2,932.98	$2,932.98
33724	Major surgery	$2,910.32	$2,910.32
33726	Major surgery	$3,844.23	$3,844.23
33730	Major surgery	$3,798.56	$3,798.56
33732	Major surgery	$3,121.85	$3,121.85
33735	Major surgery	$2,457.55	$2,457.55
33736	Major surgery	$2,666.94	$2,666.94
33737	Major surgery	$2,460.37	$2,460.37
33741	Other professional services	$1,098.84	$1,098.84
33745	Other professional services	$1,569.11	$1,569.11
33746	Other professional services	$627.30	$627.30
33750	Major surgery	$2,394.33	$2,394.33
33755	Major surgery	$2,496.41	$2,496.41
33762	Major surgery	$2,430.66	$2,430.66
33764	Major surgery	$2,496.41	$2,496.41
33766	Major surgery	$2,525.82	$2,525.82
33767	Major surgery	$2,697.08	$2,697.08
33768	Major surgery	$787.64	$787.64
33770	Major surgery	$4,003.82	$4,003.82
33771	Major surgery	$4,120.08	$4,120.08
33774	Major surgery	$3,407.94	$3,407.94
33775	Major surgery	$3,511.83	$3,511.83
33776	Major surgery	$3,712.14	$3,712.14
33777	Major surgery	$3,583.85	$3,583.85
33778	Major surgery	$4,449.12	$4,449.12
33779	Major surgery	$4,398.13	$4,398.13
33780	Major surgery	$4,479.66	$4,479.66
33781	Major surgery	$4,374.22	$4,374.22
33782	Major surgery	$6,104.92	$6,104.92
33783	Major surgery	$6,595.93	$6,595.93
33786	Major surgery	$4,311.14	$4,311.14
33788	Major surgery	$2,905.34	$2,905.34
33800	Major surgery	$1,867.38	$1,867.38
33802	Major surgery	$2,056.90	$2,056.90
33803	Major surgery	$2,184.21	$2,184.21
33813	Major surgery	$2,351.06	$2,351.06
33814	Major surgery	$2,887.11	$2,887.11
33820	Major surgery	$1,832.34	$1,832.34
33822	Major surgery	$1,933.72	$1,933.72
33824	Major surgery	$2,237.98	$2,237.98
33840	Major surgery	$2,349.71	$2,349.71
33845	Major surgery	$2,528.82	$2,528.82
33851	Major surgery	$2,412.46	$2,412.46
33852	Major surgery	$2,652.82	$2,652.82
33853	Major surgery	$3,471.64	$3,471.64
33858	Major surgery	$6,428.84	$6,428.84
33859	Major surgery	$4,618.58	$4,618.58
33863	Major surgery	$5,958.34	$5,958.34
33864	Major surgery	$6,095.84	$6,095.84
33866	Other professional services	$1,342.79	$1,342.79
33871	Major surgery	$6,169.86	$6,169.86
33875	Major surgery	$5,160.23	$5,160.23
33877	Major surgery	$6,845.22	$6,845.22
33880	Major surgery	$3,392.08	$3,392.08
33881	Major surgery	$2,907.63	$2,907.63
33883	Major surgery	$2,106.41	$2,106.41
33884	Major surgery	$748.14	$748.14
33886	Major surgery	$1,823.46	$1,823.46
33889	Other professional services	$1,157.54	$1,157.54
33891	Other professional services	$1,403.94	$1,403.94
33894	Other professional services	$1,419.68	$1,419.68
33895	Other professional services	$1,129.56	$1,129.56
33897	Other professional services	$840.78	$840.78
33910	Major surgery	$4,982.41	$4,982.41
33915	Major surgery	$2,612.08	$2,612.08
33916	Major surgery	$7,905.71	$7,905.71
33917	Major surgery	$2,762.19	$2,762.19
33920	Major surgery	$3,429.09	$3,429.09
33922	Major surgery	$2,632.99	$2,632.99
33924	Major surgery	$539.47	$539.47
33925	Major surgery	$3,248.64	$3,248.64
33926	Major surgery	$4,569.88	$4,569.88
33927	Other professional services	$3,710.04	$3,710.04
33928	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
33929	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
33930	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
33933	Other professional services	$276.48	$276.48
33935	Major surgery	$9,343.97	$9,343.97
33940	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
33944	Other professional services	$276.48	$276.48
33945	Major surgery	$9,203.16	$9,203.16
33946	Other professional services	$452.75	$452.75
33947	Other professional services	$500.45	$500.45
33948	Other professional services	$349.56	$349.56
33949	Other professional services	$338.96	$338.96
33951	Other professional services	$617.46	$617.46
33952	Other professional services	$623.81	$623.81
33953	Other professional services	$690.45	$690.45
33954	Other professional services	$695.87	$695.87
33955	Other professional services	$1,206.75	$1,206.75
33956	Other professional services	$1,215.96	$1,215.96
33957	Other professional services	$269.03	$269.03
33958	Other professional services	$269.03	$269.03
33959	Other professional services	$340.80	$340.80
33962	Other professional services	$340.80	$340.80
33963	Other professional services	$681.17	$681.17
33964	Other professional services	$718.55	$718.55
33965	Other professional services	$269.03	$269.03
33966	Other professional services	$344.57	$344.57
33967	Other professional services	$377.49	$377.49
33968	Other professional services	$48.44	$48.44
33969	Other professional services	$396.60	$396.60
33970	Other professional services	$516.50	$516.50
33971	Major surgery	$1,341.95	$1,341.95
33973	Other professional services	$732.15	$732.15
33974	Major surgery	$1,688.49	$1,688.49
33975	Other professional services	$1,896.39	$1,896.39
33976	Other professional services	$2,309.48	$2,309.48
33977	Other professional services	$1,630.59	$1,630.59
33978	Other professional services	$1,937.18	$1,937.18
33979	Other professional services	$2,831.66	$2,831.66
33980	Other professional services	$2,588.61	$2,588.61
33981	Other professional services	$1,210.37	$1,210.37
33982	Other professional services	$2,844.33	$2,844.33
33983	Other professional services	$3,360.15	$3,360.15
33984	Other professional services	$413.42	$413.42
33985	Other professional services	$747.92	$747.92
33986	Other professional services	$762.18	$762.18
33987	Major surgery	$395.27	$395.27
33988	Other professional services	$1,132.05	$1,132.05
33989	Other professional services	$718.55	$718.55
33990	Other professional services	$527.13	$527.13
33991	Other professional services	$690.78	$690.78
33992	Other professional services	$275.45	$275.45
33993	Other professional services	$242.45	$242.45
33995	Other professional services	$527.39	$527.39
33997	Other professional services	$234.60	$234.60
33999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
34001	Major surgery	$1,732.93	$1,732.93
34051	Major surgery	$1,885.08	$1,885.08
34101	Major surgery	$1,131.66	$1,131.66
34111	Major surgery	$1,137.38	$1,137.38
34151	Major surgery	$2,637.67	$2,637.67
34201	Major surgery	$1,937.81	$1,937.81
34203	Major surgery	$1,797.55	$1,797.55
34401	Major surgery	$2,811.86	$2,811.86
34421	Major surgery	$1,317.21	$1,317.21
34451	Major surgery	$2,720.76	$2,720.76
34471	Major surgery	$2,045.14	$2,045.14
34490	Major surgery	$1,232.32	$1,232.32
34501	Major surgery	$1,692.19	$1,692.19
34502	Major surgery	$2,923.91	$2,923.91
34510	Major surgery	$1,935.12	$1,935.12
34520	Major surgery	$1,874.11	$1,874.11
34530	Major surgery	$1,784.31	$1,784.31
34701	Major surgery	$2,350.00	$2,350.00
34702	Major surgery	$3,501.67	$3,501.67
34703	Major surgery	$2,603.70	$2,603.70
34704	Major surgery	$4,326.80	$4,326.80
34705	Major surgery	$2,893.27	$2,893.27
34706	Major surgery	$4,321.82	$4,321.82
34707	Major surgery	$2,192.35	$2,192.35
34708	Major surgery	$3,503.00	$3,503.00
34709	Other professional services	$469.79	$469.79
34710	Major surgery	$1,505.52	$1,505.52
34711	Other professional services	$429.57	$429.57
34712	Major surgery	$1,238.52	$1,238.52
34713	Other professional services	$179.85	$179.85
34714	Other professional services	$392.09	$392.09
34715	Other professional services	$436.10	$436.10
34716	Other professional services	$540.51	$540.51
34717	Major surgery	$843.12	$843.12
34718	Major surgery	$2,340.80	$2,340.80
34808	Major surgery	$376.35	$376.35
34812	Other professional services	$300.26	$300.26
34813	Major surgery	$447.33	$447.33
34820	Other professional services	$490.86	$490.86
34830	Major surgery	$3,338.44	$3,338.44
34831	Major surgery	$3,646.71	$3,646.71
34832	Major surgery	$3,589.70	$3,589.70
34833	Other professional services	$572.51	$572.51
34834	Other professional services	$188.31	$188.31
34839	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
34841	Major surgery	$2,470.57	$2,470.57
34842	Major surgery	$2,989.60	$2,989.60
34843	Major surgery	$2,924.94	$2,924.94
34844	Major surgery	$3,022.34	$3,022.34
34845	Major surgery	$2,677.23	$2,677.23
34846	Major surgery	$3,196.28	$3,196.28
34847	Major surgery	$3,131.60	$3,131.60
34848	Major surgery	$3,229.02	$3,229.02
35001	Major surgery	$2,133.30	$2,133.30
35002	Major surgery	$2,155.74	$2,155.74
35005	Major surgery	$1,888.67	$1,888.67
35011	Major surgery	$1,913.71	$1,913.71
35013	Major surgery	$2,391.73	$2,391.73
35021	Major surgery	$2,390.99	$2,390.99
35022	Major surgery	$2,736.45	$2,736.45
35045	Major surgery	$1,847.10	$1,847.10
35081	Major surgery	$3,276.39	$3,276.39
35082	Major surgery	$4,107.87	$4,107.87
35091	Major surgery	$3,389.57	$3,389.57
35092	Major surgery	$4,936.19	$4,936.19
35102	Major surgery	$3,553.88	$3,553.88
35103	Major surgery	$4,201.29	$4,201.29
35111	Major surgery	$2,517.29	$2,517.29
35112	Major surgery	$3,094.42	$3,094.42
35121	Major surgery	$2,994.09	$2,994.09
35122	Major surgery	$3,580.73	$3,580.73
35131	Major surgery	$2,591.84	$2,591.84
35132	Major surgery	$3,094.42	$3,094.42
35141	Major surgery	$2,078.15	$2,078.15
35142	Major surgery	$2,505.73	$2,505.73
35151	Major surgery	$2,343.20	$2,343.20
35152	Major surgery	$2,646.89	$2,646.89
35180	Major surgery	$1,487.77	$1,487.77
35182	Major surgery	$3,393.45	$3,393.45
35184	Major surgery	$1,828.42	$1,828.42
35188	Major surgery	$2,422.72	$2,422.72
35189	Major surgery	$2,858.04	$2,858.04
35190	Major surgery	$1,453.02	$1,453.02
35201	Major surgery	$1,786.26	$1,786.26
35206	Major surgery	$1,487.28	$1,487.28
35207	Major surgery	$1,437.77	$1,437.77
35211	Major surgery	$2,646.97	$2,646.97
35216	Major surgery	$3,959.94	$3,959.94
35221	Major surgery	$2,802.19	$2,802.19
35226	Major surgery	$1,578.66	$1,578.66
35231	Major surgery	$2,368.20	$2,368.20
35236	Major surgery	$1,898.19	$1,898.19
35241	Major surgery	$2,724.27	$2,724.27
35246	Major surgery	$2,965.54	$2,965.54
35251	Major surgery	$3,294.82	$3,294.82
35256	Major surgery	$1,928.34	$1,928.34
35261	Major surgery	$1,856.36	$1,856.36
35266	Major surgery	$1,637.42	$1,637.42
35271	Major surgery	$2,621.85	$2,621.85
35276	Major surgery	$2,766.29	$2,766.29
35281	Major surgery	$3,073.92	$3,073.92
35286	Major surgery	$1,768.36	$1,768.36
35301	Major surgery	$2,139.87	$2,139.87
35302	Major surgery	$2,123.96	$2,123.96
35303	Major surgery	$2,336.88	$2,336.88
35304	Major surgery	$2,414.82	$2,414.82
35305	Major surgery	$2,323.31	$2,323.31
35306	Major surgery	$843.94	$843.94
35311	Major surgery	$2,951.72	$2,951.72
35321	Major surgery	$1,691.59	$1,691.59
35331	Major surgery	$2,747.59	$2,747.59
35341	Major surgery	$2,622.79	$2,622.79
35351	Major surgery	$2,439.29	$2,439.29
35355	Major surgery	$1,950.20	$1,950.20
35361	Major surgery	$2,882.51	$2,882.51
35363	Major surgery	$3,076.05	$3,076.05
35371	Major surgery	$1,544.46	$1,544.46
35372	Major surgery	$1,844.95	$1,844.95
35390	Major surgery	$300.42	$300.42
35400	Major surgery	$280.22	$280.22
35500	Major surgery	$602.63	$602.63
35501	Major surgery	$2,763.21	$2,763.21
35506	Major surgery	$2,412.99	$2,412.99
35508	Major surgery	$2,513.04	$2,513.04
35509	Major surgery	$2,674.33	$2,674.33
35510	Major surgery	$2,328.71	$2,328.71
35511	Major surgery	$2,121.80	$2,121.80
35512	Major surgery	$2,282.22	$2,282.22
35515	Major surgery	$2,513.04	$2,513.04
35516	Major surgery	$2,310.65	$2,310.65
35518	Major surgery	$2,162.61	$2,162.61
35521	Major surgery	$2,326.08	$2,326.08
35522	Major surgery	$2,215.92	$2,215.92
35523	Major surgery	$2,428.00	$2,428.00
35525	Major surgery	$2,147.34	$2,147.34
35526	Major surgery	$3,282.08	$3,282.08
35531	Major surgery	$3,693.26	$3,693.26
35533	Major surgery	$2,854.00	$2,854.00
35535	Major surgery	$3,603.99	$3,603.99
35536	Major surgery	$3,201.74	$3,201.74
35537	Major surgery	$3,946.64	$3,946.64
35538	Major surgery	$4,422.54	$4,422.54
35539	Major surgery	$4,150.61	$4,150.61
35540	Major surgery	$4,626.63	$4,626.63
35556	Major surgery	$2,645.70	$2,645.70
35558	Major surgery	$2,332.12	$2,332.12
35560	Major surgery	$3,229.53	$3,229.53
35563	Major surgery	$2,506.86	$2,506.86
35565	Major surgery	$2,482.33	$2,482.33
35566	Major surgery	$3,156.56	$3,156.56
35570	Major surgery	$2,790.84	$2,790.84
35571	Major surgery	$2,510.27	$2,510.27
35572	Major surgery	$650.95	$650.95
35583	Major surgery	$2,726.16	$2,726.16
35585	Major surgery	$3,162.69	$3,162.69
35587	Major surgery	$2,564.00	$2,564.00
35600	Major surgery	$353.67	$353.67
35601	Major surgery	$2,656.19	$2,656.19
35606	Major surgery	$2,219.08	$2,219.08
35612	Major surgery	$1,979.66	$1,979.66
35616	Major surgery	$2,085.68	$2,085.68
35621	Major surgery	$2,079.07	$2,079.07
35623	Major surgery	$2,489.82	$2,489.82
35626	Major surgery	$3,026.24	$3,026.24
35631	Major surgery	$3,497.93	$3,497.93
35632	Major surgery	$3,421.90	$3,421.90
35633	Major surgery	$3,752.15	$3,752.15
35634	Major surgery	$3,348.72	$3,348.72
35636	Major surgery	$3,021.00	$3,021.00
35637	Major surgery	$3,140.88	$3,140.88
35638	Major surgery	$3,285.34	$3,285.34
35642	Major surgery	$1,871.28	$1,871.28
35645	Major surgery	$1,794.76	$1,794.76
35646	Major surgery	$3,232.63	$3,232.63
35647	Major surgery	$2,934.11	$2,934.11
35650	Major surgery	$1,935.82	$1,935.82
35654	Major surgery	$2,587.16	$2,587.16
35656	Major surgery	$2,038.00	$2,038.00
35661	Major surgery	$2,052.67	$2,052.67
35663	Major surgery	$2,307.38	$2,307.38
35665	Major surgery	$2,218.98	$2,218.98
35666	Major surgery	$2,441.44	$2,441.44
35671	Major surgery	$2,152.62	$2,152.62
35681	Major surgery	$150.81	$150.81
35682	Major surgery	$669.38	$669.38
35683	Major surgery	$775.73	$775.73
35685	Major surgery	$374.87	$374.87
35686	Major surgery	$305.57	$305.57
35691	Major surgery	$1,793.42	$1,793.42
35693	Major surgery	$1,581.80	$1,581.80
35694	Major surgery	$1,872.98	$1,872.98
35695	Major surgery	$1,943.70	$1,943.70
35697	Major surgery	$277.86	$277.86
35700	Major surgery	$287.43	$287.43
35701	Major surgery	$833.55	$833.55
35702	Major surgery	$772.61	$772.61
35703	Major surgery	$794.86	$794.86
35800	Major surgery	$1,387.83	$1,387.83
35820	Major surgery	$3,812.97	$3,812.97
35840	Major surgery	$2,303.34	$2,303.34
35860	Major surgery	$1,591.51	$1,591.51
35870	Major surgery	$2,364.16	$2,364.16
35875	Major surgery	$1,124.66	$1,124.66
35876	Major surgery	$1,788.70	$1,788.70
35879	Major surgery	$1,746.85	$1,746.85
35881	Major surgery	$1,935.32	$1,935.32
35883	Major surgery	$2,276.96	$2,276.96
35884	Major surgery	$2,347.68	$2,347.68
35901	Major surgery	$900.82	$900.82
35903	Major surgery	$1,073.49	$1,073.49
35905	Major surgery	$3,184.02	$3,184.02
35907	Major surgery	$3,613.21	$3,613.21
36000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
36002	Other professional services	$220.53	$151.65
36005	Other professional services	$385.25	$69.72
36010	Other professional services	$819.57	$159.12
36011	Other professional services	$1,225.13	$229.43
36012	Other professional services	$1,254.17	$253.65
36013	Other professional services	$1,171.86	$181.94
36014	Other professional services	$1,188.47	$220.70
36015	Other professional services	$1,285.01	$249.80
36100	Other professional services	$815.48	$223.94
36140	Other professional services	$770.06	$130.32
36160	Other professional services	$837.02	$181.88
36200	Other professional services	$894.77	$203.01
36215	Other professional services	$1,550.97	$311.03
36216	Other professional services	$1,596.12	$393.75
36217	Other professional services	$2,636.45	$475.94
36218	Major surgery	$389.34	$97.52
36221	Other professional services	$1,488.50	$293.84
36222	Other professional services	$1,797.86	$413.88
36223	Other professional services	$2,376.17	$468.09
36224	Other professional services	$2,978.36	$525.92
36225	Other professional services	$2,256.06	$465.51
36226	Other professional services	$2,872.49	$522.66
36227	Major surgery	$447.53	$224.58
36228	Major surgery	$2,407.31	$459.11
36245	Other professional services	$1,865.12	$343.37
36246	Other professional services	$1,254.92	$368.07
36247	Other professional services	$2,140.70	$435.42
36248	Major surgery	$226.41	$91.77
36251	Other professional services	$1,934.64	$374.36
36252	Other professional services	$2,087.24	$521.18
36253	Other professional services	$3,024.06	$518.64
36254	Other professional services	$2,989.73	$598.97
36260	Major surgery	$1,257.18	$1,257.18
36261	Major surgery	$786.63	$786.63
36262	Major surgery	$599.72	$599.72
36299	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
36400	Other professional services	$40.22	$28.17
36405	Other professional services	$34.77	$22.25
36406	Other professional services	$25.19	$13.14
36410	Other professional services	$25.61	$13.56
36415	Clinical Laboratory	$4.50	$4.50
36416	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
36420	Other professional services	$69.54	$69.54
36425	Other professional services	$59.12	$59.12
36430	Other professional services	$54.32	$54.32
36440	Other professional services	$75.18	$75.18
36450	Other professional services	$254.09	$254.09
36455	Other professional services	$183.62	$183.62
36456	Other professional services	$144.57	$144.57
36460	Other professional services	$507.00	$507.00
36465	Other professional services	$1,966.95	$173.03
36466	Other professional services	$2,175.30	$224.82
36468	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
36470	Other professional services	$167.72	$55.49
36471	Other professional services	$292.10	$110.48
36473	Other professional services	$1,837.41	$261.71
36474	Other professional services	$382.77	$130.35
36475	Other professional services	$1,621.50	$405.17
36476	Major surgery	$552.88	$255.41
36478	Other professional services	$1,480.22	$404.54
36479	Major surgery	$579.33	$258.06
36481	Other professional services	$2,607.39	$473.39
36482	Other professional services	$2,506.23	$262.40
36483	Other professional services	$200.88	$130.55
36500	Other professional services	$265.29	$265.29
36510	Other professional services	$125.49	$79.25
36511	Other professional services	$160.47	$160.47
36512	Other professional services	$157.10	$157.10
36513	Other professional services	$156.11	$156.11
36514	Other professional services	$832.61	$137.97
36516	Other professional services	$2,636.84	$124.20
36522	Other professional services	$2,020.95	$142.25
36555	Other professional services	$282.77	$125.72
36556	Other professional services	$318.42	$124.28
36557	Other professional services	$1,761.35	$470.34
36558	Other professional services	$1,257.50	$379.34
36560	Other professional services	$1,876.29	$562.65
36561	Other professional services	$1,492.73	$488.84
36563	Other professional services	$1,695.18	$534.72
36565	Other professional services	$1,244.28	$492.32
36566	Other professional services	$6,456.33	$526.38
36568	Other professional services	$135.32	$135.32
36569	Other professional services	$137.73	$137.73
36570	Other professional services	$2,217.59	$487.74
36571	Other professional services	$1,932.96	$459.38
36572	Other professional services	$558.69	$118.88
36573	Other professional services	$576.54	$123.72
36575	Other professional services	$221.24	$49.74
36576	Other professional services	$519.54	$270.00
36578	Other professional services	$655.31	$296.91
36580	Other professional services	$284.30	$96.42
36581	Other professional services	$1,179.42	$268.01
36582	Other professional services	$1,336.58	$421.80
36583	Other professional services	$1,747.23	$482.72
36584	Other professional services	$493.77	$86.24
36585	Other professional services	$1,758.92	$413.48
36589	Other professional services	$245.10	$200.79
36590	Other professional services	$331.71	$278.72
36591	Other professional services	$38.00	$38.00
36592	Other professional services	$42.33	$42.33
36593	Other professional services	$46.62	$46.62
36595	Other professional services	$896.55	$265.98
36596	Other professional services	$166.50	$64.38
36597	Other professional services	$163.77	$87.66
36598	Other professional services	$180.06	$53.37
36600	Other professional services	$41.91	$23.13
36620	Other professional services	$65.37	$65.37
36625	Other professional services	$155.30	$155.30
36640	Other professional services	$169.88	$169.88
36660	Other professional services	$101.55	$101.55
36680	Other professional services	$87.06	$87.06
36800	Other professional services	$179.42	$179.42
36810	Other professional services	$310.07	$310.07
36815	Other professional services	$196.88	$196.88
36818	Major surgery	$1,306.60	$1,306.60
36819	Major surgery	$1,385.51	$1,385.51
36820	Major surgery	$1,363.34	$1,363.34
36821	Major surgery	$1,255.47	$1,255.47
36823	Major surgery	$2,689.09	$2,689.09
36825	Major surgery	$1,504.50	$1,504.50
36830	Major surgery	$1,264.03	$1,264.03
36831	Major surgery	$1,165.75	$1,165.75
36832	Major surgery	$1,432.59	$1,432.59
36833	Major surgery	$1,531.90	$1,531.90
36835	Major surgery	$918.92	$918.92
36838	Major surgery	$2,165.49	$2,165.49
36860	Other professional services	$342.80	$162.15
36861	Other professional services	$203.30	$203.30
36901	Other professional services	$1,058.43	$246.26
36902	Other professional services	$1,816.32	$350.45
36903	Other professional services	$6,506.07	$461.46
36904	Other professional services	$2,713.02	$537.11
36905	Other professional services	$3,438.86	$649.23
36906	Other professional services	$8,235.06	$746.27
36907	Other professional services	$887.97	$213.57
36908	Other professional services	$2,142.26	$302.57
36909	Other professional services	$2,920.40	$294.54
37140	Major surgery	$4,447.81	$4,447.81
37145	Major surgery	$4,126.34	$4,126.34
37160	Major surgery	$4,237.14	$4,237.14
37180	Major surgery	$4,071.02	$4,071.02
37181	Major surgery	$4,447.81	$4,447.81
37182	Other professional services	$1,190.61	$1,190.61
37183	Other professional services	$8,847.53	$545.60
37184	Other professional services	$2,589.71	$627.20
37185	Major surgery	$922.88	$307.92
37186	Major surgery	$2,332.51	$461.96
37187	Other professional services	$2,594.67	$572.90
37188	Other professional services	$2,213.09	$405.20
37191	Other professional services	$3,074.54	$322.97
37192	Other professional services	$1,920.21	$502.52
37193	Other professional services	$2,249.37	$506.51
37195	Other professional services	UCR or Pay Per Agreement	$470.01
37197	Other professional services	$2,348.24	$437.25
37200	Other professional services	$313.83	$313.83
37211	Other professional services	$562.98	$562.98
37212	Other professional services	$491.73	$491.73
37213	Other professional services	$338.51	$338.51
37214	Other professional services	$177.51	$177.51
37215	Major surgery	$1,879.14	$1,879.14
37216	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
37217	Major surgery	$2,045.75	$2,045.75
37218	Major surgery	$1,546.86	$1,546.86
37220	Other professional services	$3,789.87	$583.07
37221	Other professional services	$4,676.43	$718.64
37222	Major surgery	$1,196.70	$351.92
37223	Major surgery	$2,512.73	$402.32
37224	Other professional services	$4,432.77	$646.46
37225	Other professional services	$13,326.30	$873.41
37226	Other professional services	$12,429.33	$755.85
37227	Other professional services	$17,073.68	$1,046.90
37228	Other professional services	$6,299.76	$787.94
37229	Other professional services	$13,494.18	$1,013.82
37230	Other professional services	$13,578.14	$1,013.00
37231	Other professional services	$17,712.48	$1,074.41
37232	Major surgery	$1,604.27	$376.84
37233	Major surgery	$2,015.11	$613.59
37234	Major surgery	$7,111.86	$535.16
37235	Major surgery	$7,621.09	$728.75
37236	Other professional services	$4,156.23	$643.55
37237	Major surgery	$2,529.87	$400.04
37238	Other professional services	$5,195.82	$446.07
37239	Major surgery	$3,338.38	$285.48
37241	Other professional services	$7,060.91	$628.04
37242	Other professional services	$10,784.78	$692.78
37243	Other professional services	$13,013.28	$816.17
37244	Other professional services	$9,948.48	$965.39
37246	Other professional services	$2,757.72	$507.12
37247	Other professional services	$821.61	$247.89
37248	Other professional services	$2,057.16	$434.25
37249	Other professional services	$663.41	$212.04
37252	Other professional services	$1,433.10	$129.57
37253	Other professional services	$248.21	$102.72
37500	Major surgery	$1,195.64	$1,195.64
37501	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
37565	Major surgery	$1,388.44	$1,388.44
37600	Major surgery	$1,405.11	$1,405.11
37605	Major surgery	$1,398.99	$1,398.99
37606	Major surgery	$1,375.63	$1,375.63
37607	Major surgery	$709.59	$709.59
37609	Other professional services	$462.05	$299.22
37615	Major surgery	$1,021.08	$1,021.08
37616	Major surgery	$2,095.96	$2,095.96
37617	Major surgery	$2,509.49	$2,509.49
37618	Major surgery	$741.60	$741.60
37619	Major surgery	$3,309.54	$3,309.54
37650	Major surgery	$872.18	$872.18
37660	Major surgery	$2,519.32	$2,519.32
37700	Major surgery	$464.96	$464.96
37718	Major surgery	$745.49	$745.49
37722	Major surgery	$888.44	$888.44
37735	Major surgery	$1,103.90	$1,103.90
37760	Major surgery	$1,093.42	$1,093.42
37761	Major surgery	$1,017.00	$1,017.00
37765	Major surgery	$822.82	$514.70
37766	Major surgery	$959.42	$630.65
37780	Major surgery	$445.87	$445.87
37785	Major surgery	$679.05	$486.17
37788	Major surgery	$2,402.46	$2,402.46
37790	Major surgery	$922.86	$922.86
37799	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38100	Major surgery	$2,205.63	$2,205.63
38101	Major surgery	$2,234.19	$2,234.19
38102	Major surgery	$498.85	$498.85
38115	Major surgery	$2,478.51	$2,478.51
38120	Major surgery	$2,025.15	$2,025.15
38129	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38200	Other professional services	$192.65	$192.65
38204	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38205	Other professional services	$125.96	$125.96
38206	Other professional services	$124.50	$124.50
38207	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38209	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38211	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38213	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38214	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38220	Other professional services	$227.49	$99.84
38221	Other professional services	$236.94	$104.00
38222	Other professional services	$256.70	$112.19
38230	Other professional services	$297.98	$297.98
38232	Other professional services	$289.56	$289.56
38240	Other professional services	$355.92	$355.92
38241	Other professional services	$262.44	$262.44
38242	Other professional services	$185.45	$185.45
38243	Other professional services	$180.71	$180.71
38300	Other professional services	$502.08	$306.98
38305	Major surgery	$945.05	$945.05
38308	Major surgery	$885.12	$885.12
38380	Major surgery	$1,087.89	$1,087.89
38381	Major surgery	$1,523.36	$1,523.36
38382	Major surgery	$1,302.66	$1,302.66
38500	Other professional services	$497.12	$375.72
38505	Other professional services	$261.90	$125.58
38510	Other professional services	$780.45	$616.19
38520	Major surgery	$891.31	$891.31
38525	Major surgery	$843.04	$843.04
38530	Major surgery	$1,073.05	$1,073.05
38531	Major surgery	$853.61	$853.61
38542	Major surgery	$999.84	$999.84
38550	Major surgery	$1,001.36	$1,001.36
38555	Major surgery	$1,967.43	$1,967.43
38562	Major surgery	$1,348.93	$1,348.93
38564	Major surgery	$1,350.75	$1,350.75
38570	Other professional services	$757.55	$757.55
38571	Other professional services	$971.69	$971.69
38572	Other professional services	$1,334.43	$1,334.43
38573	Other professional services	$1,723.25	$1,723.25
38589	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
38700	Major surgery	$1,544.67	$1,544.67
38720	Major surgery	$2,564.54	$2,564.54
38724	Major surgery	$2,774.95	$2,774.95
38740	Major surgery	$1,342.17	$1,342.17
38745	Major surgery	$1,688.06	$1,688.06
38746	Major surgery	$407.34	$407.34
38747	Major surgery	$509.20	$509.20
38760	Major surgery	$1,599.53	$1,599.53
38765	Major surgery	$2,504.76	$2,504.76
38770	Major surgery	$1,534.75	$1,534.75
38780	Major surgery	$1,985.00	$1,985.00
38790	Other professional services	$118.34	$118.34
38792	Other professional services	$120.42	$48.65
38794	Major surgery	$557.51	$557.51
38900	Major surgery	$263.23	$263.23
38999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
39000	Major surgery	$949.67	$949.67
39010	Major surgery	$1,496.31	$1,496.31
39200	Major surgery	$1,650.77	$1,650.77
39220	Major surgery	$2,153.25	$2,153.25
39401	Other professional services	$449.00	$449.00
39402	Other professional services	$586.88	$586.88
39499	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
39501	Major surgery	$1,632.48	$1,632.48
39503	Major surgery	$11,031.56	$11,031.56
39540	Major surgery	$1,650.15	$1,650.15
39541	Major surgery	$1,797.10	$1,797.10
39545	Major surgery	$1,703.46	$1,703.46
39560	Major surgery	$1,527.30	$1,527.30
39561	Major surgery	$2,371.14	$2,371.14
39599	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
40490	Other professional services	$179.76	$100.77
40500	Major surgery	$999.24	$698.02
40510	Major surgery	$937.33	$664.91
40520	Major surgery	$960.61	$678.17
40525	Major surgery	$1,051.48	$1,051.48
40527	Major surgery	$1,198.41	$1,198.41
40530	Major surgery	$1,068.29	$774.58
40650	Major surgery	$915.41	$592.25
40652	Major surgery	$982.84	$679.75
40654	Major surgery	$1,110.17	$806.44
40700	Major surgery	$1,914.57	$1,914.57
40701	Major surgery	$2,262.94	$2,262.94
40702	Major surgery	$1,899.34	$1,899.34
40720	Major surgery	$1,949.84	$1,949.84
40761	Major surgery	$2,052.61	$2,052.61
40799	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
40800	Other professional services	$298.25	$172.52
40801	Other professional services	$424.14	$287.33
40804	Other professional services	$274.31	$163.04
40805	Other professional services	$417.51	$288.41
40806	Other professional services	$144.48	$40.92
40808	Other professional services	$246.57	$126.62
40810	Other professional services	$317.24	$178.02
40812	Other professional services	$419.79	$270.95
40814	Major surgery	$712.63	$538.53
40816	Major surgery	$764.21	$573.83
40818	Major surgery	$699.08	$504.93
40819	Major surgery	$513.44	$376.29
40820	Other professional services	$384.89	$245.19
40830	Other professional services	$345.48	$216.86
40831	Other professional services	$456.71	$303.99
40840	Major surgery	$1,653.19	$1,208.57
40842	Major surgery	$1,772.39	$1,287.70
40843	Major surgery	$2,285.67	$1,658.81
40844	Major surgery	$2,864.02	$2,238.41
40845	Major surgery	$2,845.85	$2,316.05
40899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
41000	Other professional services	$222.30	$155.34
41005	Other professional services	$314.99	$158.43
41006	Major surgery	$690.69	$455.85
41007	Major surgery	$626.03	$416.85
41008	Major surgery	$742.17	$484.17
41009	Major surgery	$802.95	$535.55
41010	Other professional services	$320.64	$160.23
41015	Major surgery	$761.22	$567.08
41016	Major surgery	$900.18	$659.70
41017	Major surgery	$887.74	$649.76
41018	Major surgery	$996.29	$757.07
41019	Other professional services	$713.40	$713.40
41100	Other professional services	$275.45	$156.93
41105	Other professional services	$275.15	$160.50
41108	Other professional services	$245.63	$131.46
41110	Other professional services	$337.52	$189.62
41112	Major surgery	$646.25	$460.88
41113	Major surgery	$696.35	$504.72
41114	Major surgery	$1,169.36	$1,169.36
41115	Other professional services	$385.83	$213.86
41116	Major surgery	$639.25	$408.17
41120	Major surgery	$2,032.52	$2,032.52
41130	Major surgery	$2,508.42	$2,508.42
41135	Major surgery	$4,131.21	$4,131.21
41140	Major surgery	$4,171.67	$4,171.67
41145	Major surgery	$5,262.23	$5,262.23
41150	Major surgery	$4,196.79	$4,196.79
41153	Major surgery	$4,569.38	$4,569.38
41155	Major surgery	$5,722.04	$5,722.04
41250	Other professional services	$416.15	$222.98
41251	Other professional services	$458.18	$263.57
41252	Other professional services	$483.44	$305.19
41510	Major surgery	$866.93	$866.93
41512	Major surgery	$1,277.97	$1,277.97
41520	Major surgery	$698.41	$475.47
41530	Other professional services	$1,376.40	$559.89
41599	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
41800	Other professional services	$426.08	$222.32
41805	Other professional services	$459.08	$288.54
41806	Other professional services	$606.83	$409.80
41820	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
41821	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
41822	Other professional services	$517.25	$291.33
41823	Major surgery	$1,002.14	$687.14
41825	Other professional services	$321.93	$174.05
41826	Other professional services	$447.47	$289.94
41827	Major surgery	$830.39	$547.35
41828	Other professional services	$515.76	$324.53
41830	Other professional services	$685.73	$458.36
41850	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
41870	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
41872	Major surgery	$889.75	$569.11
41874	Major surgery	$737.08	$462.77
41899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
42000	Other professional services	$236.39	$156.90
42100	Other professional services	$216.02	$159.66
42104	Other professional services	$317.70	$196.32
42106	Other professional services	$379.05	$239.36
42107	Major surgery	$878.55	$632.44
42120	Major surgery	$1,925.08	$1,925.08
42140	Major surgery	$594.54	$303.95
42145	Major surgery	$1,316.06	$1,316.06
42160	Other professional services	$342.27	$208.85
42180	Other professional services	$377.03	$272.97
42182	Other professional services	$489.17	$379.34
42200	Major surgery	$1,766.17	$1,766.17
42205	Major surgery	$1,840.25	$1,840.25
42210	Major surgery	$2,054.17	$2,054.17
42215	Major surgery	$1,337.31	$1,337.31
42220	Major surgery	$1,100.46	$1,100.46
42225	Major surgery	$1,875.51	$1,875.51
42226	Major surgery	$1,731.56	$1,731.56
42227	Major surgery	$1,614.66	$1,614.66
42235	Major surgery	$1,417.79	$1,417.79
42260	Major surgery	$1,645.35	$1,279.63
42280	Other professional services	$260.94	$159.78
42281	Other professional services	$331.43	$235.08
42299	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
42300	Other professional services	$316.58	$226.98
42305	Major surgery	$814.42	$814.42
42310	Other professional services	$252.18	$196.31
42320	Other professional services	$385.20	$261.39
42330	Other professional services	$342.45	$241.77
42335	Major surgery	$826.74	$496.08
42340	Major surgery	$1,020.05	$654.32
42400	Other professional services	$144.51	$77.07
42405	Other professional services	$445.47	$332.27
42408	Major surgery	$1,043.37	$661.99
42409	Major surgery	$757.05	$437.03
42410	Major surgery	$1,204.09	$1,204.09
42415	Major surgery	$2,025.09	$2,025.09
42420	Major surgery	$2,270.76	$2,270.76
42425	Major surgery	$1,604.54	$1,604.54
42426	Major surgery	$2,584.32	$2,584.32
42440	Major surgery	$793.55	$793.55
42450	Major surgery	$902.34	$695.68
42500	Major surgery	$859.35	$659.59
42505	Major surgery	$1,098.79	$877.71
42507	Major surgery	$946.26	$946.26
42509	Major surgery	$1,568.56	$1,568.56
42510	Major surgery	$1,164.13	$1,164.13
42550	Other professional services	$233.88	$90.81
42600	Major surgery	$1,044.62	$677.64
42650	Other professional services	$109.68	$84.63
42660	Other professional services	$169.80	$126.92
42665	Major surgery	$719.59	$408.35
42699	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
42700	Other professional services	$282.30	$197.52
42720	Other professional services	$662.13	$568.67
42725	Major surgery	$1,527.40	$1,527.40
42800	Other professional services	$232.11	$169.01
42804	Other professional services	$315.84	$178.56
42806	Other professional services	$351.63	$205.19
42808	Other professional services	$339.78	$242.48
42809	Other professional services	$298.20	$185.48
42810	Major surgery	$741.27	$535.24
42815	Major surgery	$1,032.82	$1,032.82
42820	Major surgery	$555.28	$555.28
42821	Major surgery	$579.68	$579.68
42825	Major surgery	$510.61	$510.61
42826	Major surgery	$486.53	$486.53
42830	Major surgery	$403.28	$403.28
42831	Major surgery	$437.79	$437.79
42835	Major surgery	$374.79	$374.79
42836	Major surgery	$464.74	$464.74
42842	Major surgery	$1,934.91	$1,934.91
42844	Major surgery	$2,630.30	$2,630.30
42845	Major surgery	$4,226.04	$4,226.04
42860	Major surgery	$366.33	$366.33
42870	Major surgery	$1,128.27	$1,128.27
42890	Major surgery	$2,716.39	$2,716.39
42892	Major surgery	$3,584.22	$3,584.22
42894	Major surgery	$4,527.32	$4,527.32
42900	Other professional services	$487.61	$487.61
42950	Major surgery	$1,527.44	$1,527.44
42953	Major surgery	$1,827.19	$1,827.19
42955	Major surgery	$1,452.22	$1,452.22
42960	Other professional services	$237.29	$237.29
42961	Major surgery	$800.34	$800.34
42962	Major surgery	$984.56	$984.56
42970	Major surgery	$786.73	$786.73
42971	Major surgery	$867.36	$867.36
42972	Major surgery	$969.62	$969.62
42975	Major surgery	$215.30	$215.30
42999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
43020	Major surgery	$1,084.36	$1,084.36
43030	Major surgery	$1,000.66	$1,000.66
43045	Major surgery	$2,476.64	$2,476.64
43100	Major surgery	$1,215.36	$1,215.36
43101	Major surgery	$1,914.24	$1,914.24
43107	Major surgery	$5,647.36	$5,647.36
43108	Major surgery	$8,432.33	$8,432.33
43112	Major surgery	$6,585.09	$6,585.09
43113	Major surgery	$8,237.00	$8,237.00
43116	Major surgery	$9,428.80	$9,428.80
43117	Major surgery	$6,174.75	$6,174.75
43118	Major surgery	$6,876.99	$6,876.99
43121	Major surgery	$5,417.45	$5,417.45
43122	Major surgery	$4,864.76	$4,864.76
43123	Major surgery	$8,539.50	$8,539.50
43124	Major surgery	$7,217.75	$7,217.75
43130	Major surgery	$1,518.08	$1,518.08
43135	Major surgery	$2,791.19	$2,791.19
43180	Major surgery	$1,046.72	$1,046.72
43191	Other professional services	$226.40	$226.40
43192	Other professional services	$248.06	$248.06
43193	Other professional services	$247.58	$247.58
43194	Other professional services	$283.52	$283.52
43195	Other professional services	$269.66	$269.66
43196	Other professional services	$286.02	$286.02
43197	Other professional services	$283.73	$121.38
43198	Other professional services	$313.68	$144.60
43200	Other professional services	$392.39	$127.92
43201	Other professional services	$387.98	$150.98
43202	Other professional services	$538.40	$150.60
43204	Other professional services	$197.09	$197.09
43205	Other professional services	$205.22	$205.22
43206	Other professional services	$452.25	$194.54
43210	Other professional services	$632.27	$632.27
43211	Other professional services	$343.13	$343.13
43212	Other professional services	$276.84	$276.84
43213	Other professional services	$1,874.60	$379.82
43214	Other professional services	$282.39	$282.39
43215	Other professional services	$591.83	$206.94
43216	Other professional services	$618.96	$195.05
43217	Other professional services	$633.02	$234.15
43220	Other professional services	$1,368.36	$172.26
43226	Other professional services	$577.83	$190.52
43227	Other professional services	$899.58	$241.07
43229	Other professional services	$1,077.74	$287.72
43231	Other professional services	$232.34	$232.34
43232	Other professional services	$292.05	$292.05
43233	Other professional services	$336.02	$336.02
43235	Other professional services	$444.29	$179.34
43236	Other professional services	$604.85	$201.17
43237	Other professional services	$286.79	$286.79
43238	Other professional services	$339.66	$339.66
43239	Other professional services	$567.65	$202.02
43240	Other professional services	$573.83	$573.83
43241	Other professional services	$208.43	$208.43
43242	Other professional services	$385.17	$385.17
43243	Other professional services	$346.97	$346.97
43244	Other professional services	$358.70	$358.70
43245	Other professional services	$900.38	$256.80
43246	Other professional services	$293.13	$293.13
43247	Other professional services	$575.43	$258.95
43248	Other professional services	$621.27	$242.64
43249	Other professional services	$1,651.31	$224.46
43250	Other professional services	$681.69	$248.63
43251	Other professional services	$748.22	$286.73
43252	Other professional services	$506.76	$246.15
43253	Other professional services	$384.69	$384.69
43254	Other professional services	$396.56	$396.56
43255	Other professional services	$949.43	$293.81
43257	Other professional services	$341.84	$341.84
43259	Other professional services	$330.18	$330.18
43260	Other professional services	$472.44	$472.44
43261	Other professional services	$495.62	$495.62
43262	Other professional services	$524.04	$524.04
43263	Other professional services	$524.04	$524.04
43264	Other professional services	$533.19	$533.19
43265	Other professional services	$635.91	$635.91
43266	Other professional services	$319.16	$319.16
43270	Other professional services	$1,106.06	$328.08
43273	Major surgery	$227.60	$227.60
43274	Other professional services	$678.09	$678.09
43275	Other professional services	$551.24	$551.24
43276	Other professional services	$706.23	$706.23
43277	Other professional services	$554.75	$554.75
43278	Other professional services	$634.91	$634.91
43279	Major surgery	$2,461.19	$2,461.19
43280	Major surgery	$2,068.48	$2,068.48
43281	Major surgery	$2,950.25	$2,950.25
43282	Major surgery	$3,317.24	$3,317.24
43283	Major surgery	$302.04	$302.04
43284	Major surgery	$1,250.98	$1,250.98
43285	Major surgery	$1,288.15	$1,288.15
43286	Major surgery	$6,044.28	$6,044.28
43287	Major surgery	$6,744.56	$6,744.56
43288	Major surgery	$7,109.33	$7,109.33
43289	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
43300	Major surgery	$1,195.33	$1,195.33
43305	Major surgery	$2,096.15	$2,096.15
43310	Major surgery	$2,815.90	$2,815.90
43312	Major surgery	$3,014.95	$3,014.95
43313	Major surgery	$5,553.39	$5,553.39
43314	Major surgery	$5,964.86	$5,964.86
43320	Major surgery	$2,682.65	$2,682.65
43325	Major surgery	$2,609.61	$2,609.61
43327	Major surgery	$1,571.04	$1,571.04
43328	Major surgery	$2,135.95	$2,135.95
43330	Major surgery	$2,566.55	$2,566.55
43331	Major surgery	$2,544.24	$2,544.24
43332	Major surgery	$2,203.77	$2,203.77
43333	Major surgery	$2,406.44	$2,406.44
43334	Major surgery	$2,367.53	$2,367.53
43335	Major surgery	$2,534.45	$2,534.45
43336	Major surgery	$2,753.77	$2,753.77
43337	Major surgery	$2,934.83	$2,934.83
43338	Major surgery	$218.44	$218.44
43340	Major surgery	$2,649.68	$2,649.68
43341	Major surgery	$2,660.44	$2,660.44
43351	Major surgery	$2,505.34	$2,505.34
43352	Major surgery	$2,027.51	$2,027.51
43360	Major surgery	$4,268.73	$4,268.73
43361	Major surgery	$5,166.43	$5,166.43
43400	Major surgery	$2,923.65	$2,923.65
43405	Major surgery	$2,769.16	$2,769.16
43410	Major surgery	$1,969.48	$1,969.48
43415	Major surgery	$4,860.75	$4,860.75
43420	Major surgery	$1,947.11	$1,947.11
43425	Major surgery	$2,739.46	$2,739.46
43450	Other professional services	$279.06	$115.76
43453	Other professional services	$1,219.14	$126.12
43460	Other professional services	$310.52	$310.52
43496	Major surgery	$1,984.09	$1,984.09
43497	Major surgery	$1,515.70	$1,515.70
43499	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
43500	Major surgery	$1,510.14	$1,510.14
43501	Major surgery	$2,591.57	$2,591.57
43502	Major surgery	$2,930.83	$2,930.83
43510	Major surgery	$1,824.60	$1,824.60
43520	Major surgery	$1,328.91	$1,328.91
43605	Major surgery	$1,608.30	$1,608.30
43610	Major surgery	$1,880.19	$1,880.19
43611	Major surgery	$2,343.10	$2,343.10
43620	Major surgery	$3,806.22	$3,806.22
43621	Major surgery	$4,353.77	$4,353.77
43622	Major surgery	$4,433.56	$4,433.56
43631	Major surgery	$2,781.05	$2,781.05
43632	Major surgery	$3,897.15	$3,897.15
43633	Major surgery	$3,684.60	$3,684.60
43634	Major surgery	$4,077.80	$4,077.80
43635	Major surgery	$214.87	$214.87
43640	Major surgery	$2,288.72	$2,288.72
43641	Major surgery	$2,315.10	$2,315.10
43644	Major surgery	$3,332.53	$3,332.53
43645	Major surgery	$3,527.63	$3,527.63
43647	Major surgery	$647.79	$647.79
43648	Major surgery	$647.79	$647.79
43651	Major surgery	$1,261.01	$1,261.01
43652	Major surgery	$1,470.57	$1,470.57
43653	Major surgery	$1,109.84	$1,109.84
43659	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
43752	Other professional services	$59.36	$59.36
43753	Other professional services	$32.49	$32.49
43754	Other professional services	$335.91	$52.19
43755	Other professional services	$303.06	$86.76
43756	Other professional services	$420.02	$74.15
43757	Other professional services	$562.34	$111.45
43761	Other professional services	$183.45	$153.11
43762	Other professional services	$339.81	$54.63
43763	Other professional services	$513.51	$124.29
43770	Major surgery	$2,166.20	$2,166.20
43771	Major surgery	$2,457.66	$2,457.66
43772	Major surgery	$1,825.40	$1,825.40
43773	Major surgery	$2,457.66	$2,457.66
43774	Major surgery	$1,845.44	$1,845.44
43775	Major surgery	$2,129.97	$2,129.97
43800	Major surgery	$1,787.80	$1,787.80
43810	Major surgery	$1,953.88	$1,953.88
43820	Major surgery	$2,578.95	$2,578.95
43825	Major surgery	$2,519.48	$2,519.48
43830	Major surgery	$1,350.41	$1,350.41
43831	Major surgery	$1,173.80	$1,173.80
43832	Major surgery	$2,004.95	$2,004.95
43840	Major surgery	$2,609.41	$2,609.41
43842	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
43843	Major surgery	$2,468.37	$2,468.37
43845	Major surgery	$3,751.72	$3,751.72
43846	Major surgery	$3,172.75	$3,172.75
43847	Major surgery	$3,473.77	$3,473.77
43848	Major surgery	$3,703.89	$3,703.89
43860	Major surgery	$3,140.92	$3,140.92
43865	Major surgery	$3,283.37	$3,283.37
43870	Major surgery	$1,364.10	$1,364.10
43880	Major surgery	$3,070.61	$3,070.61
43881	Major surgery	$1,234.72	$1,234.72
43882	Major surgery	$1,234.72	$1,234.72
43886	Major surgery	$705.30	$705.30
43887	Major surgery	$634.82	$634.82
43888	Major surgery	$894.15	$894.15
43999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44005	Major surgery	$2,095.57	$2,095.57
44010	Major surgery	$1,643.77	$1,643.77
44015	Major surgery	$271.05	$271.05
44020	Major surgery	$1,872.18	$1,872.18
44021	Major surgery	$1,863.73	$1,863.73
44025	Major surgery	$1,883.62	$1,883.62
44050	Major surgery	$1,796.26	$1,796.26
44055	Major surgery	$2,853.77	$2,853.77
44100	Other professional services	$157.05	$157.05
44110	Major surgery	$1,623.67	$1,623.67
44111	Major surgery	$1,877.52	$1,877.52
44120	Major surgery	$2,341.74	$2,341.74
44121	Major surgery	$459.95	$459.95
44125	Major surgery	$2,255.04	$2,255.04
44126	Major surgery	$4,736.41	$4,736.41
44127	Major surgery	$5,470.88	$5,470.88
44128	Major surgery	$464.30	$464.30
44130	Major surgery	$2,521.66	$2,521.66
44132	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44133	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44135	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44136	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44137	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44139	Major surgery	$230.72	$230.72
44140	Major surgery	$2,571.47	$2,571.47
44141	Major surgery	$3,478.08	$3,478.08
44143	Major surgery	$3,171.71	$3,171.71
44144	Major surgery	$3,375.22	$3,375.22
44145	Major surgery	$3,155.94	$3,155.94
44146	Major surgery	$4,015.21	$4,015.21
44147	Major surgery	$3,695.70	$3,695.70
44150	Major surgery	$3,544.94	$3,544.94
44151	Major surgery	$4,128.27	$4,128.27
44155	Major surgery	$3,952.42	$3,952.42
44156	Major surgery	$4,415.85	$4,415.85
44157	Major surgery	$4,193.20	$4,193.20
44158	Major surgery	$4,297.20	$4,297.20
44160	Major surgery	$2,377.85	$2,377.85
44180	Major surgery	$1,764.89	$1,764.89
44186	Major surgery	$1,250.94	$1,250.94
44187	Major surgery	$2,089.31	$2,089.31
44188	Major surgery	$2,325.92	$2,325.92
44202	Major surgery	$2,656.41	$2,656.41
44203	Major surgery	$459.17	$459.17
44204	Major surgery	$2,939.00	$2,939.00
44205	Major surgery	$2,553.04	$2,553.04
44206	Major surgery	$3,331.95	$3,331.95
44207	Major surgery	$3,461.93	$3,461.93
44208	Major surgery	$3,765.92	$3,765.92
44210	Major surgery	$3,376.64	$3,376.64
44211	Major surgery	$4,028.64	$4,028.64
44212	Major surgery	$3,867.20	$3,867.20
44213	Major surgery	$357.40	$357.40
44227	Major surgery	$3,175.97	$3,175.97
44238	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44300	Major surgery	$1,614.64	$1,614.64
44310	Major surgery	$1,990.37	$1,990.37
44312	Major surgery	$1,145.00	$1,145.00
44314	Major surgery	$1,924.05	$1,924.05
44316	Major surgery	$2,716.62	$2,716.62
44320	Major surgery	$2,297.78	$2,297.78
44322	Major surgery	$1,932.96	$1,932.96
44340	Major surgery	$1,198.08	$1,198.08
44345	Major surgery	$2,008.71	$2,008.71
44346	Major surgery	$2,261.49	$2,261.49
44360	Other professional services	$209.63	$209.63
44361	Other professional services	$232.11	$232.11
44363	Other professional services	$280.71	$280.71
44364	Other professional services	$298.89	$298.89
44365	Other professional services	$265.86	$265.86
44366	Other professional services	$350.25	$350.25
44369	Other professional services	$359.22	$359.22
44370	Other professional services	$389.85	$389.85
44372	Other professional services	$350.64	$350.64
44373	Other professional services	$280.55	$280.55
44376	Other professional services	$416.39	$416.39
44377	Other professional services	$437.88	$437.88
44378	Other professional services	$563.82	$563.82
44379	Other professional services	$599.43	$599.43
44380	Other professional services	$290.76	$82.17
44381	Other professional services	$1,470.02	$122.64
44382	Other professional services	$448.80	$106.31
44384	Other professional services	$226.41	$226.41
44385	Other professional services	$319.05	$106.13
44386	Other professional services	$467.90	$130.68
44388	Other professional services	$470.84	$228.53
44388-53	Other professional services	$235.17	$114.27
44389	Other professional services	$617.49	$251.39
44390	Other professional services	$604.23	$307.01
44391	Other professional services	$964.92	$337.73
44392	Other professional services	$575.67	$291.47
44394	Other professional services	$657.03	$330.90
44401	Other professional services	$3,634.16	$354.14
44402	Other professional services	$383.15	$383.15
44403	Other professional services	$444.93	$444.93
44404	Other professional services	$633.81	$251.81
44405	Other professional services	$838.65	$267.81
44406	Other professional services	$335.16	$335.16
44407	Other professional services	$403.64	$403.64
44408	Other professional services	$338.15	$338.15
44500	Other professional services	$28.70	$28.70
44602	Major surgery	$2,698.08	$2,698.08
44603	Major surgery	$3,093.60	$3,093.60
44604	Major surgery	$2,019.36	$2,019.36
44605	Major surgery	$2,489.43	$2,489.43
44615	Major surgery	$2,055.03	$2,055.03
44620	Major surgery	$1,653.97	$1,653.97
44625	Major surgery	$1,932.90	$1,932.90
44626	Major surgery	$3,052.45	$3,052.45
44640	Major surgery	$2,674.78	$2,674.78
44650	Major surgery	$2,761.18	$2,761.18
44660	Major surgery	$2,546.12	$2,546.12
44661	Major surgery	$2,955.50	$2,955.50
44680	Major surgery	$2,069.01	$2,069.01
44700	Major surgery	$1,910.40	$1,910.40
44701	Major surgery	$324.40	$324.40
44705	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44715	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44720	Other professional services	$403.14	$403.14
44721	Other professional services	$563.93	$563.93
44799	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44800	Major surgery	$1,478.18	$1,478.18
44820	Major surgery	$1,636.13	$1,636.13
44850	Major surgery	$1,440.64	$1,440.64
44899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
44900	Major surgery	$1,508.72	$1,508.72
44950	Major surgery	$1,233.71	$1,233.71
44955	Major surgery	$159.06	$159.06
44960	Major surgery	$1,687.43	$1,687.43
44970	Major surgery	$1,156.78	$1,156.78
44979	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
45000	Major surgery	$819.76	$819.76
45005	Other professional services	$474.83	$246.98
45020	Major surgery	$1,099.10	$1,099.10
45100	Major surgery	$575.84	$575.84
45108	Major surgery	$716.14	$716.14
45110	Major surgery	$3,481.08	$3,481.08
45111	Major surgery	$2,080.85	$2,080.85
45112	Major surgery	$3,534.90	$3,534.90
45113	Major surgery	$3,561.58	$3,561.58
45114	Major surgery	$3,487.05	$3,487.05
45116	Major surgery	$2,945.85	$2,945.85
45119	Major surgery	$3,587.59	$3,587.59
45120	Major surgery	$3,071.50	$3,071.50
45121	Major surgery	$3,353.67	$3,353.67
45123	Major surgery	$2,131.21	$2,131.21
45126	Major surgery	$5,237.70	$5,237.70
45130	Major surgery	$2,068.19	$2,068.19
45135	Major surgery	$2,470.40	$2,470.40
45136	Major surgery	$3,405.11	$3,405.11
45150	Major surgery	$811.67	$811.67
45160	Major surgery	$1,969.70	$1,969.70
45171	Major surgery	$1,184.35	$1,184.35
45172	Major surgery	$1,581.22	$1,581.22
45190	Major surgery	$1,357.41	$1,357.41
45300	Other professional services	$189.75	$69.81
45303	Other professional services	$1,435.17	$123.93
45305	Other professional services	$269.55	$106.26
45307	Other professional services	$320.69	$147.27
45308	Other professional services	$305.99	$123.42
45309	Other professional services	$315.47	$130.49
45315	Other professional services	$341.18	$155.24
45317	Other professional services	$328.32	$161.66
45320	Other professional services	$335.33	$153.72
45321	Other professional services	$151.26	$151.26
45327	Other professional services	$171.12	$171.12
45330	Other professional services	$275.66	$81.53
45331	Other professional services	$429.42	$104.27
45332	Other professional services	$414.74	$153.65
45333	Other professional services	$494.46	$137.03
45334	Other professional services	$746.58	$171.89
45335	Other professional services	$436.76	$96.18
45337	Other professional services	$168.29	$168.29
45338	Other professional services	$447.99	$175.82
45340	Other professional services	$692.99	$113.97
45341	Other professional services	$181.43	$181.43
45342	Other professional services	$248.21	$248.21
45346	Other professional services	$3,516.51	$234.56
45347	Other professional services	$225.66	$225.66
45349	Other professional services	$290.30	$290.30
45350	Other professional services	$1,018.62	$147.20
45378	Other professional services	$507.06	$270.05
45378-53	Other professional services	$253.53	$135.03
45379	Other professional services	$651.33	$350.25
45380	Other professional services	$651.68	$293.27
45381	Other professional services	$664.68	$293.27
45382	Other professional services	$1,006.22	$379.98
45384	Other professional services	$732.95	$334.58
45385	Other professional services	$680.24	$372.90
45386	Other professional services	$922.05	$309.30
45388	Other professional services	$3,753.47	$395.88
45389	Other professional services	$424.68	$424.68
45390	Other professional services	$486.59	$486.59
45391	Other professional services	$377.67	$377.67
45392	Other professional services	$444.87	$444.87
45393	Other professional services	$370.58	$370.58
45395	Major surgery	$3,730.35	$3,730.35
45397	Major surgery	$4,057.74	$4,057.74
45398	Other professional services	$1,252.25	$344.21
45399	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
45400	Major surgery	$2,163.97	$2,163.97
45402	Major surgery	$2,891.73	$2,891.73
45499	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
45500	Major surgery	$1,095.96	$1,095.96
45505	Major surgery	$1,153.82	$1,153.82
45520	Other professional services	$238.61	$58.44
45540	Major surgery	$2,018.13	$2,018.13
45541	Major surgery	$1,808.18	$1,808.18
45550	Major surgery	$2,788.75	$2,788.75
45560	Major surgery	$1,325.08	$1,325.08
45562	Major surgery	$2,183.30	$2,183.30
45563	Major surgery	$3,187.88	$3,187.88
45800	Major surgery	$2,444.38	$2,444.38
45805	Major surgery	$2,824.22	$2,824.22
45820	Major surgery	$2,450.80	$2,450.80
45825	Major surgery	$2,957.49	$2,957.49
45900	Other professional services	$313.25	$313.25
45905	Other professional services	$248.28	$248.28
45910	Other professional services	$284.33	$284.33
45915	Other professional services	$523.17	$338.67
45990	Other professional services	$154.31	$154.31
45999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
46020	Other professional services	$169.77	$169.77
46030	Other professional services	$380.82	$127.92
46040	Major surgery	$1,069.01	$814.75
46045	Major surgery	$844.12	$844.12
46050	Other professional services	$349.64	$146.84
46060	Major surgery	$931.71	$931.71
46070	Major surgery	$521.78	$521.78
46080	Other professional services	$427.13	$232.52
46083	Other professional services	$310.26	$161.42
46200	Major surgery	$910.90	$642.88
46220	Other professional services	$371.45	$177.32
46221	Other professional services	$421.65	$285.33
46230	Other professional services	$461.19	$253.58
46250	Major surgery	$923.03	$612.42
46255	Major surgery	$1,005.46	$684.82
46257	Major surgery	$797.67	$797.67
46258	Major surgery	$923.50	$923.50
46260	Major surgery	$927.26	$927.26
46261	Major surgery	$1,015.76	$1,015.76
46262	Major surgery	$1,128.47	$1,128.47
46270	Major surgery	$1,030.71	$766.45
46275	Major surgery	$1,087.01	$808.96
46280	Major surgery	$921.53	$921.53
46285	Major surgery	$1,081.51	$807.85
46288	Major surgery	$1,069.19	$1,069.19
46320	Other professional services	$315.74	$166.41
46500	Other professional services	$466.58	$272.45
46505	Other professional services	$466.35	$370.97
46600	Other professional services	$177.86	$59.36
46601	Other professional services	$224.34	$139.56
46604	Other professional services	$1,011.50	$97.19
46606	Other professional services	$421.43	$110.24
46607	Other professional services	$312.84	$186.63
46608	Other professional services	$440.88	$123.42
46610	Other professional services	$416.21	$117.54
46611	Other professional services	$338.04	$117.90
46612	Other professional services	$506.79	$139.73
46614	Other professional services	$250.07	$92.55
46615	Other professional services	$269.90	$134.06
46700	Major surgery	$1,258.67	$1,258.67
46705	Major surgery	$1,098.92	$1,098.92
46706	Other professional services	$263.39	$263.39
46707	Major surgery	$969.75	$969.75
46710	Major surgery	$2,136.23	$2,136.23
46712	Major surgery	$4,264.42	$4,264.42
46715	Major surgery	$1,071.08	$1,071.08
46716	Major surgery	$2,365.88	$2,365.88
46730	Major surgery	$3,811.20	$3,811.20
46735	Major surgery	$4,386.88	$4,386.88
46740	Major surgery	$4,158.49	$4,158.49
46742	Major surgery	$4,805.93	$4,805.93
46744	Major surgery	$6,781.73	$6,781.73
46746	Major surgery	$7,471.95	$7,471.95
46748	Major surgery	$8,097.41	$8,097.41
46750	Major surgery	$1,440.02	$1,440.02
46751	Major surgery	$1,288.66	$1,288.66
46753	Major surgery	$1,194.08	$1,194.08
46754	Other professional services	$509.01	$351.00
46760	Major surgery	$2,105.08	$2,105.08
46761	Major surgery	$1,756.76	$1,756.76
46900	Other professional services	$349.67	$199.86
46910	Other professional services	$390.77	$198.08
46916	Other professional services	$382.71	$205.92
46917	Other professional services	$642.33	$186.63
46922	Other professional services	$465.26	$201.27
46924	Other professional services	$812.12	$263.93
46930	Major surgery	$417.01	$291.14
46940	Other professional services	$392.30	$212.13
46942	Other professional services	$373.22	$190.17
46945	Major surgery	$649.76	$649.76
46946	Major surgery	$733.53	$733.53
46947	Major surgery	$744.67	$744.67
46948	Major surgery	$856.17	$856.17
46999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
47000	Other professional services	$448.08	$128.22
47001	Major surgery	$197.55	$197.55
47010	Major surgery	$2,329.82	$2,329.82
47015	Major surgery	$2,240.47	$2,240.47
47100	Major surgery	$1,629.50	$1,629.50
47120	Major surgery	$4,469.56	$4,469.56
47122	Major surgery	$6,575.67	$6,575.67
47125	Major surgery	$5,889.84	$5,889.84
47130	Major surgery	$6,320.75	$6,320.75
47133	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
47135	Major surgery	$10,291.67	$10,291.67
47140	Major surgery	$6,828.80	$6,828.80
47141	Major surgery	$8,164.59	$8,164.59
47142	Major surgery	$8,976.79	$8,976.79
47143	Other professional services	$276.48	$276.48
47144	Major surgery	$359.42	$359.42
47145	Other professional services	$776.24	$776.24
47146	Other professional services	$482.22	$482.22
47147	Other professional services	$560.40	$560.40
47300	Major surgery	$2,175.28	$2,175.28
47350	Major surgery	$2,625.73	$2,625.73
47360	Major surgery	$3,602.18	$3,602.18
47361	Major surgery	$5,779.10	$5,779.10
47362	Major surgery	$2,740.49	$2,740.49
47370	Major surgery	$2,400.02	$2,400.02
47371	Major surgery	$2,418.82	$2,418.82
47379	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
47380	Major surgery	$2,773.82	$2,773.82
47381	Major surgery	$2,845.15	$2,845.15
47382	Other professional services	$5,552.21	$1,077.03
47383	Other professional services	$8,964.80	$653.22
47399	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
47400	Major surgery	$4,131.45	$4,131.45
47420	Major surgery	$2,560.76	$2,560.76
47425	Major surgery	$2,628.99	$2,628.99
47460	Major surgery	$2,442.47	$2,442.47
47480	Major surgery	$1,679.03	$1,679.03
47490	Other professional services	$485.09	$485.09
47531	Other professional services	$639.63	$102.03
47532	Other professional services	$1,265.55	$308.37
47533	Other professional services	$1,758.21	$386.28
47534	Other professional services	$1,921.08	$538.55
47535	Other professional services	$1,337.51	$285.44
47536	Other professional services	$959.31	$191.45
47537	Other professional services	$742.89	$140.27
47538	Other professional services	$5,726.63	$341.51
47539	Other professional services	$6,358.58	$616.02
47540	Other professional services	$6,441.15	$640.79
47541	Other professional services	$1,743.69	$486.89
47542	Other professional services	$749.64	$197.60
47543	Other professional services	$588.35	$208.76
47544	Other professional services	$1,266.35	$227.28
47550	Major surgery	$314.91	$314.91
47552	Other professional services	$403.07	$403.07
47553	Other professional services	$406.85	$406.85
47554	Other professional services	$756.51	$756.51
47555	Other professional services	$483.90	$483.90
47556	Other professional services	$548.63	$548.63
47562	Major surgery	$1,269.12	$1,269.12
47563	Major surgery	$1,381.17	$1,381.17
47564	Major surgery	$2,143.85	$2,143.85
47570	Major surgery	$1,492.37	$1,492.37
47579	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
47600	Major surgery	$2,053.16	$2,053.16
47605	Major surgery	$2,166.59	$2,166.59
47610	Major surgery	$2,410.67	$2,410.67
47612	Major surgery	$2,449.57	$2,449.57
47620	Major surgery	$2,644.28	$2,644.28
47700	Major surgery	$2,040.23	$2,040.23
47701	Major surgery	$3,340.17	$3,340.17
47711	Major surgery	$2,988.06	$2,988.06
47712	Major surgery	$3,835.94	$3,835.94
47715	Major surgery	$2,559.06	$2,559.06
47720	Major surgery	$2,223.16	$2,223.16
47721	Major surgery	$2,606.02	$2,606.02
47740	Major surgery	$2,527.18	$2,527.18
47741	Major surgery	$2,839.32	$2,839.32
47760	Major surgery	$4,313.77	$4,313.77
47765	Major surgery	$5,818.49	$5,818.49
47780	Major surgery	$4,736.59	$4,736.59
47785	Major surgery	$6,179.84	$6,179.84
47800	Major surgery	$2,956.14	$2,956.14
47801	Major surgery	$2,146.91	$2,146.91
47802	Major surgery	$2,933.62	$2,933.62
47900	Major surgery	$2,621.44	$2,621.44
47999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
48000	Major surgery	$3,615.87	$3,615.87
48001	Major surgery	$4,427.48	$4,427.48
48020	Major surgery	$2,268.45	$2,268.45
48100	Major surgery	$1,687.74	$1,687.74
48102	Other professional services	$771.54	$345.23
48105	Major surgery	$5,447.23	$5,447.23
48120	Major surgery	$2,118.29	$2,118.29
48140	Major surgery	$2,997.03	$2,997.03
48145	Major surgery	$3,137.10	$3,137.10
48146	Major surgery	$3,624.41	$3,624.41
48148	Major surgery	$2,404.56	$2,404.56
48150	Major surgery	$5,962.28	$5,962.28
48152	Major surgery	$5,547.24	$5,547.24
48153	Major surgery	$5,950.15	$5,950.15
48154	Major surgery	$5,571.72	$5,571.72
48155	Major surgery	$3,490.73	$3,490.73
48160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
48400	Major surgery	$204.95	$204.95
48500	Major surgery	$2,213.04	$2,213.04
48510	Major surgery	$2,110.10	$2,110.10
48520	Major surgery	$2,117.17	$2,117.17
48540	Major surgery	$2,513.80	$2,513.80
48545	Major surgery	$2,587.34	$2,587.34
48547	Major surgery	$3,441.54	$3,441.54
48548	Major surgery	$3,211.67	$3,211.67
48550	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
48551	Other professional services	$317.60	$317.60
48552	Other professional services	$346.62	$346.62
48554	Major surgery	$4,969.79	$4,969.79
48556	Major surgery	$2,461.19	$2,461.19
48999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
49000	Major surgery	$1,474.71	$1,474.71
49002	Major surgery	$2,000.13	$2,000.13
49010	Major surgery	$1,770.39	$1,770.39
49013	Other professional services	$672.96	$672.96
49014	Other professional services	$558.48	$558.48
49020	Major surgery	$3,055.61	$3,055.61
49040	Major surgery	$1,932.41	$1,932.41
49060	Major surgery	$2,106.45	$2,106.45
49062	Major surgery	$1,474.71	$1,474.71
49082	Other professional services	$315.72	$107.61
49083	Other professional services	$438.50	$155.73
49084	Other professional services	$157.32	$157.32
49180	Other professional services	$257.13	$121.77
49185	Other professional services	$1,914.12	$173.67
49203	Major surgery	$2,290.24	$2,290.24
49204	Major surgery	$2,912.11	$2,912.11
49205	Major surgery	$3,338.71	$3,338.71
49215	Major surgery	$4,239.67	$4,239.67
49250	Major surgery	$1,136.91	$1,136.91
49255	Major surgery	$1,514.84	$1,514.84
49320	Other professional services	$484.14	$484.14
49321	Other professional services	$507.78	$507.78
49322	Other professional services	$553.28	$553.28
49323	Major surgery	$1,215.49	$1,215.49
49324	Other professional services	$572.21	$572.21
49325	Other professional services	$611.33	$611.33
49326	Major surgery	$361.78	$361.78
49327	Major surgery	$249.50	$249.50
49329	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
49400	Other professional services	$224.60	$133.55
49402	Major surgery	$1,637.03	$1,637.03
49405	Other professional services	$1,333.37	$285.62
49406	Other professional services	$1,332.89	$285.14
49407	Other professional services	$1,124.40	$302.12
49411	Other professional services	$713.94	$268.35
49412	Major surgery	$157.85	$157.85
49418	Other professional services	$1,482.74	$294.35
49419	Major surgery	$814.96	$814.96
49421	Other professional services	$333.86	$333.86
49422	Other professional services	$326.12	$326.12
49423	Other professional services	$894.03	$102.57
49424	Other professional services	$275.04	$55.38
49425	Major surgery	$1,339.53	$1,339.53
49426	Major surgery	$1,288.72	$1,288.72
49427	Other professional services	$57.26	$57.26
49428	Other professional services	$635.91	$635.91
49429	Other professional services	$675.80	$675.80
49435	Major surgery	$227.88	$227.88
49436	Other professional services	$277.10	$277.10
49440	Other professional services	$1,252.91	$296.70
49441	Other professional services	$1,416.44	$348.47
49442	Other professional services	$1,196.33	$300.81
49446	Other professional services	$1,201.14	$214.59
49450	Other professional services	$897.51	$95.45
49451	Other professional services	$965.39	$130.56
49452	Other professional services	$1,170.21	$200.04
49460	Other professional services	$1,004.94	$71.37
49465	Other professional services	$199.55	$44.43
49491	Major surgery	$1,535.51	$1,535.51
49492	Major surgery	$1,846.08	$1,846.08
49495	Major surgery	$784.60	$784.60
49496	Major surgery	$1,183.67	$1,183.67
49500	Major surgery	$797.22	$797.22
49501	Major surgery	$1,166.61	$1,166.61
49505	Major surgery	$1,004.80	$1,004.80
49507	Major surgery	$1,128.68	$1,128.68
49520	Major surgery	$1,218.18	$1,218.18
49521	Major surgery	$1,376.91	$1,376.91
49525	Major surgery	$1,103.08	$1,103.08
49540	Major surgery	$1,300.77	$1,300.77
49550	Major surgery	$1,108.38	$1,108.38
49553	Major surgery	$1,216.90	$1,216.90
49555	Major surgery	$1,163.55	$1,163.55
49557	Major surgery	$1,392.89	$1,392.89
49560	Major surgery	$1,417.44	$1,417.44
49561	Major surgery	$1,784.17	$1,784.17
49565	Major surgery	$1,475.23	$1,475.23
49566	Major surgery	$1,799.77	$1,799.77
49568	Major surgery	$509.13	$509.13
49570	Major surgery	$805.60	$805.60
49572	Major surgery	$998.24	$998.24
49580	Major surgery	$646.68	$646.68
49582	Major surgery	$933.76	$933.76
49585	Major surgery	$859.89	$859.89
49587	Major surgery	$918.45	$918.45
49590	Major surgery	$1,102.45	$1,102.45
49600	Major surgery	$1,414.86	$1,414.86
49605	Major surgery	$9,430.08	$9,430.08
49606	Major surgery	$2,182.52	$2,182.52
49610	Major surgery	$1,335.91	$1,335.91
49611	Major surgery	$1,176.06	$1,176.06
49650	Major surgery	$830.33	$830.33
49651	Major surgery	$1,084.38	$1,084.38
49652	Major surgery	$1,428.96	$1,428.96
49653	Major surgery	$1,789.85	$1,789.85
49654	Major surgery	$1,621.91	$1,621.91
49655	Major surgery	$1,987.38	$1,987.38
49656	Major surgery	$1,762.27	$1,762.27
49657	Major surgery	$2,531.57	$2,531.57
49659	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
49900	Major surgery	$1,573.16	$1,573.16
49904	Major surgery	$2,653.23	$2,653.23
49905	Major surgery	$673.49	$673.49
49906	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
49999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
50010	Major surgery	$1,340.78	$1,340.78
50020	Major surgery	$1,930.54	$1,930.54
50040	Major surgery	$1,759.74	$1,759.74
50045	Major surgery	$1,773.43	$1,773.43
50060	Major surgery	$2,165.71	$2,165.71
50065	Major surgery	$2,296.36	$2,296.36
50070	Major surgery	$2,252.41	$2,252.41
50075	Major surgery	$2,768.73	$2,768.73
50080	Major surgery	$1,650.93	$1,650.93
50081	Major surgery	$2,429.29	$2,429.29
50100	Major surgery	$2,078.13	$2,078.13
50120	Major surgery	$1,805.15	$1,805.15
50125	Major surgery	$1,869.39	$1,869.39
50130	Major surgery	$1,963.12	$1,963.12
50135	Major surgery	$2,132.23	$2,132.23
50200	Other professional services	$775.04	$185.88
50205	Major surgery	$1,443.39	$1,443.39
50220	Major surgery	$2,006.75	$2,006.75
50225	Major surgery	$2,287.53	$2,287.53
50230	Major surgery	$2,434.85	$2,434.85
50234	Major surgery	$2,481.73	$2,481.73
50236	Major surgery	$2,785.87	$2,785.87
50240	Major surgery	$2,522.36	$2,522.36
50250	Major surgery	$2,313.40	$2,313.40
50280	Major surgery	$1,827.19	$1,827.19
50290	Major surgery	$1,709.94	$1,709.94
50300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
50320	Major surgery	$2,900.51	$2,900.51
50323	Other professional services	$276.48	$228.80
50325	Other professional services	$276.48	$228.80
50327	Other professional services	$318.36	$318.36
50328	Other professional services	$279.11	$279.11
50329	Other professional services	$264.51	$264.51
50340	Major surgery	$1,831.89	$1,831.89
50360	Major surgery	$4,645.19	$4,645.19
50365	Major surgery	$5,537.20	$5,537.20
50370	Major surgery	$2,322.76	$2,322.76
50380	Major surgery	$3,890.31	$3,890.31
50382	Other professional services	$1,517.82	$369.41
50384	Other professional services	$1,298.09	$331.28
50385	Other professional services	$1,519.98	$315.69
50386	Other professional services	$1,121.76	$235.40
50387	Other professional services	$841.85	$122.16
50389	Other professional services	$628.82	$77.73
50390	Other professional services	$139.68	$139.68
50391	Other professional services	$183.78	$143.31
50396	Other professional services	$169.62	$169.62
50400	Major surgery	$2,196.95	$2,196.95
50405	Major surgery	$2,650.65	$2,650.65
50430	Other professional services	$944.27	$223.62
50431	Other professional services	$484.31	$94.59
50432	Other professional services	$1,362.27	$297.66
50433	Other professional services	$1,697.52	$369.44
50434	Other professional services	$1,364.28	$277.52
50435	Other professional services	$906.12	$145.01
50436	Other professional services	$218.90	$218.90
50437	Other professional services	$362.54	$362.54
50500	Major surgery	$2,390.13	$2,390.13
50520	Major surgery	$2,227.17	$2,227.17
50525	Major surgery	$2,825.41	$2,825.41
50526	Major surgery	$3,025.43	$3,025.43
50540	Major surgery	$2,179.52	$2,179.52
50541	Major surgery	$1,743.89	$1,743.89
50542	Major surgery	$2,218.79	$2,218.79
50543	Major surgery	$2,832.32	$2,832.32
50544	Major surgery	$2,362.27	$2,362.27
50545	Major surgery	$2,538.02	$2,538.02
50546	Major surgery	$2,288.38	$2,288.38
50547	Major surgery	$3,089.58	$3,089.58
50548	Major surgery	$2,553.04	$2,553.04
50549	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
50551	Other professional services	$527.78	$428.07
50553	Other professional services	$565.52	$457.13
50555	Other professional services	$602.42	$495.95
50557	Other professional services	$612.81	$502.49
50561	Other professional services	$694.76	$573.84
50562	Major surgery	$1,094.30	$1,094.30
50570	Other professional services	$714.29	$714.29
50572	Other professional services	$773.07	$773.07
50574	Other professional services	$821.85	$821.85
50575	Other professional services	$1,038.98	$1,038.98
50576	Other professional services	$819.81	$819.81
50580	Other professional services	$883.19	$883.19
50590	Major surgery	$1,415.95	$1,085.94
50592	Other professional services	$4,282.85	$500.40
50593	Other professional services	$5,726.49	$666.03
50600	Major surgery	$1,783.04	$1,783.04
50605	Major surgery	$1,920.17	$1,920.17
50606	Other professional services	$722.46	$202.68
50610	Major surgery	$1,795.27	$1,795.27
50620	Major surgery	$1,716.86	$1,716.86
50630	Major surgery	$1,697.09	$1,697.09
50650	Major surgery	$1,975.95	$1,975.95
50660	Major surgery	$2,172.22	$2,172.22
50684	Other professional services	$187.31	$72.66
50686	Other professional services	$208.82	$128.37
50688	Other professional services	$111.77	$111.77
50690	Other professional services	$175.68	$101.03
50693	Other professional services	$1,494.11	$295.59
50694	Other professional services	$1,674.18	$386.55
50695	Other professional services	$2,012.96	$497.96
50700	Major surgery	$1,761.05	$1,761.05
50705	Other professional services	$2,773.53	$258.00
50706	Other professional services	$1,262.82	$264.21
50715	Major surgery	$2,295.31	$2,295.31
50722	Major surgery	$1,957.45	$1,957.45
50725	Major surgery	$2,093.29	$2,093.29
50727	Major surgery	$973.99	$973.99
50728	Major surgery	$1,394.70	$1,394.70
50740	Major surgery	$2,351.68	$2,351.68
50750	Major surgery	$2,190.67	$2,190.67
50760	Major surgery	$2,164.93	$2,164.93
50770	Major surgery	$2,190.67	$2,190.67
50780	Major surgery	$2,112.71	$2,112.71
50782	Major surgery	$2,042.88	$2,042.88
50783	Major surgery	$2,142.09	$2,142.09
50785	Major surgery	$2,307.26	$2,307.26
50800	Major surgery	$1,757.03	$1,757.03
50810	Major surgery	$2,698.59	$2,698.59
50815	Major surgery	$2,328.01	$2,328.01
50820	Major surgery	$2,494.62	$2,494.62
50825	Major surgery	$3,129.32	$3,129.32
50830	Major surgery	$3,422.31	$3,422.31
50840	Major surgery	$2,339.82	$2,339.82
50845	Major surgery	$2,383.93	$2,383.93
50860	Major surgery	$1,797.71	$1,797.71
50900	Major surgery	$1,604.13	$1,604.13
50920	Major surgery	$1,676.24	$1,676.24
50930	Major surgery	$2,092.60	$2,092.60
50940	Major surgery	$1,688.51	$1,688.51
50945	Major surgery	$1,847.35	$1,847.35
50947	Major surgery	$2,632.85	$2,632.85
50948	Major surgery	$2,423.69	$2,423.69
50949	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
50951	Other professional services	$553.13	$445.71
50953	Other professional services	$585.18	$474.38
50955	Other professional services	$623.84	$511.59
50957	Other professional services	$629.28	$514.64
50961	Other professional services	$569.06	$461.63
50970	Other professional services	$539.63	$539.63
50972	Other professional services	$521.52	$521.52
50974	Other professional services	$688.02	$688.02
50976	Other professional services	$678.02	$678.02
50980	Other professional services	$518.49	$518.49
51020	Major surgery	$894.72	$894.72
51030	Major surgery	$901.50	$901.50
51040	Major surgery	$553.20	$553.20
51045	Major surgery	$963.94	$963.94
51050	Major surgery	$897.20	$897.20
51060	Major surgery	$1,109.28	$1,109.28
51065	Major surgery	$1,104.89	$1,104.89
51080	Major surgery	$777.02	$777.02
51100	Other professional services	$107.90	$56.84
51101	Other professional services	$229.59	$74.49
51102	Other professional services	$356.73	$211.26
51500	Major surgery	$1,213.78	$1,213.78
51520	Major surgery	$1,134.12	$1,134.12
51525	Major surgery	$1,634.90	$1,634.90
51530	Major surgery	$1,466.71	$1,466.71
51535	Major surgery	$1,483.83	$1,483.83
51550	Major surgery	$1,833.18	$1,833.18
51555	Major surgery	$2,400.88	$2,400.88
51565	Major surgery	$2,450.76	$2,450.76
51570	Major surgery	$2,796.03	$2,796.03
51575	Major surgery	$3,461.11	$3,461.11
51580	Major surgery	$3,602.63	$3,602.63
51585	Major surgery	$4,009.71	$4,009.71
51590	Major surgery	$3,670.99	$3,670.99
51595	Major surgery	$4,153.09	$4,153.09
51596	Major surgery	$4,472.62	$4,472.62
51597	Major surgery	$4,365.95	$4,365.95
51600	Other professional services	$317.34	$64.44
51605	Other professional services	$56.31	$56.31
51610	Other professional services	$190.70	$92.90
51700	Other professional services	$112.05	$45.09
51701	Other professional services	$65.49	$38.03
51702	Other professional services	$90.59	$37.61
51703	Other professional services	$221.19	$112.32
51705	Other professional services	$141.48	$75.00
51710	Other professional services	$199.67	$115.85
51715	Other professional services	$551.60	$291.47
51720	Other professional services	$127.46	$63.87
51725	Other professional services	$336.65	$336.65
51725-26	Other professional services	$110.84	$110.84
51725-TC	Other professional services	$225.81	$225.81
51726	Other professional services	$444.33	$444.33
51726-26	Other professional services	$123.62	$123.62
51726-TC	Other professional services	$320.72	$320.72
51727	Other professional services	$536.48	$536.48
51727-26	Other professional services	$155.07	$155.07
51727-TC	Other professional services	$381.41	$381.41
51728	Other professional services	$540.44	$540.44
51728-26	Other professional services	$152.30	$152.30
51728-TC	Other professional services	$388.16	$388.16
51729	Other professional services	$571.95	$571.95
51729-26	Other professional services	$184.28	$184.28
51729-TC	Other professional services	$387.68	$387.68
51736	Other professional services	$19.31	$19.31
51736-26	Other professional services	$12.14	$12.14
51736-TC	Other professional services	$7.17	$7.17
51741	Other professional services	$20.22	$20.22
51741-26	Other professional services	$12.57	$12.57
51741-TC	Other professional services	$7.65	$7.65
51784	Other professional services	$93.83	$93.83
51784-26	Other professional services	$54.86	$54.86
51784-TC	Other professional services	$38.97	$38.97
51785	Other professional services	$650.85	$650.85
51785-26	Other professional services	$134.57	$134.57
51785-TC	Other professional services	$516.29	$516.29
51792	Other professional services	$398.87	$398.87
51792-26	Other professional services	$79.23	$79.23
51792-TC	Other professional services	$319.64	$319.64
51797	Major surgery	$374.03	$374.03
51797-26	Major surgery	$75.93	$75.93
51797-TC	Major surgery	$298.10	$298.10
51798	Other professional services	$14.88	$14.88
51800	Major surgery	$1,973.50	$1,973.50
51820	Major surgery	$2,063.20	$2,063.20
51840	Major surgery	$1,332.47	$1,332.47
51841	Major surgery	$1,541.16	$1,541.16
51845	Major surgery	$1,110.10	$1,110.10
51860	Major surgery	$1,422.86	$1,422.86
51865	Major surgery	$1,710.93	$1,710.93
51880	Major surgery	$886.65	$886.65
51900	Major surgery	$1,567.59	$1,567.59
51920	Major surgery	$1,452.40	$1,452.40
51925	Major surgery	$2,077.96	$2,077.96
51940	Major surgery	$3,119.20	$3,119.20
51960	Major surgery	$2,631.82	$2,631.82
51980	Major surgery	$1,358.31	$1,358.31
51990	Major surgery	$1,419.91	$1,419.91
51992	Major surgery	$1,599.51	$1,599.51
51999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
52000	Other professional services	$356.78	$117.84
52001	Other professional services	$651.08	$417.45
52005	Other professional services	$450.93	$192.74
52007	Other professional services	$672.05	$240.42
52010	Other professional services	$567.14	$239.57
52204	Other professional services	$563.34	$205.43
52214	Other professional services	$1,119.20	$256.44
52224	Other professional services	$1,169.88	$297.00
52234	Other professional services	$357.57	$357.57
52235	Other professional services	$418.89	$418.89
52240	Other professional services	$570.17	$570.17
52250	Other professional services	$347.99	$347.99
52260	Other professional services	$306.60	$306.60
52265	Other professional services	$557.46	$236.16
52270	Other professional services	$626.90	$263.69
52275	Other professional services	$805.34	$361.20
52276	Other professional services	$384.26	$384.26
52277	Other professional services	$469.79	$469.79
52281	Other professional services	$484.83	$220.85
52282	Other professional services	$488.30	$488.30
52283	Other professional services	$525.02	$291.87
52285	Other professional services	$519.24	$283.68
52287	Other professional services	$577.65	$246.71
52290	Other professional services	$354.53	$354.53
52300	Other professional services	$406.49	$406.49
52301	Other professional services	$421.04	$421.04
52305	Other professional services	$404.09	$404.09
52310	Other professional services	$471.03	$220.05
52315	Other professional services	$695.15	$398.90
52317	Other professional services	$1,321.73	$504.74
52318	Other professional services	$688.58	$688.58
52320	Other professional services	$358.31	$358.31
52325	Other professional services	$465.41	$465.41
52327	Other professional services	$383.60	$383.60
52330	Other professional services	$898.88	$382.95
52332	Other professional services	$597.75	$225.87
52334	Other professional services	$265.16	$265.16
52341	Other professional services	$412.35	$412.35
52342	Other professional services	$449.04	$449.04
52343	Other professional services	$499.92	$499.92
52344	Other professional services	$537.47	$537.47
52345	Other professional services	$573.26	$573.26
52346	Other professional services	$648.80	$648.80
52351	Other professional services	$439.64	$439.64
52352	Other professional services	$514.52	$514.52
52353	Other professional services	$570.17	$570.17
52354	Other professional services	$606.44	$606.44
52355	Other professional services	$678.93	$678.93
52356	Other professional services	$604.52	$604.52
52400	Major surgery	$906.93	$906.93
52402	Other professional services	$387.60	$387.60
52441	Other professional services	$1,903.04	$305.18
52442	Major surgery	$1,693.67	$95.53
52450	Major surgery	$900.72	$900.72
52500	Major surgery	$933.64	$933.64
52601	Major surgery	$1,385.79	$1,385.79
52630	Major surgery	$768.87	$768.87
52640	Major surgery	$608.36	$608.36
52647	Major surgery	$3,024.74	$1,234.33
52648	Major surgery	$3,120.82	$1,316.02
52649	Major surgery	$1,570.45	$1,570.45
52700	Major surgery	$840.74	$840.74
53000	Other professional services	$216.24	$216.24
53010	Major surgery	$562.48	$562.48
53020	Other professional services	$140.79	$140.79
53025	Other professional services	$98.45	$98.45
53040	Major surgery	$745.70	$745.70
53060	Other professional services	$276.92	$242.72
53080	Major surgery	$800.22	$800.22
53085	Major surgery	$1,235.64	$1,235.64
53200	Other professional services	$231.33	$206.76
53210	Major surgery	$1,477.73	$1,477.73
53215	Major surgery	$1,765.28	$1,765.28
53220	Major surgery	$858.96	$858.96
53230	Major surgery	$1,162.45	$1,162.45
53235	Major surgery	$1,206.76	$1,206.76
53240	Major surgery	$809.00	$809.00
53250	Major surgery	$753.07	$753.07
53260	Other professional services	$303.39	$265.34
53265	Other professional services	$335.60	$275.87
53270	Other professional services	$309.75	$270.26
53275	Other professional services	$386.06	$386.06
53400	Major surgery	$1,521.53	$1,521.53
53405	Major surgery	$1,660.62	$1,660.62
53410	Major surgery	$1,864.94	$1,864.94
53415	Major surgery	$2,149.52	$2,149.52
53420	Major surgery	$1,600.93	$1,600.93
53425	Major surgery	$1,782.01	$1,782.01
53430	Major surgery	$1,853.90	$1,853.90
53431	Major surgery	$2,191.10	$2,191.10
53440	Major surgery	$1,432.80	$1,432.80
53442	Major surgery	$1,493.41	$1,493.41
53444	Major surgery	$1,510.08	$1,510.08
53445	Major surgery	$1,438.32	$1,438.32
53446	Major surgery	$1,223.66	$1,223.66
53447	Major surgery	$1,535.41	$1,535.41
53448	Major surgery	$2,427.26	$2,427.26
53449	Major surgery	$1,167.31	$1,167.31
53450	Major surgery	$778.56	$778.56
53451	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
53452	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
53453	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
53454	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
53460	Major surgery	$871.77	$871.77
53500	Major surgery	$1,427.50	$1,427.50
53502	Major surgery	$925.24	$925.24
53505	Major surgery	$924.61	$924.61
53510	Major surgery	$1,204.11	$1,204.11
53515	Major surgery	$1,513.90	$1,513.90
53520	Major surgery	$1,062.42	$1,062.42
53600	Other professional services	$129.47	$92.37
53601	Other professional services	$123.47	$77.22
53605	Other professional services	$93.11	$93.11
53620	Other professional services	$253.49	$127.28
53621	Other professional services	$241.10	$105.24
53660	Other professional services	$109.58	$60.44
53661	Other professional services	$107.69	$58.55
53665	Other professional services	$56.22	$56.22
53850	Major surgery	$2,751.31	$671.58
53852	Major surgery	$2,686.26	$720.51
53854	Major surgery	$3,253.01	$721.15
53855	Other professional services	$983.37	$120.62
53860	Major surgery	$4,662.63	$421.16
53899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
54000	Other professional services	$238.44	$160.89
54001	Other professional services	$289.73	$203.99
54015	Other professional services	$446.10	$446.10
54050	Other professional services	$205.98	$152.03
54055	Other professional services	$197.16	$136.47
54056	Other professional services	$206.94	$158.78
54057	Other professional services	$205.38	$140.36
54060	Other professional services	$285.92	$191.03
54065	Other professional services	$323.34	$248.19
54100	Other professional services	$295.97	$175.05
54105	Other professional services	$404.00	$310.07
54110	Major surgery	$1,194.38	$1,194.38
54111	Major surgery	$1,520.43	$1,520.43
54112	Major surgery	$1,782.96	$1,782.96
54115	Major surgery	$869.25	$811.01
54120	Major surgery	$1,204.13	$1,204.13
54125	Major surgery	$1,562.13	$1,562.13
54130	Major surgery	$2,269.90	$2,269.90
54135	Major surgery	$2,871.96	$2,871.96
54150	Other professional services	$218.61	$142.50
54160	Other professional services	$322.38	$212.55
54161	Other professional services	$288.59	$288.59
54162	Other professional services	$378.18	$292.92
54163	Other professional services	$317.97	$317.97
54164	Other professional services	$282.23	$282.23
54200	Other professional services	$167.25	$124.38
54205	Major surgery	$1,012.71	$1,012.71
54220	Other professional services	$321.03	$194.82
54230	Other professional services	$154.34	$115.80
54231	Other professional services	$207.63	$168.12
54235	Other professional services	$128.06	$105.41
54240	Other professional services	$153.69	$153.69
54240-26	Other professional services	$96.42	$96.42
54240-TC	Other professional services	$57.27	$57.27
54250	Other professional services	$179.63	$179.63
54250-26	Other professional services	$159.45	$159.45
54250-TC	Other professional services	$20.18	$20.18
54300	Major surgery	$1,231.76	$1,231.76
54304	Major surgery	$1,424.28	$1,424.28
54308	Major surgery	$1,363.50	$1,363.50
54312	Major surgery	$1,556.49	$1,556.49
54316	Major surgery	$1,893.45	$1,893.45
54318	Major surgery	$1,354.02	$1,354.02
54322	Major surgery	$1,487.28	$1,487.28
54324	Major surgery	$1,842.20	$1,842.20
54326	Major surgery	$1,792.56	$1,792.56
54328	Major surgery	$1,781.91	$1,781.91
54332	Major surgery	$1,922.49	$1,922.49
54336	Major surgery	$2,259.80	$2,259.80
54340	Major surgery	$1,084.45	$1,084.45
54344	Major surgery	$1,797.61	$1,797.61
54348	Major surgery	$1,922.25	$1,922.25
54352	Major surgery	$2,689.73	$2,689.73
54360	Major surgery	$1,372.90	$1,372.90
54380	Major surgery	$1,521.29	$1,521.29
54385	Major surgery	$1,771.75	$1,771.75
54390	Major surgery	$2,362.05	$2,362.05
54400	Major surgery	$1,014.10	$1,014.10
54401	Major surgery	$1,258.92	$1,258.92
54405	Major surgery	$1,538.94	$1,538.94
54406	Major surgery	$1,392.07	$1,392.07
54408	Major surgery	$1,505.11	$1,505.11
54410	Major surgery	$1,642.31	$1,642.31
54411	Major surgery	$1,957.53	$1,957.53
54415	Major surgery	$1,011.02	$1,011.02
54416	Major surgery	$1,362.97	$1,362.97
54417	Major surgery	$1,711.03	$1,711.03
54420	Major surgery	$1,338.17	$1,338.17
54430	Major surgery	$1,216.33	$1,216.33
54435	Major surgery	$786.90	$786.90
54437	Major surgery	$1,288.87	$1,288.87
54438	Major surgery	$2,542.37	$2,542.37
54440	Major surgery	$2,675.97	$2,021.31
54450	Other professional services	$99.38	$83.00
54500	Other professional services	$108.47	$108.47
54505	Other professional services	$306.06	$306.06
54512	Major surgery	$1,022.79	$1,022.79
54520	Major surgery	$624.29	$624.29
54522	Major surgery	$1,119.28	$1,119.28
54530	Major surgery	$967.16	$967.16
54535	Major surgery	$1,415.99	$1,415.99
54550	Major surgery	$935.90	$935.90
54560	Major surgery	$1,308.33	$1,308.33
54600	Major surgery	$861.51	$861.51
54620	Other professional services	$436.56	$436.56
54640	Major surgery	$824.27	$824.27
54650	Major surgery	$1,355.07	$1,355.07
54660	Major surgery	$681.06	$681.06
54670	Major surgery	$778.05	$778.05
54680	Major surgery	$1,499.96	$1,499.96
54690	Major surgery	$1,248.92	$1,248.92
54692	Major surgery	$1,439.92	$1,439.92
54699	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
54700	Other professional services	$311.49	$311.49
54800	Other professional services	$182.52	$182.52
54830	Major surgery	$708.92	$708.92
54840	Major surgery	$613.47	$613.47
54860	Major surgery	$797.86	$797.86
54861	Major surgery	$1,082.52	$1,082.52
54865	Major surgery	$683.71	$683.71
54900	Major surgery	$1,523.83	$1,523.83
54901	Major surgery	$2,013.67	$2,013.67
55000	Other professional services	$176.73	$123.26
55040	Major surgery	$644.57	$644.57
55041	Major surgery	$975.08	$975.08
55060	Major surgery	$723.18	$723.18
55100	Other professional services	$338.12	$244.19
55110	Major surgery	$740.43	$740.43
55120	Major surgery	$674.78	$674.78
55150	Major surgery	$942.38	$942.38
55175	Major surgery	$694.47	$694.47
55180	Major surgery	$1,317.79	$1,317.79
55200	Major surgery	$735.74	$527.81
55250	Major surgery	$640.28	$433.02
55300	Other professional services	$271.37	$271.37
55400	Major surgery	$951.13	$951.13
55500	Major surgery	$749.81	$749.81
55520	Major surgery	$878.46	$878.46
55530	Major surgery	$672.59	$672.59
55535	Major surgery	$820.09	$820.09
55540	Major surgery	$1,065.13	$1,065.13
55550	Major surgery	$818.26	$818.26
55559	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
55600	Major surgery	$803.71	$803.71
55605	Major surgery	$996.80	$996.80
55650	Major surgery	$1,368.57	$1,368.57
55680	Major surgery	$660.76	$660.76
55700	Other professional services	$355.50	$189.80
55705	Other professional services	$388.35	$388.35
55706	Other professional services	$549.72	$549.72
55720	Major surgery	$861.72	$861.72
55725	Major surgery	$1,132.77	$1,132.77
55801	Major surgery	$2,082.31	$2,082.31
55810	Major surgery	$2,486.39	$2,486.39
55812	Major surgery	$3,056.08	$3,056.08
55815	Major surgery	$3,346.98	$3,346.98
55821	Major surgery	$1,660.41	$1,660.41
55831	Major surgery	$1,799.21	$1,799.21
55840	Major surgery	$2,222.92	$2,222.92
55842	Major surgery	$2,223.55	$2,223.55
55845	Major surgery	$2,586.91	$2,586.91
55860	Major surgery	$1,664.48	$1,664.48
55862	Major surgery	$2,083.19	$2,083.19
55865	Major surgery	$2,538.88	$2,538.88
55866	Major surgery	$2,739.22	$2,739.22
55870	Other professional services	$256.46	$206.36
55873	Major surgery	$11,200.51	$1,454.43
55874	Other professional services	$4,291.20	$240.42
55875	Major surgery	$1,476.03	$1,476.03
55876	Other professional services	$221.21	$147.98
55880	Major surgery	$1,865.66	$1,865.66
55899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
55920	Other professional services	$671.93	$671.93
55970	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
55980	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
56405	Other professional services	$219.48	$187.20
56420	Other professional services	$275.66	$164.39
56440	Other professional services	$265.98	$265.98
56441	Other professional services	$272.67	$227.87
56442	Other professional services	$68.40	$68.40
56501	Other professional services	$285.39	$195.80
56515	Other professional services	$411.89	$314.09
56605	Other professional services	$142.79	$87.39
56606	Major surgery	$73.40	$55.87
56620	Major surgery	$1,124.00	$1,124.00
56625	Major surgery	$1,282.73	$1,282.73
56630	Major surgery	$1,844.66	$1,844.66
56631	Major surgery	$2,273.66	$2,273.66
56632	Major surgery	$2,751.47	$2,751.47
56633	Major surgery	$2,360.53	$2,360.53
56634	Major surgery	$2,480.81	$2,480.81
56637	Major surgery	$2,907.20	$2,907.20
56640	Major surgery	$2,928.00	$2,928.00
56700	Other professional services	$300.47	$300.47
56740	Other professional services	$468.23	$468.23
56800	Other professional services	$373.92	$373.92
56805	Major surgery	$2,250.03	$2,250.03
56810	Other professional services	$402.38	$402.38
56820	Other professional services	$184.35	$124.14
56821	Other professional services	$247.08	$167.12
57000	Other professional services	$299.42	$299.42
57010	Major surgery	$881.13	$881.13
57020	Other professional services	$188.21	$117.39
57022	Other professional services	$268.86	$268.86
57023	Other professional services	$474.54	$474.54
57061	Other professional services	$248.39	$168.90
57065	Other professional services	$366.93	$274.44
57100	Other professional services	$152.69	$96.81
57105	Other professional services	$262.22	$215.49
57106	Major surgery	$1,033.97	$1,033.97
57107	Major surgery	$2,801.14	$2,801.14
57109	Major surgery	$3,317.61	$3,317.61
57110	Major surgery	$1,743.50	$1,743.50
57111	Major surgery	$3,317.61	$3,317.61
57120	Major surgery	$1,022.70	$1,022.70
57130	Other professional services	$343.17	$255.98
57135	Other professional services	$367.08	$276.99
57150	Other professional services	$87.59	$38.94
57155	Other professional services	$576.63	$416.22
57156	Other professional services	$333.12	$220.88
57160	Other professional services	$109.59	$67.20
57170	Other professional services	$115.34	$70.05
57180	Other professional services	$296.12	$179.54
57200	Major surgery	$639.21	$639.21
57210	Major surgery	$759.23	$759.23
57220	Major surgery	$667.93	$667.93
57230	Major surgery	$807.79	$807.79
57240	Major surgery	$1,180.74	$1,180.74
57250	Major surgery	$1,187.67	$1,187.67
57260	Major surgery	$1,501.31	$1,501.31
57265	Major surgery	$1,681.00	$1,681.00
57267	Major surgery	$481.12	$481.12
57268	Major surgery	$975.59	$975.59
57270	Major surgery	$1,567.74	$1,567.74
57280	Major surgery	$1,861.57	$1,861.57
57282	Major surgery	$1,337.21	$1,337.21
57283	Major surgery	$1,346.32	$1,346.32
57284	Major surgery	$1,605.47	$1,605.47
57285	Major surgery	$1,335.96	$1,335.96
57287	Major surgery	$1,428.75	$1,428.75
57288	Major surgery	$1,428.57	$1,428.57
57289	Major surgery	$1,532.25	$1,532.25
57291	Major surgery	$1,059.88	$1,059.88
57292	Major surgery	$1,598.03	$1,598.03
57295	Major surgery	$966.17	$966.17
57296	Major surgery	$1,848.42	$1,848.42
57300	Major surgery	$1,180.28	$1,180.28
57305	Major surgery	$1,900.68	$1,900.68
57307	Major surgery	$2,081.39	$2,081.39
57308	Major surgery	$1,271.71	$1,271.71
57310	Major surgery	$944.23	$944.23
57311	Major surgery	$1,064.47	$1,064.47
57320	Major surgery	$1,089.02	$1,089.02
57330	Major surgery	$1,469.79	$1,469.79
57335	Major surgery	$2,271.85	$2,271.85
57400	Other professional services	$192.45	$192.45
57410	Other professional services	$154.83	$154.83
57415	Other professional services	$259.52	$259.52
57420	Other professional services	$194.36	$131.25
57421	Other professional services	$261.56	$178.70
57423	Major surgery	$1,789.40	$1,789.40
57425	Major surgery	$1,874.69	$1,874.69
57426	Major surgery	$1,678.68	$1,678.68
57452	Other professional services	$186.83	$132.87
57454	Other professional services	$250.74	$196.79
57455	Other professional services	$238.79	$160.26
57456	Other professional services	$223.98	$148.83
57460	Other professional services	$469.10	$233.54
57461	Other professional services	$524.13	$271.23
57465	Other professional services	$79.43	$62.09
57500	Other professional services	$229.76	$109.82
57505	Other professional services	$230.21	$160.85
57510	Other professional services	$249.59	$165.77
57511	Other professional services	$297.41	$217.44
57513	Other professional services	$307.04	$216.95
57520	Major surgery	$679.56	$567.45
57522	Major surgery	$584.55	$489.35
57530	Major surgery	$718.79	$718.79
57531	Major surgery	$3,482.64	$3,482.64
57540	Major surgery	$1,527.14	$1,527.14
57545	Major surgery	$1,608.96	$1,608.96
57550	Major surgery	$831.62	$831.62
57555	Major surgery	$1,194.22	$1,194.22
57556	Major surgery	$1,133.89	$1,133.89
57558	Other professional services	$234.20	$190.37
57700	Major surgery	$686.54	$686.54
57720	Major surgery	$644.92	$644.92
57800	Other professional services	$114.44	$69.65
58100	Other professional services	$151.28	$93.96
58110	Major surgery	$95.55	$77.38
58120	Other professional services	$441.65	$345.78
58140	Major surgery	$1,799.52	$1,799.52
58145	Major surgery	$1,096.04	$1,096.04
58146	Major surgery	$2,228.50	$2,228.50
58150	Major surgery	$1,945.59	$1,945.59
58152	Major surgery	$2,386.29	$2,386.29
58180	Major surgery	$1,846.05	$1,846.05
58200	Major surgery	$2,584.35	$2,584.35
58210	Major surgery	$3,494.97	$3,494.97
58240	Major surgery	$5,641.04	$5,641.04
58260	Major surgery	$1,617.49	$1,617.49
58262	Major surgery	$1,787.58	$1,787.58
58263	Major surgery	$1,916.28	$1,916.28
58267	Major surgery	$2,064.19	$2,064.19
58270	Major surgery	$1,727.45	$1,727.45
58275	Major surgery	$1,907.84	$1,907.84
58280	Major surgery	$2,044.63	$2,044.63
58285	Major surgery	$2,725.69	$2,725.69
58290	Major surgery	$2,220.80	$2,220.80
58291	Major surgery	$2,400.20	$2,400.20
58292	Major surgery	$2,529.54	$2,529.54
58294	Major surgery	$2,349.46	$2,349.46
58300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
58301	Other professional services	$163.55	$98.03
58321	Other professional services	$119.22	$70.58
58322	Other professional services	$134.07	$85.41
58323	Other professional services	$21.83	$17.97
58340	Other professional services	$367.28	$82.58
58345	Other professional services	$428.93	$428.93
58346	Major surgery	$944.40	$944.40
58350	Other professional services	$228.87	$140.72
58353	Other professional services	$1,408.97	$342.93
58356	Other professional services	$2,530.71	$527.25
58400	Major surgery	$893.74	$893.74
58410	Major surgery	$1,574.12	$1,574.12
58520	Major surgery	$1,542.26	$1,542.26
58540	Major surgery	$1,770.17	$1,770.17
58541	Major surgery	$1,406.28	$1,406.28
58542	Major surgery	$1,602.18	$1,602.18
58543	Major surgery	$1,625.81	$1,625.81
58544	Major surgery	$1,746.07	$1,746.07
58545	Major surgery	$1,734.58	$1,734.58
58546	Major surgery	$2,146.91	$2,146.91
58548	Major surgery	$3,609.41	$3,609.41
58550	Major surgery	$1,697.18	$1,697.18
58552	Major surgery	$1,886.08	$1,886.08
58553	Major surgery	$2,158.63	$2,158.63
58554	Major surgery	$2,511.13	$2,511.13
58555	Other professional services	$542.24	$221.42
58558	Other professional services	$2,014.29	$339.36
58559	Other professional services	$419.21	$419.21
58560	Other professional services	$460.74	$460.74
58561	Other professional services	$526.83	$526.83
58562	Other professional services	$646.67	$325.83
58563	Other professional services	$3,208.29	$361.82
58565	Major surgery	$3,274.26	$882.04
58570	Major surgery	$1,549.41	$1,549.41
58571	Major surgery	$1,745.00	$1,745.00
58572	Major surgery	$1,993.88	$1,993.88
58573	Major surgery	$2,339.92	$2,339.92
58575	Major surgery	$3,711.88	$3,711.88
58578	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
58579	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
58600	Major surgery	$713.64	$713.64
58605	Major surgery	$650.34	$650.34
58611	Major surgery	$145.55	$145.55
58615	Other professional services	$376.67	$376.67
58660	Major surgery	$1,311.82	$1,311.82
58661	Other professional services	$965.46	$965.46
58662	Major surgery	$1,368.72	$1,368.72
58670	Major surgery	$716.14	$716.14
58671	Major surgery	$714.89	$714.89
58672	Major surgery	$1,411.00	$1,411.00
58673	Major surgery	$1,529.29	$1,529.29
58674	Major surgery	$1,567.53	$1,567.53
58679	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
58700	Major surgery	$1,540.60	$1,540.60
58720	Major surgery	$1,457.12	$1,457.12
58740	Major surgery	$1,733.49	$1,733.49
58750	Major surgery	$1,756.76	$1,756.76
58752	Major surgery	$1,752.37	$1,752.37
58760	Major surgery	$1,584.63	$1,584.63
58770	Major surgery	$1,664.15	$1,664.15
58800	Major surgery	$701.34	$608.65
58805	Major surgery	$825.12	$825.12
58820	Major surgery	$653.43	$653.43
58822	Major surgery	$1,379.49	$1,379.49
58825	Major surgery	$1,369.95	$1,369.95
58900	Major surgery	$842.63	$842.63
58920	Major surgery	$1,379.47	$1,379.47
58925	Major surgery	$1,477.65	$1,477.65
58940	Major surgery	$1,068.85	$1,068.85
58943	Major surgery	$2,245.44	$2,245.44
58950	Major surgery	$2,212.59	$2,212.59
58951	Major surgery	$2,766.93	$2,766.93
58952	Major surgery	$3,157.87	$3,157.87
58953	Major surgery	$3,836.25	$3,836.25
58954	Major surgery	$4,151.43	$4,151.43
58956	Major surgery	$2,604.81	$2,604.81
58957	Major surgery	$3,055.08	$3,055.08
58958	Major surgery	$3,195.47	$3,195.47
58960	Major surgery	$1,908.11	$1,908.11
58970	Other professional services	$356.28	$288.36
58974	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
58976	Other professional services	$381.21	$311.36
58999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
59000	Other professional services	$169.44	$116.45
59001	Other professional services	$259.19	$259.19
59012	Other professional services	$292.44	$292.44
59015	Other professional services	$227.27	$190.17
59020	Other professional services	$101.60	$101.60
59020-26	Other professional services	$53.96	$53.96
59020-TC	Other professional services	$47.64	$47.64
59025	Other professional services	$69.71	$69.71
59025-26	Other professional services	$41.82	$41.82
59025-TC	Other professional services	$27.89	$27.89
59030	Other professional services	$163.67	$163.67
59050	Other professional services	$73.20	$73.20
59051	Other professional services	$60.83	$60.83
59070	Other professional services	$581.45	$448.50
59072	Other professional services	$758.33	$758.33
59074	Other professional services	$557.85	$448.50
59076	Other professional services	$758.33	$758.33
59100	Major surgery	$1,632.99	$1,632.99
59120	Major surgery	$1,558.34	$1,558.34
59121	Major surgery	$1,559.79	$1,559.79
59130	Major surgery	$1,809.35	$1,809.35
59136	Major surgery	$1,717.38	$1,717.38
59140	Major surgery	$797.90	$797.90
59150	Major surgery	$1,512.83	$1,512.83
59151	Major surgery	$1,479.99	$1,479.99
59160	Other professional services	$405.74	$277.11
59200	Other professional services	$155.87	$64.82
59300	Other professional services	$340.44	$213.75
59320	Other professional services	$220.53	$220.53
59325	Other professional services	$350.09	$350.09
59350	Other professional services	$405.98	$405.98
59400	Major surgery	$4,559.53	$4,559.53
59409	Major surgery	$1,528.43	$1,528.43
59410	Major surgery	$2,019.28	$2,019.28
59412	Major surgery	$194.38	$194.38
59414	Major surgery	$171.17	$171.17
59425	Major surgery	$1,063.92	$826.57
59426	Major surgery	$1,944.03	$1,514.43
59430	Major surgery	$504.74	$342.56
59510	Major surgery	$5,027.67	$5,027.67
59514	Major surgery	$1,725.38	$1,725.38
59515	Major surgery	$2,482.06	$2,482.06
59525	Major surgery	$913.85	$913.85
59610	Major surgery	$4,760.55	$4,760.55
59612	Major surgery	$1,721.87	$1,721.87
59614	Major surgery	$2,177.18	$2,177.18
59618	Major surgery	$5,080.26	$5,080.26
59620	Major surgery	$1,782.96	$1,782.96
59622	Major surgery	$2,573.49	$2,573.49
59812	Major surgery	$695.45	$587.11
59820	Major surgery	$839.38	$733.53
59821	Major surgery	$828.03	$718.44
59830	Major surgery	$886.63	$886.63
59840	Other professional services	$368.46	$326.55
59841	Other professional services	$628.98	$547.08
59850	Major surgery	$745.80	$745.80
59851	Major surgery	$816.66	$816.66
59852	Major surgery	$1,126.05	$1,126.05
59855	Major surgery	$809.89	$809.89
59856	Major surgery	$948.27	$948.27
59857	Major surgery	$1,107.13	$1,107.13
59866	Other professional services	$346.52	$346.52
59870	Major surgery	$1,023.26	$1,023.26
59871	Other professional services	$192.44	$192.44
59897	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
59898	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
59899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
60000	Neurology	$275.22	$231.96
60100	Neurology	$164.34	$115.21
60200	Major surgery	$1,278.05	$1,278.05
60210	Major surgery	$1,355.13	$1,355.13
60212	Major surgery	$1,973.03	$1,973.03
60220	Major surgery	$1,353.94	$1,353.94
60225	Major surgery	$1,795.91	$1,795.91
60240	Major surgery	$1,758.74	$1,758.74
60252	Major surgery	$2,532.06	$2,532.06
60254	Major surgery	$3,196.13	$3,196.13
60260	Major surgery	$2,086.77	$2,086.77
60270	Major surgery	$2,609.16	$2,609.16
60271	Major surgery	$2,021.64	$2,021.64
60280	Major surgery	$867.73	$867.73
60281	Major surgery	$1,139.52	$1,139.52
60300	Neurology	$161.34	$73.38
60500	Major surgery	$1,857.28	$1,857.28
60502	Major surgery	$2,490.35	$2,490.35
60505	Major surgery	$2,685.07	$2,685.07
60512	Major surgery	$461.45	$461.45
60520	Major surgery	$2,011.48	$2,011.48
60521	Major surgery	$2,131.31	$2,131.31
60522	Major surgery	$2,595.39	$2,595.39
60540	Major surgery	$2,054.01	$2,054.01
60545	Major surgery	$2,380.91	$2,380.91
60600	Major surgery	$2,593.17	$2,593.17
60605	Major surgery	$3,133.75	$3,133.75
60650	Major surgery	$2,274.69	$2,274.69
60659	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
60699	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
61000	Neurology	$166.68	$166.68
61001	Neurology	$158.65	$158.65
61020	Neurology	$156.61	$156.61
61026	Neurology	$158.97	$158.97
61050	Neurology	$120.53	$120.53
61055	Neurology	$175.67	$175.67
61070	Neurology	$84.47	$84.47
61105	Major surgery	$876.02	$876.02
61107	Neurology	$461.31	$461.31
61108	Major surgery	$1,712.30	$1,712.30
61120	Major surgery	$1,421.00	$1,421.00
61140	Major surgery	$2,404.99	$2,404.99
61150	Major surgery	$2,554.79	$2,554.79
61151	Major surgery	$1,881.79	$1,881.79
61154	Major surgery	$2,417.24	$2,417.24
61156	Major surgery	$2,350.28	$2,350.28
61210	Neurology	$540.69	$540.69
61215	Major surgery	$972.66	$972.66
61250	Major surgery	$1,645.25	$1,645.25
61253	Major surgery	$1,881.79	$1,881.79
61304	Major surgery	$3,106.00	$3,106.00
61305	Major surgery	$3,792.56	$3,792.56
61312	Major surgery	$3,912.79	$3,912.79
61313	Major surgery	$3,749.50	$3,749.50
61314	Major surgery	$3,461.43	$3,461.43
61315	Major surgery	$3,901.72	$3,901.72
61316	Major surgery	$165.59	$165.59
61320	Major surgery	$3,579.65	$3,579.65
61321	Major surgery	$4,016.24	$4,016.24
61322	Major surgery	$4,500.37	$4,500.37
61323	Major surgery	$4,509.57	$4,509.57
61330	Major surgery	$3,392.45	$3,392.45
61333	Major surgery	$3,810.28	$3,810.28
61340	Major surgery	$2,723.78	$2,723.78
61343	Major surgery	$4,152.70	$4,152.70
61345	Major surgery	$3,861.51	$3,861.51
61450	Major surgery	$3,629.01	$3,629.01
61458	Major surgery	$3,808.55	$3,808.55
61460	Major surgery	$3,982.45	$3,982.45
61500	Major surgery	$2,476.81	$2,476.81
61501	Major surgery	$2,147.87	$2,147.87
61510	Major surgery	$4,158.86	$4,158.86
61512	Major surgery	$4,824.32	$4,824.32
61514	Major surgery	$3,620.55	$3,620.55
61516	Major surgery	$3,536.46	$3,536.46
61517	Major surgery	$164.31	$164.31
61518	Major surgery	$5,231.54	$5,231.54
61519	Major surgery	$5,548.37	$5,548.37
61520	Major surgery	$7,074.80	$7,074.80
61521	Major surgery	$5,986.97	$5,986.97
61522	Major surgery	$4,136.63	$4,136.63
61524	Major surgery	$3,940.44	$3,940.44
61526	Major surgery	$6,373.87	$6,373.87
61530	Major surgery	$5,799.18	$5,799.18
61531	Major surgery	$2,319.29	$2,319.29
61533	Major surgery	$2,889.33	$2,889.33
61534	Major surgery	$3,125.42	$3,125.42
61535	Major surgery	$1,903.65	$1,903.65
61536	Major surgery	$4,868.92	$4,868.92
61537	Major surgery	$4,642.09	$4,642.09
61538	Major surgery	$5,022.69	$5,022.69
61539	Major surgery	$4,461.68	$4,461.68
61540	Major surgery	$4,113.99	$4,113.99
61541	Major surgery	$4,064.17	$4,064.17
61543	Major surgery	$4,108.71	$4,108.71
61544	Major surgery	$3,588.43	$3,588.43
61545	Major surgery	$6,016.34	$6,016.34
61546	Major surgery	$4,361.08	$4,361.08
61548	Major surgery	$2,978.84	$2,978.84
61550	Major surgery	$2,264.98	$2,264.98
61552	Major surgery	$2,816.29	$2,816.29
61556	Major surgery	$3,232.92	$3,232.92
61557	Major surgery	$3,190.65	$3,190.65
61558	Major surgery	$3,559.69	$3,559.69
61559	Major surgery	$4,534.35	$4,534.35
61563	Major surgery	$3,749.66	$3,749.66
61564	Major surgery	$4,548.24	$4,548.24
61566	Major surgery	$4,235.63	$4,235.63
61567	Major surgery	$4,822.88	$4,822.88
61570	Major surgery	$3,539.70	$3,539.70
61571	Major surgery	$3,766.46	$3,766.46
61575	Major surgery	$4,731.81	$4,731.81
61576	Major surgery	$7,905.65	$7,905.65
61580	Major surgery	$4,785.42	$4,785.42
61581	Major surgery	$5,453.84	$5,453.84
61582	Major surgery	$5,742.11	$5,742.11
61583	Major surgery	$5,546.31	$5,546.31
61584	Major surgery	$5,481.04	$5,481.04
61585	Major surgery	$6,245.17	$6,245.17
61586	Major surgery	$4,840.49	$4,840.49
61590	Major surgery	$5,829.92	$5,829.92
61591	Major surgery	$5,853.67	$5,853.67
61592	Major surgery	$6,023.78	$6,023.78
61595	Major surgery	$4,585.43	$4,585.43
61596	Major surgery	$4,690.02	$4,690.02
61597	Major surgery	$5,653.71	$5,653.71
61598	Major surgery	$5,430.61	$5,430.61
61600	Major surgery	$4,089.58	$4,089.58
61601	Major surgery	$4,629.18	$4,629.18
61605	Major surgery	$4,165.94	$4,165.94
61606	Major surgery	$5,550.73	$5,550.73
61607	Major surgery	$5,093.60	$5,093.60
61608	Major surgery	$6,209.66	$6,209.66
61611	Major surgery	$879.86	$879.86
61613	Major surgery	$6,240.74	$6,240.74
61615	Major surgery	$5,358.29	$5,358.29
61616	Major surgery	$6,344.44	$6,344.44
61618	Major surgery	$2,445.42	$2,445.42
61619	Major surgery	$2,704.88	$2,704.88
61623	Neurology	$854.84	$854.84
61624	Neurology	$1,712.31	$1,712.31
61626	Neurology	$1,331.53	$1,331.53
61630	Neurology	$2,026.55	$2,026.55
61635	Neurology	$2,163.53	$2,163.53
61640	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
61641	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
61642	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
61645	Neurology	$1,247.82	$1,247.82
61650	Neurology	$852.41	$852.41
61651	Other professional services	$352.53	$352.53
61680	Major surgery	$4,273.58	$4,273.58
61682	Major surgery	$7,842.74	$7,842.74
61684	Major surgery	$5,365.87	$5,365.87
61686	Major surgery	$8,461.58	$8,461.58
61690	Major surgery	$4,119.41	$4,119.41
61692	Major surgery	$6,877.18	$6,877.18
61697	Major surgery	$7,959.02	$7,959.02
61698	Major surgery	$8,714.51	$8,714.51
61700	Major surgery	$6,418.07	$6,418.07
61702	Major surgery	$7,577.70	$7,577.70
61703	Major surgery	$2,573.38	$2,573.38
61705	Major surgery	$4,915.79	$4,915.79
61708	Major surgery	$4,808.23	$4,808.23
61710	Major surgery	$4,054.83	$4,054.83
61711	Major surgery	$4,858.62	$4,858.62
61720	Major surgery	$2,408.68	$2,408.68
61735	Major surgery	$3,021.43	$3,021.43
61736	Major surgery	$1,749.95	$1,749.95
61737	Major surgery	$2,083.52	$2,083.52
61750	Major surgery	$2,667.80	$2,667.80
61751	Major surgery	$2,623.65	$2,623.65
61760	Major surgery	$3,003.94	$3,003.94
61770	Major surgery	$3,069.96	$3,069.96
61781	Major surgery	$442.46	$442.46
61782	Major surgery	$330.27	$330.27
61783	Major surgery	$437.78	$437.78
61790	Major surgery	$1,675.52	$1,675.52
61791	Major surgery	$2,135.62	$2,135.62
61796	Major surgery	$1,926.19	$1,926.19
61797	Major surgery	$412.31	$412.31
61798	Major surgery	$2,611.79	$2,611.79
61799	Major surgery	$569.13	$569.13
61800	Major surgery	$285.09	$285.09
61850	Major surgery	$1,869.06	$1,869.06
61860	Major surgery	$2,959.75	$2,959.75
61863	Major surgery	$2,847.74	$2,847.74
61864	Major surgery	$530.97	$530.97
61867	Major surgery	$4,305.85	$4,305.85
61868	Major surgery	$937.40	$937.40
61880	Major surgery	$1,110.12	$1,110.12
61885	Major surgery	$995.14	$995.14
61886	Major surgery	$1,654.28	$1,654.28
61888	Neurology	$593.46	$593.46
62000	Major surgery	$1,960.41	$1,960.41
62005	Major surgery	$2,409.99	$2,409.99
62010	Major surgery	$2,912.99	$2,912.99
62100	Major surgery	$2,993.91	$2,993.91
62115	Major surgery	$3,190.49	$3,190.49
62117	Major surgery	$3,717.50	$3,717.50
62120	Major surgery	$3,949.12	$3,949.12
62121	Major surgery	$2,994.40	$2,994.40
62140	Major surgery	$1,935.16	$1,935.16
62141	Major surgery	$2,162.84	$2,162.84
62142	Major surgery	$1,691.57	$1,691.57
62143	Major surgery	$1,980.63	$1,980.63
62145	Major surgery	$2,659.43	$2,659.43
62146	Major surgery	$2,367.98	$2,367.98
62147	Major surgery	$2,703.07	$2,703.07
62148	Major surgery	$237.65	$237.65
62160	Major surgery	$356.11	$356.11
62161	Major surgery	$2,873.34	$2,873.34
62162	Major surgery	$3,572.77	$3,572.77
62164	Major surgery	$3,960.76	$3,960.76
62165	Major surgery	$2,884.44	$2,884.44
62180	Major surgery	$3,025.70	$3,025.70
62190	Major surgery	$1,762.59	$1,762.59
62192	Major surgery	$1,871.12	$1,871.12
62194	Neurology	$733.59	$733.59
62200	Major surgery	$2,606.86	$2,606.86
62201	Major surgery	$2,293.77	$2,293.77
62220	Major surgery	$1,853.26	$1,853.26
62223	Major surgery	$1,973.32	$1,973.32
62225	Major surgery	$1,010.53	$1,010.53
62230	Major surgery	$1,597.40	$1,597.40
62252	Neurology	$121.21	$121.21
62252-26	Neurology	$67.72	$67.72
62252-TC	Neurology	$53.50	$53.50
62256	Major surgery	$1,154.46	$1,154.46
62258	Major surgery	$2,112.98	$2,112.98
62263	Pain management	$1,011.82	$498.83
62264	Pain management	$710.40	$389.52
62267	Pain management	$432.03	$246.21
62268	Pain management	$408.74	$408.74
62269	Pain management	$416.19	$416.19
62270	Pain management	$201.08	$98.99
62272	Pain management	$273.07	$141.70
62273	Pain management	$269.70	$180.70
62280	Pain management	$524.58	$252.37
62281	Pain management	$381.45	$252.16
62282	Pain management	$515.47	$228.09
62284	Pain management	$310.34	$134.96
62287	Major surgery	$1,098.98	$1,098.98
62290	Pain management	$577.44	$256.02
62291	Pain management	$524.32	$237.46
62292	Major surgery	$1,099.57	$1,099.57
62294	Major surgery	$1,802.27	$1,802.27
62302	Pain management	$418.47	$190.76
62303	Pain management	$425.80	$191.28
62304	Pain management	$413.60	$187.99
62305	Pain management	$450.58	$196.17
62320	Pain management	$262.85	$159.22
62321	Pain management	$421.27	$171.05
62322	Pain management	$223.41	$129.72
62323	Pain management	$414.97	$158.47
62324	Pain management	$222.30	$143.78
62325	Pain management	$409.15	$178.29
62326	Pain management	$224.47	$138.09
62327	Pain management	$424.73	$167.19
62328	Pain management	$386.23	$140.21
62329	Pain management	$487.78	$176.84
62350	Pain management	$633.43	$633.43
62351	Major surgery	$1,723.37	$1,723.37
62355	Pain management	$432.13	$432.13
62360	Pain management	$514.18	$514.18
62361	Pain management	$685.28	$685.28
62362	Pain management	$611.23	$611.23
62365	Pain management	$469.20	$469.20
62367	Pain management	$50.73	$40.26
62368	Pain management	$70.74	$56.09
62369	Pain management	$146.65	$56.61
62370	Pain management	$148.56	$73.71
62380	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
63001	Major surgery	$2,338.64	$2,338.64
63003	Major surgery	$2,339.45	$2,339.45
63005	Major surgery	$2,268.88	$2,268.88
63011	Major surgery	$2,084.80	$2,084.80
63012	Major surgery	$2,267.01	$2,267.01
63015	Major surgery	$2,801.37	$2,801.37
63016	Major surgery	$2,890.11	$2,890.11
63017	Major surgery	$2,391.13	$2,391.13
63020	Major surgery	$2,199.39	$2,199.39
63030	Major surgery	$1,850.26	$1,850.26
63035	Major surgery	$361.51	$361.51
63040	Major surgery	$2,624.31	$2,624.31
63042	Major surgery	$2,459.26	$2,459.26
63043	Major surgery	$573.11	$573.11
63044	Major surgery	$540.40	$540.40
63045	Major surgery	$2,440.15	$2,440.15
63046	Major surgery	$2,328.38	$2,328.38
63047	Major surgery	$2,096.95	$2,096.95
63048	Major surgery	$398.09	$398.09
63050	Major surgery	$2,816.66	$2,816.66
63051	Major surgery	$3,223.33	$3,223.33
63052	Major surgery	$488.36	$488.36
63053	Major surgery	$365.47	$365.47
63055	Major surgery	$3,077.20	$3,077.20
63056	Major surgery	$2,831.22	$2,831.22
63057	Major surgery	$606.41	$606.41
63064	Major surgery	$3,370.65	$3,370.65
63066	Major surgery	$386.14	$386.14
63075	Major surgery	$2,578.68	$2,578.68
63076	Major surgery	$460.73	$460.73
63077	Major surgery	$2,854.08	$2,854.08
63078	Major surgery	$388.67	$388.67
63081	Major surgery	$3,334.44	$3,334.44
63082	Major surgery	$500.57	$500.57
63085	Major surgery	$3,657.75	$3,657.75
63086	Major surgery	$360.59	$360.59
63087	Major surgery	$4,565.93	$4,565.93
63088	Major surgery	$485.45	$485.45
63090	Major surgery	$3,725.65	$3,725.65
63091	Major surgery	$336.43	$336.43
63101	Major surgery	$4,401.93	$4,401.93
63102	Major surgery	$4,300.12	$4,300.12
63103	Major surgery	$554.70	$554.70
63170	Major surgery	$3,016.73	$3,016.73
63172	Major surgery	$2,673.72	$2,673.72
63173	Major surgery	$3,265.82	$3,265.82
63185	Major surgery	$2,160.74	$2,160.74
63190	Major surgery	$2,365.84	$2,365.84
63191	Major surgery	$2,615.55	$2,615.55
63197	Major surgery	$3,237.90	$3,237.90
63200	Major surgery	$2,874.42	$2,874.42
63250	Major surgery	$5,597.73	$5,597.73
63251	Major surgery	$5,722.06	$5,722.06
63252	Major surgery	$5,720.75	$5,720.75
63265	Major surgery	$3,161.24	$3,161.24
63266	Major surgery	$3,260.44	$3,260.44
63267	Major surgery	$2,604.15	$2,604.15
63268	Major surgery	$2,691.25	$2,691.25
63270	Major surgery	$3,930.77	$3,930.77
63271	Major surgery	$3,918.93	$3,918.93
63272	Major surgery	$3,552.49	$3,552.49
63273	Major surgery	$3,535.19	$3,535.19
63275	Major surgery	$3,423.95	$3,423.95
63276	Major surgery	$3,387.60	$3,387.60
63277	Major surgery	$2,958.31	$2,958.31
63278	Major surgery	$3,019.63	$3,019.63
63280	Major surgery	$4,008.15	$4,008.15
63281	Major surgery	$3,967.24	$3,967.24
63282	Major surgery	$3,744.96	$3,744.96
63283	Major surgery	$3,600.91	$3,600.91
63285	Major surgery	$4,940.19	$4,940.19
63286	Major surgery	$4,873.48	$4,873.48
63287	Major surgery	$5,180.49	$5,180.49
63290	Major surgery	$5,267.81	$5,267.81
63295	Major surgery	$617.66	$617.66
63300	Major surgery	$3,440.19	$3,440.19
63301	Major surgery	$4,171.15	$4,171.15
63302	Major surgery	$4,121.44	$4,121.44
63303	Major surgery	$4,375.59	$4,375.59
63304	Major surgery	$4,441.36	$4,441.36
63305	Major surgery	$4,724.87	$4,724.87
63306	Major surgery	$4,642.72	$4,642.72
63307	Major surgery	$4,548.73	$4,548.73
63308	Major surgery	$601.36	$601.36
63600	Major surgery	$2,070.37	$2,070.37
63610	Pain management	$910.99	$910.99
63620	Major surgery	$2,126.09	$2,126.09
63621	Major surgery	$474.10	$474.10
63650	Pain management	$3,729.28	$661.24
63655	Major surgery	$1,586.68	$1,586.68
63661	Pain management	$1,093.13	$522.02
63662	Major surgery	$1,606.59	$1,606.59
63663	Pain management	$1,441.98	$719.07
63664	Major surgery	$1,671.52	$1,671.52
63685	Pain management	$575.02	$575.02
63688	Pain management	$591.77	$591.77
63700	Major surgery	$2,485.57	$2,485.57
63702	Major surgery	$2,716.74	$2,716.74
63704	Major surgery	$3,158.03	$3,158.03
63706	Major surgery	$3,504.66	$3,504.66
63707	Major surgery	$1,778.54	$1,778.54
63709	Major surgery	$2,120.24	$2,120.24
63710	Major surgery	$2,062.14	$2,062.14
63740	Major surgery	$1,868.14	$1,868.14
63741	Major surgery	$1,287.10	$1,287.10
63744	Major surgery	$1,310.13	$1,310.13
63746	Major surgery	$1,157.75	$1,157.75
64400	Pain management	$179.27	$79.82
64405	Pain management	$119.79	$84.19
64408	Pain management	$130.09	$71.48
64415	Pain management	$180.16	$101.13
64416	Pain management	$102.71	$102.71
64417	Pain management	$223.29	$97.65
64418	Pain management	$140.88	$90.11
64420	Pain management	$155.52	$94.26
64421	Pain management	$53.02	$39.94
64425	Pain management	$177.77	$87.73
64430	Pain management	$157.28	$86.62
64435	Pain management	$129.05	$68.85
64445	Pain management	$200.28	$85.62
64446	Pain management	$94.88	$94.88
64447	Pain management	$141.58	$84.53
64448	Pain management	$97.70	$97.70
64449	Pain management	$98.71	$98.71
64450	Pain management	$120.80	$67.40
64451	Pain management	$368.07	$130.42
64454	Pain management	$357.95	$132.32
64455	Pain management	$79.56	$54.44
64461	Pain management	$218.58	$126.46
64462	Other professional services	$107.66	$72.50
64463	Pain management	$377.82	$133.35
64479	Pain management	$426.72	$208.97
64480	Major surgery	$259.27	$117.12
64483	Pain management	$396.01	$177.20
64484	Major surgery	$215.16	$98.69
64486	Pain management	$180.36	$89.81
64487	Pain management	$350.82	$102.71
64488	Pain management	$223.52	$110.97
64489	Pain management	$572.85	$124.76
64490	Pain management	$304.53	$168.44
64491	Major surgery	$184.55	$113.78
64492	Major surgery	$185.19	$115.05
64493	Pain management	$278.57	$142.98
64494	Major surgery	$173.20	$98.07
64495	Major surgery	$172.58	$99.31
64505	Pain management	$225.90	$163.62
64510	Pain management	$234.61	$122.05
64517	Pain management	$309.23	$201.39
64520	Pain management	$368.56	$134.03
64530	Pain management	$372.50	$150.03
64553	Pain management	$4,034.54	$604.26
64555	Pain management	$3,537.69	$522.51
64561	Pain management	$1,199.13	$484.08
64566	Pain management	$189.29	$49.00
64568	Major surgery	$1,164.42	$1,164.42
64569	Major surgery	$1,459.93	$1,459.93
64570	Major surgery	$1,390.62	$1,390.62
64575	Major surgery	$610.62	$610.62
64580	Major surgery	$601.30	$601.30
64581	Major surgery	$1,257.17	$1,257.17
64582	Major surgery	$1,653.35	$1,653.35
64583	Major surgery	$1,522.62	$1,522.62
64584	Major surgery	$1,282.20	$1,282.20
64585	Pain management	$390.55	$227.74
64590	Pain management	$421.40	$255.45
64595	Pain management	$370.03	$200.95
64600	Pain management	$739.24	$363.91
64605	Pain management	$1,023.49	$555.50
64610	Pain management	$1,272.28	$768.19
64611	Pain management	$202.92	$174.13
64612	Pain management	$214.96	$186.18
64615	Pain management	$244.09	$194.36
64616	Pain management	$217.77	$172.23
64617	Pain management	$259.54	$172.11
64620	Pain management	$334.26	$281.91
64624	Pain management	$627.42	$233.25
64625	Pain management	$761.34	$311.17
64628	Pain management	$729.82	$729.82
64629	Pain management	$342.76	$342.76
64630	Pain management	$415.28	$308.49
64632	Pain management	$143.62	$106.46
64633	Pain management	$705.58	$305.64
64634	Major surgery	$497.13	$128.27
64635	Pain management	$711.92	$305.71
64636	Major surgery	$468.86	$113.16
64640	Pain management	$395.75	$188.98
64642	Pain management	$240.91	$170.76
64643	Major surgery	$178.25	$135.04
64644	Pain management	$282.89	$186.05
64645	Major surgery	$230.47	$156.57
64646	Pain management	$251.22	$182.64
64647	Pain management	$287.74	$212.36
64650	Pain management	$140.36	$64.47
64653	Pain management	$167.82	$83.02
64680	Pain management	$562.09	$256.38
64681	Pain management	$755.99	$358.16
64702	Major surgery	$970.52	$970.52
64704	Major surgery	$618.60	$618.60
64708	Major surgery	$957.33	$957.33
64712	Major surgery	$1,134.80	$1,134.80
64713	Major surgery	$1,506.39	$1,506.39
64714	Major surgery	$1,440.93	$1,440.93
64716	Major surgery	$976.97	$976.97
64718	Major surgery	$1,143.13	$1,143.13
64719	Major surgery	$776.16	$776.16
64721	Major surgery	$844.74	$829.08
64722	Major surgery	$686.21	$686.21
64726	Major surgery	$514.41	$514.41
64727	Major surgery	$342.99	$342.99
64732	Major surgery	$856.13	$856.13
64734	Major surgery	$967.49	$967.49
64736	Major surgery	$629.62	$629.62
64738	Major surgery	$857.49	$857.49
64740	Major surgery	$877.48	$877.48
64742	Major surgery	$930.46	$930.46
64744	Major surgery	$954.86	$954.86
64746	Major surgery	$824.56	$824.56
64755	Major surgery	$1,771.07	$1,771.07
64760	Major surgery	$1,000.23	$1,000.23
64763	Major surgery	$989.59	$989.59
64766	Major surgery	$1,221.48	$1,221.48
64771	Major surgery	$1,103.99	$1,103.99
64772	Major surgery	$1,070.92	$1,070.92
64774	Major surgery	$796.44	$796.44
64776	Major surgery	$751.00	$751.00
64778	Major surgery	$343.55	$343.55
64782	Major surgery	$871.07	$871.07
64783	Major surgery	$410.65	$410.65
64784	Major surgery	$1,388.22	$1,388.22
64786	Major surgery	$1,932.51	$1,932.51
64787	Major surgery	$454.47	$454.47
64788	Major surgery	$771.42	$771.42
64790	Major surgery	$1,595.98	$1,595.98
64792	Major surgery	$2,031.28	$2,031.28
64795	Pain management	$302.33	$302.33
64802	Major surgery	$1,599.92	$1,599.92
64804	Major surgery	$2,258.00	$2,258.00
64809	Major surgery	$2,062.89	$2,062.89
64818	Major surgery	$1,484.55	$1,484.55
64820	Major surgery	$1,389.88	$1,389.88
64821	Major surgery	$1,315.98	$1,315.98
64822	Major surgery	$1,332.38	$1,332.38
64823	Major surgery	$1,509.51	$1,509.51
64831	Major surgery	$1,319.60	$1,319.60
64832	Major surgery	$631.62	$631.62
64834	Major surgery	$1,412.46	$1,412.46
64835	Major surgery	$1,556.70	$1,556.70
64836	Major surgery	$1,556.70	$1,556.70
64837	Major surgery	$691.57	$691.57
64840	Major surgery	$1,834.68	$1,834.68
64856	Major surgery	$1,925.55	$1,925.55
64857	Major surgery	$2,009.71	$2,009.71
64858	Major surgery	$2,239.44	$2,239.44
64859	Major surgery	$470.63	$470.63
64861	Major surgery	$2,878.79	$2,878.79
64862	Major surgery	$2,614.93	$2,614.93
64864	Major surgery	$1,633.67	$1,633.67
64865	Major surgery	$2,081.00	$2,081.00
64866	Major surgery	$2,376.33	$2,376.33
64868	Major surgery	$1,910.38	$1,910.38
64872	Major surgery	$219.65	$219.65
64874	Major surgery	$329.37	$329.37
64876	Major surgery	$372.57	$372.57
64885	Major surgery	$2,106.14	$2,106.14
64886	Major surgery	$2,452.71	$2,452.71
64890	Major surgery	$2,057.50	$2,057.50
64891	Major surgery	$2,187.16	$2,187.16
64892	Major surgery	$2,000.86	$2,000.86
64893	Major surgery	$2,133.59	$2,133.59
64895	Major surgery	$2,524.74	$2,524.74
64896	Major surgery	$2,719.76	$2,719.76
64897	Major surgery	$2,411.31	$2,411.31
64898	Major surgery	$2,608.94	$2,608.94
64901	Major surgery	$1,128.70	$1,128.70
64902	Major surgery	$1,306.93	$1,306.93
64905	Major surgery	$1,917.45	$1,917.45
64907	Major surgery	$2,476.07	$2,476.07
64910	Major surgery	$1,466.95	$1,466.95
64911	Major surgery	$1,948.01	$1,948.01
64912	Major surgery	$1,689.97	$1,689.97
64913	Other professional services	$256.67	$256.67
64999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
65091	Major surgery	$1,418.90	$1,418.90
65093	Major surgery	$1,406.55	$1,406.55
65101	Major surgery	$1,618.11	$1,618.11
65103	Major surgery	$1,668.73	$1,668.73
65105	Major surgery	$1,814.83	$1,814.83
65110	Major surgery	$2,503.51	$2,503.51
65112	Major surgery	$2,865.06	$2,865.06
65114	Major surgery	$2,991.96	$2,991.96
65125	Major surgery	$859.46	$545.73
65130	Major surgery	$1,623.63	$1,623.63
65135	Major surgery	$1,642.66	$1,642.66
65140	Major surgery	$1,764.61	$1,764.61
65150	Major surgery	$1,338.89	$1,338.89
65155	Major surgery	$1,833.82	$1,833.82
65175	Major surgery	$1,483.99	$1,483.99
65205	Other professional services	$42.56	$42.56
65210	Other professional services	$56.97	$52.64
65220	Other professional services	$87.41	$59.96
65222	Other professional services	$98.24	$73.19
65235	Major surgery	$1,369.37	$1,369.37
65260	Major surgery	$1,843.65	$1,843.65
65265	Major surgery	$2,076.18	$2,076.18
65270	Other professional services	$415.47	$202.56
65272	Major surgery	$998.05	$661.77
65273	Major surgery	$712.24	$712.24
65275	Major surgery	$1,109.02	$865.41
65280	Major surgery	$1,255.84	$1,255.84
65285	Major surgery	$2,071.62	$2,071.62
65286	Major surgery	$1,319.14	$928.36
65290	Major surgery	$917.30	$917.30
65400	Major surgery	$1,298.49	$1,124.41
65410	Other professional services	$206.24	$146.49
65420	Major surgery	$1,016.91	$706.29
65426	Major surgery	$1,264.15	$891.54
65430	Other professional services	$166.25	$146.01
65435	Other professional services	$118.61	$99.33
65436	Major surgery	$725.21	$689.52
65450	Major surgery	$611.81	$597.42
65600	Major surgery	$824.01	$633.01
65710	Major surgery	$2,142.47	$2,142.47
65730	Major surgery	$2,350.30	$2,350.30
65750	Major surgery	$2,370.91	$2,370.91
65755	Major surgery	$2,359.71	$2,359.71
65756	Major surgery	$2,205.29	$2,205.29
65757	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
65760	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
65765	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
65767	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
65770	Major surgery	$2,640.40	$2,640.40
65771	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
65772	Major surgery	$856.01	$754.55
65775	Major surgery	$1,076.03	$1,076.03
65778	Other professional services	$1,969.83	$78.12
65779	Other professional services	$1,712.54	$215.36
65780	Major surgery	$1,246.56	$1,246.56
65781	Major surgery	$2,481.32	$2,481.32
65782	Major surgery	$2,141.63	$2,141.63
65785	Major surgery	$4,140.67	$825.38
65800	Other professional services	$172.25	$129.38
65810	Major surgery	$865.53	$865.53
65815	Major surgery	$1,211.38	$888.24
65820	Major surgery	$1,555.03	$1,555.03
65850	Major surgery	$1,583.07	$1,583.07
65855	Other professional services	$355.79	$296.06
65860	Major surgery	$577.18	$464.47
65865	Major surgery	$894.72	$894.72
65870	Major surgery	$1,113.84	$1,113.84
65875	Major surgery	$1,187.06	$1,187.06
65880	Major surgery	$1,248.23	$1,248.23
65900	Major surgery	$1,862.29	$1,862.29
65920	Major surgery	$1,481.96	$1,481.96
65930	Major surgery	$1,203.91	$1,203.91
66020	Other professional services	$285.33	$187.55
66030	Other professional services	$257.19	$158.93
66130	Major surgery	$1,333.68	$1,056.90
66150	Major surgery	$1,637.86	$1,637.86
66155	Major surgery	$1,637.18	$1,637.18
66160	Major surgery	$1,843.61	$1,843.61
66170	Major surgery	$2,043.15	$2,043.15
66172	Major surgery	$2,229.08	$2,229.08
66174	Major surgery	$1,409.69	$1,409.69
66175	Major surgery	$1,485.98	$1,485.98
66179	Major surgery	$2,020.26	$2,020.26
66180	Major surgery	$2,130.30	$2,130.30
66183	Major surgery	$1,923.50	$1,923.50
66184	Major surgery	$1,477.13	$1,477.13
66185	Major surgery	$1,588.96	$1,588.96
66225	Major surgery	$1,752.50	$1,752.50
66250	Major surgery	$1,420.61	$1,038.61
66500	Major surgery	$743.54	$743.54
66505	Major surgery	$808.39	$808.39
66600	Major surgery	$1,709.29	$1,709.29
66605	Major surgery	$2,050.62	$2,050.62
66625	Major surgery	$799.97	$799.97
66630	Major surgery	$1,058.28	$1,058.28
66635	Major surgery	$1,068.66	$1,068.66
66680	Major surgery	$976.11	$976.11
66682	Major surgery	$1,347.14	$1,347.14
66700	Major surgery	$847.41	$731.56
66710	Major surgery	$831.13	$731.56
66711	Major surgery	$941.03	$941.03
66720	Major surgery	$872.04	$763.07
66740	Major surgery	$824.25	$731.56
66761	Other professional services	$432.38	$339.89
66762	Major surgery	$894.21	$792.15
66770	Major surgery	$991.50	$896.32
66820	Major surgery	$890.80	$890.80
66821	Major surgery	$625.37	$580.89
66825	Major surgery	$1,573.53	$1,573.53
66830	Major surgery	$1,326.94	$1,326.94
66840	Major surgery	$1,295.54	$1,295.54
66850	Major surgery	$1,472.64	$1,472.64
66852	Major surgery	$1,569.38	$1,569.38
66920	Major surgery	$1,399.36	$1,399.36
66930	Major surgery	$1,604.11	$1,604.11
66940	Major surgery	$1,466.75	$1,466.75
66982	Major surgery	$1,394.29	$1,394.29
66983	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
66984	Major surgery	$1,017.28	$1,017.28
66985	Major surgery	$1,437.44	$1,437.44
66986	Major surgery	$1,689.56	$1,689.56
66987	Major surgery	$1,616.88	$1,616.88
66988	Major surgery	$1,313.73	$1,313.73
66989	Major surgery	$1,602.02	$1,602.02
66990	Major surgery	$166.22	$166.22
66991	Major surgery	$1,276.67	$1,276.67
66999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
67005	Major surgery	$884.58	$884.58
67010	Major surgery	$1,014.70	$1,014.70
67015	Major surgery	$1,135.25	$1,135.25
67025	Major surgery	$1,393.76	$1,176.47
67027	Major surgery	$1,585.37	$1,585.37
67028	Other professional services	$163.73	$132.42
67030	Major surgery	$1,043.39	$1,043.39
67031	Major surgery	$731.25	$661.73
67036	Major surgery	$1,675.77	$1,675.77
67039	Major surgery	$1,792.64	$1,792.64
67040	Major surgery	$1,936.60	$1,936.60
67041	Major surgery	$2,138.53	$2,138.53
67042	Major surgery	$2,138.53	$2,138.53
67043	Major surgery	$2,255.94	$2,255.94
67101	Other professional services	$480.86	$406.68
67105	Other professional services	$426.02	$393.74
67107	Major surgery	$2,102.63	$2,102.63
67108	Major surgery	$2,226.51	$2,226.51
67110	Major surgery	$1,669.77	$1,516.34
67113	Major surgery	$2,488.12	$2,488.12
67115	Major surgery	$928.16	$928.16
67120	Major surgery	$1,262.18	$1,036.11
67121	Major surgery	$1,688.25	$1,688.25
67141	Major surgery	$504.29	$403.47
67145	Major surgery	$452.95	$403.47
67208	Major surgery	$1,128.66	$1,078.56
67210	Major surgery	$965.95	$929.62
67218	Major surgery	$2,616.88	$2,616.88
67220	Major surgery	$994.13	$929.62
67221	Other professional services	$393.96	$301.47
67225	Major surgery	$55.22	$52.08
67227	Other professional services	$424.98	$364.77
67228	Other professional services	$489.95	$436.95
67229	Major surgery	$2,167.19	$2,167.19
67250	Major surgery	$1,720.25	$1,720.25
67255	Major surgery	$1,285.26	$1,285.26
67299	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
67311	Major surgery	$901.06	$901.06
67312	Major surgery	$1,245.66	$1,245.66
67314	Major surgery	$1,027.55	$1,027.55
67316	Major surgery	$1,333.08	$1,333.08
67318	Major surgery	$1,288.93	$1,288.93
67320	Major surgery	$475.66	$475.66
67331	Major surgery	$448.09	$448.09
67332	Major surgery	$491.73	$491.73
67334	Major surgery	$442.10	$442.10
67335	Major surgery	$354.53	$354.53
67340	Major surgery	$551.85	$551.85
67343	Major surgery	$1,252.37	$1,252.37
67345	Other professional services	$351.00	$311.51
67346	Other professional services	$274.43	$274.43
67399	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
67400	Major surgery	$1,968.53	$1,968.53
67405	Major surgery	$1,716.68	$1,716.68
67412	Major surgery	$1,892.28	$1,892.28
67413	Major surgery	$1,835.50	$1,835.50
67414	Major surgery	$2,784.81	$2,784.81
67415	Other professional services	$148.49	$148.49
67420	Major surgery	$3,308.45	$3,308.45
67430	Major surgery	$2,631.92	$2,631.92
67440	Major surgery	$2,555.36	$2,555.36
67445	Major surgery	$2,902.54	$2,902.54
67450	Major surgery	$2,644.40	$2,644.40
67500	Other professional services	$110.84	$91.58
67505	Other professional services	$125.78	$104.58
67515	Other professional services	$75.63	$68.40
67550	Major surgery	$2,060.04	$2,060.04
67560	Major surgery	$2,104.62	$2,104.62
67570	Major surgery	$2,608.46	$2,608.46
67599	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
67700	Other professional services	$417.45	$166.47
67710	Other professional services	$356.12	$139.82
67715	Other professional services	$386.75	$155.04
67800	Other professional services	$185.78	$147.24
67801	Other professional services	$235.17	$189.41
67805	Other professional services	$293.55	$235.74
67808	Major surgery	$685.93	$685.93
67810	Other professional services	$271.14	$99.17
67820	Other professional services	$28.07	$31.92
67825	Other professional services	$195.96	$174.29
67830	Other professional services	$394.13	$196.14
67835	Major surgery	$823.68	$823.68
67840	Other professional services	$410.96	$226.46
67850	Other professional services	$314.61	$186.95
67875	Other professional services	$266.00	$136.89
67880	Major surgery	$881.32	$685.93
67882	Major surgery	$1,076.61	$877.46
67900	Major surgery	$1,226.00	$945.46
67901	Major surgery	$1,504.60	$1,103.80
67902	Major surgery	$1,359.64	$1,359.64
67903	Major surgery	$1,140.48	$898.76
67904	Major surgery	$1,397.80	$1,112.24
67906	Major surgery	$944.56	$944.56
67908	Major surgery	$1,022.91	$806.23
67909	Major surgery	$1,037.89	$818.71
67911	Major surgery	$1,044.65	$1,044.65
67912	Major surgery	$1,726.90	$909.66
67914	Major surgery	$925.16	$610.16
67915	Major surgery	$599.78	$368.71
67916	Major surgery	$1,156.88	$801.18
67917	Major surgery	$1,183.05	$851.76
67921	Major surgery	$904.90	$578.00
67922	Major surgery	$580.98	$369.33
67923	Major surgery	$1,156.39	$800.69
67924	Major surgery	$1,230.86	$850.73
67930	Other professional services	$539.48	$341.01
67935	Major surgery	$1,132.01	$825.16
67938	Other professional services	$399.66	$168.44
67950	Major surgery	$1,105.38	$863.66
67961	Major surgery	$1,108.40	$846.63
67966	Major surgery	$1,467.28	$1,222.42
67971	Major surgery	$1,346.28	$1,346.28
67973	Major surgery	$1,730.00	$1,730.00
67974	Major surgery	$1,726.16	$1,726.16
67975	Major surgery	$1,273.99	$1,273.99
67999	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
68020	Other professional services	$175.28	$158.90
68040	Other professional services	$90.14	$69.44
68100	Other professional services	$263.60	$136.89
68110	Other professional services	$343.32	$211.34
68115	Other professional services	$486.23	$262.71
68130	Major surgery	$1,043.29	$769.00
68135	Other professional services	$226.05	$213.53
68200	Other professional services	$60.38	$49.29
68320	Major surgery	$1,402.25	$1,005.85
68325	Major surgery	$1,223.16	$1,223.16
68326	Major surgery	$1,200.85	$1,200.85
68328	Major surgery	$1,318.51	$1,318.51
68330	Major surgery	$1,175.30	$855.93
68335	Major surgery	$1,204.24	$1,204.24
68340	Major surgery	$1,143.42	$741.99
68360	Major surgery	$1,024.78	$764.26
68362	Major surgery	$1,220.56	$1,220.56
68371	Other professional services	$591.99	$591.99
68399	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
68400	Other professional services	$433.11	$186.95
68420	Other professional services	$486.48	$239.84
68440	Other professional services	$149.64	$142.41
68500	Major surgery	$2,004.23	$2,004.23
68505	Major surgery	$1,995.14	$1,995.14
68510	Other professional services	$660.12	$413.48
68520	Major surgery	$1,391.91	$1,391.91
68525	Other professional services	$375.12	$375.12
68530	Other professional services	$633.18	$364.38
68540	Major surgery	$1,853.87	$1,853.87
68550	Major surgery	$2,310.11	$2,310.11
68700	Major surgery	$1,124.64	$1,124.64
68705	Other professional services	$383.57	$237.62
68720	Major surgery	$1,528.64	$1,528.64
68745	Major surgery	$1,535.45	$1,535.45
68750	Major surgery	$1,623.43	$1,623.43
68760	Other professional services	$321.02	$207.81
68761	Other professional services	$213.83	$169.02
68770	Major surgery	$1,170.94	$1,170.94
68801	Other professional services	$139.11	$112.13
68810	Other professional services	$233.48	$182.40
68811	Other professional services	$192.74	$192.74
68815	Other professional services	$549.33	$318.11
68816	Other professional services	$1,271.34	$226.01
68840	Other professional services	$192.17	$167.12
68841	Other professional services	$55.08	$46.89
68850	Other professional services	$86.84	$75.77
68899	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
69000	Other professional services	$274.07	$181.10
69005	Other professional services	$322.76	$234.60
69020	Other professional services	$345.53	$210.17
69090	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
69100	Other professional services	$141.26	$68.03
69105	Other professional services	$214.04	$91.19
69110	Major surgery	$900.14	$625.85
69120	Major surgery	$748.39	$748.39
69140	Major surgery	$1,738.13	$1,738.13
69145	Major surgery	$788.66	$490.56
69150	Major surgery	$1,944.85	$1,944.85
69155	Major surgery	$3,124.39	$3,124.39
69200	Other professional services	$116.91	$69.21
69205	Other professional services	$138.44	$138.44
69209	Other professional services	$21.62	$21.62
69210	Other professional services	$69.21	$48.50
69220	Other professional services	$112.80	$74.25
69222	Other professional services	$317.36	$199.32
69300	Major surgery	$1,238.72	$889.90
69310	Major surgery	$2,156.04	$2,156.04
69320	Major surgery	$3,007.50	$3,007.50
69399	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
69420	Other professional services	$279.57	$175.04
69421	Other professional services	$222.02	$222.02
69424	Other professional services	$189.53	$87.87
69433	Other professional services	$295.58	$192.02
69436	Other professional services	$233.30	$233.30
69440	Major surgery	$1,329.51	$1,329.51
69450	Major surgery	$1,055.38	$1,055.38
69501	Major surgery	$1,367.81	$1,367.81
69502	Major surgery	$1,814.53	$1,814.53
69505	Major surgery	$2,368.00	$2,368.00
69511	Major surgery	$2,423.21	$2,423.21
69530	Major surgery	$3,229.53	$3,229.53
69535	Major surgery	$5,133.43	$5,133.43
69540	Other professional services	$310.94	$190.02
69550	Major surgery	$2,048.92	$2,048.92
69552	Major surgery	$3,058.89	$3,058.89
69554	Major surgery	$4,869.07	$4,869.07
69601	Major surgery	$1,961.17	$1,961.17
69602	Major surgery	$2,096.54	$2,096.54
69603	Major surgery	$2,475.23	$2,475.23
69604	Major surgery	$2,142.08	$2,142.08
69610	Other professional services	$563.69	$422.07
69620	Major surgery	$1,423.79	$945.96
69631	Major surgery	$1,711.05	$1,711.05
69632	Major surgery	$2,089.89	$2,089.89
69633	Major surgery	$2,022.97	$2,022.97
69635	Major surgery	$2,440.64	$2,440.64
69636	Major surgery	$2,714.79	$2,714.79
69637	Major surgery	$2,763.62	$2,763.62
69641	Major surgery	$2,007.95	$2,007.95
69642	Major surgery	$2,578.10	$2,578.10
69643	Major surgery	$2,358.88	$2,358.88
69644	Major surgery	$2,903.08	$2,903.08
69645	Major surgery	$2,855.70	$2,855.70
69646	Major surgery	$3,024.88	$3,024.88
69650	Major surgery	$1,547.17	$1,547.17
69660	Major surgery	$1,780.47	$1,780.47
69661	Major surgery	$2,315.39	$2,315.39
69662	Major surgery	$2,228.30	$2,228.30
69666	Major surgery	$1,555.75	$1,555.75
69667	Major surgery	$1,556.41	$1,556.41
69670	Major surgery	$1,821.75	$1,821.75
69676	Major surgery	$1,605.65	$1,605.65
69700	Major surgery	$1,280.08	$1,280.08
69705	Other professional services	$4,103.93	$255.00
69706	Other professional services	$4,239.65	$356.51
69710	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
69711	Major surgery	$1,613.66	$1,613.66
69714	Major surgery	$1,237.35	$1,237.35
69716	Major surgery	$1,167.62	$1,167.62
69717	Major surgery	$1,248.45	$1,248.45
69719	Major surgery	$1,167.62	$1,167.62
69720	Major surgery	$2,282.40	$2,282.40
69725	Major surgery	$3,591.00	$3,591.00
69726	Major surgery	$791.64	$791.64
69727	Major surgery	$906.96	$906.96
69740	Major surgery	$2,231.95	$2,231.95
69745	Major surgery	$2,378.98	$2,378.98
69799	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
69801	Other professional services	$335.13	$181.94
69805	Major surgery	$1,976.21	$1,976.21
69806	Major surgery	$1,774.03	$1,774.03
69905	Major surgery	$1,768.22	$1,768.22
69910	Major surgery	$1,906.67	$1,906.67
69915	Major surgery	$2,889.28	$2,889.28
69930	Major surgery	$2,340.29	$2,340.29
69949	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
69950	Major surgery	$3,349.30	$3,349.30
69955	Major surgery	$3,777.46	$3,777.46
69960	Major surgery	$3,619.02	$3,619.02
69970	Major surgery	$4,085.82	$4,085.82
69979	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
69990	Major surgery	$408.12	$408.12
70010	Radiology	$112.75	$112.75
70015	Radiology	$325.83	$325.83
70015-26	Radiology	$111.09	$111.09
70015-TC	Radiology	$214.73	$214.73
70030	Radiology	$61.46	$61.46
70030-26	Radiology	$17.08	$17.08
70030-TC	Radiology	$44.38	$44.38
70100	Radiology	$72.74	$72.74
70100-26	Radiology	$17.08	$17.08
70100-TC	Radiology	$55.65	$55.65
70110	Radiology	$83.11	$83.11
70110-26	Radiology	$23.07	$23.07
70110-TC	Radiology	$60.04	$60.04
70120	Radiology	$73.38	$73.38
70120-26	Radiology	$17.08	$17.08
70120-TC	Radiology	$56.30	$56.30
70130	Radiology	$119.16	$119.16
70130-26	Radiology	$32.19	$32.19
70130-TC	Radiology	$86.97	$86.97
70134	Radiology	$116.73	$116.73
70134-26	Radiology	$33.52	$33.52
70134-TC	Radiology	$83.21	$83.21
70140	Radiology	$60.90	$60.90
70140-26	Radiology	$19.01	$19.01
70140-TC	Radiology	$41.89	$41.89
70150	Radiology	$90.05	$90.05
70150-26	Radiology	$24.36	$24.36
70150-TC	Radiology	$65.68	$65.68
70160	Radiology	$72.07	$72.07
70160-26	Radiology	$16.40	$16.40
70160-TC	Radiology	$55.65	$55.65
70170	Radiology	$102.32	$102.32
70170-26	Radiology	$27.69	$27.69
70170-TC	Radiology	$74.63	$74.63
70190	Radiology	$72.27	$72.27
70190-26	Radiology	$20.98	$20.98
70190-TC	Radiology	$51.29	$51.29
70200	Radiology	$92.02	$92.02
70200-26	Radiology	$26.34	$26.34
70200-TC	Radiology	$65.68	$65.68
70210	Radiology	$61.43	$61.43
70210-26	Radiology	$16.40	$16.40
70210-TC	Radiology	$45.01	$45.01
70220	Radiology	$71.68	$71.68
70220-26	Radiology	$20.42	$20.42
70220-TC	Radiology	$51.29	$51.29
70240	Radiology	$62.77	$62.77
70240-26	Radiology	$17.76	$17.76
70240-TC	Radiology	$45.01	$45.01
70250	Radiology	$67.74	$67.74
70250-26	Radiology	$17.08	$17.08
70250-TC	Radiology	$50.66	$50.66
70260	Radiology	$85.14	$85.14
70260-26	Radiology	$26.34	$26.34
70260-TC	Radiology	$58.79	$58.79
70300	Radiology	$24.14	$24.14
70300-26	Radiology	$9.81	$9.81
70300-TC	Radiology	$14.33	$14.33
70310	Radiology	$72.01	$72.01
70310-26	Radiology	$15.11	$15.11
70310-TC	Radiology	$56.92	$56.92
70320	Radiology	$103.00	$103.00
70320-26	Radiology	$21.04	$21.04
70320-TC	Radiology	$81.96	$81.96
70328	Radiology	$65.85	$65.85
70328-26	Radiology	$17.08	$17.08
70328-TC	Radiology	$48.77	$48.77
70330	Radiology	$101.22	$101.22
70330-26	Radiology	$22.39	$22.39
70330-TC	Radiology	$78.84	$78.84
70332	Radiology	$163.82	$163.82
70332-26	Radiology	$51.17	$51.17
70332-TC	Radiology	$112.65	$112.65
70336	Radiology	$533.73	$533.73
70336-26	Radiology	$136.85	$136.85
70336-TC	Radiology	$396.88	$396.88
70350	Radiology	$30.73	$30.73
70350-26	Radiology	$16.40	$16.40
70350-TC	Radiology	$14.33	$14.33
70355	Radiology	$34.01	$34.01
70355-26	Radiology	$19.05	$19.05
70355-TC	Radiology	$14.96	$14.96
70360	Radiology	$59.59	$59.59
70360-26	Radiology	$17.08	$17.08
70360-TC	Radiology	$42.51	$42.51
70370	Radiology	$194.84	$194.84
70370-26	Radiology	$28.96	$28.96
70370-TC	Radiology	$165.89	$165.89
70371	Radiology	$199.72	$199.72
70371-26	Radiology	$78.31	$78.31
70371-TC	Radiology	$121.41	$121.41
70380	Radiology	$71.45	$71.45
70380-26	Radiology	$15.78	$15.78
70380-TC	Radiology	$55.65	$55.65
70390	Radiology	$227.70	$227.70
70390-26	Radiology	$35.51	$35.51
70390-TC	Radiology	$192.17	$192.17
70450	Radiology	$208.53	$208.53
70450-26	Radiology	$78.35	$78.35
70450-TC	Radiology	$130.18	$130.18
70460	Radiology	$293.12	$293.12
70460-26	Radiology	$104.70	$104.70
70460-TC	Radiology	$188.43	$188.43
70470	Radiology	$344.37	$344.37
70470-26	Radiology	$118.38	$118.38
70470-TC	Radiology	$226.01	$226.01
70480	Radiology	$313.74	$313.74
70480-26	Radiology	$119.05	$119.05
70480-TC	Radiology	$194.69	$194.69
70481	Radiology	$356.99	$356.99
70481-26	Radiology	$104.07	$104.07
70481-TC	Radiology	$252.93	$252.93
70482	Radiology	$419.45	$419.45
70482-26	Radiology	$117.76	$117.76
70482-TC	Radiology	$301.70	$301.70
70486	Radiology	$251.75	$251.75
70486-26	Radiology	$78.98	$78.98
70486-TC	Radiology	$172.77	$172.77
70487	Radiology	$300.63	$300.63
70487-26	Radiology	$104.07	$104.07
70487-TC	Radiology	$196.56	$196.56
70488	Radiology	$366.91	$366.91
70488-26	Radiology	$117.76	$117.76
70488-TC	Radiology	$249.17	$249.17
70490	Radiology	$297.45	$297.45
70490-26	Radiology	$119.05	$119.05
70490-TC	Radiology	$178.41	$178.41
70491	Radiology	$366.21	$366.21
70491-26	Radiology	$128.31	$128.31
70491-TC	Radiology	$237.90	$237.90
70492	Radiology	$440.41	$440.41
70492-26	Radiology	$149.99	$149.99
70492-TC	Radiology	$290.43	$290.43
70496	Radiology	$544.85	$544.85
70496-26	Radiology	$161.89	$161.89
70496-TC	Radiology	$382.96	$382.96
70498	Radiology	$544.23	$544.23
70498-26	Radiology	$161.89	$161.89
70498-TC	Radiology	$382.34	$382.34
70540	Radiology	$453.02	$453.02
70540-26	Radiology	$125.03	$125.03
70540-TC	Radiology	$327.99	$327.99
70542	Radiology	$538.18	$538.18
70542-26	Radiology	$150.07	$150.07
70542-TC	Radiology	$388.11	$388.11
70543	Radiology	$679.48	$679.48
70543-26	Radiology	$198.20	$198.20
70543-TC	Radiology	$481.28	$481.28
70544	Radiology	$427.87	$427.87
70544-26	Radiology	$111.77	$111.77
70544-TC	Radiology	$316.10	$316.10
70545	Radiology	$451.05	$451.05
70545-26	Radiology	$111.15	$111.15
70545-TC	Radiology	$339.90	$339.90
70546	Radiology	$653.21	$653.21
70546-26	Radiology	$137.49	$137.49
70546-TC	Radiology	$515.72	$515.72
70547	Radiology	$429.14	$429.14
70547-26	Radiology	$111.77	$111.77
70547-TC	Radiology	$317.36	$317.36
70548	Radiology	$489.37	$489.37
70548-26	Radiology	$139.46	$139.46
70548-TC	Radiology	$349.91	$349.91
70549	Radiology	$686.01	$686.01
70549-26	Radiology	$167.15	$167.15
70549-TC	Radiology	$518.86	$518.86
70551	Radiology	$390.33	$390.33
70551-26	Radiology	$137.49	$137.49
70551-TC	Radiology	$252.86	$252.86
70552	Radiology	$538.88	$538.88
70552-26	Radiology	$165.17	$165.17
70552-TC	Radiology	$373.72	$373.72
70553	Radiology	$636.89	$636.89
70553-26	Radiology	$211.97	$211.97
70553-TC	Radiology	$424.92	$424.92
70554	Radiology	$758.12	$758.12
70554-26	Radiology	$196.05	$196.05
70554-TC	Radiology	$562.07	$562.07
70555	Radiology	$1,215.96	$1,215.96
70555-26	Radiology	$231.97	$231.97
70555-TC	Radiology	$983.99	$983.99
70557	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
70557-26	Radiology	$302.35	$302.35
70557-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
70558	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
70558-26	Radiology	$324.50	$324.50
70558-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
70559	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
70559-26	Radiology	$306.17	$306.17
70559-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
71045	Radiology	$48.95	$48.95
71045-26	Radiology	$17.08	$17.08
71045-TC	Radiology	$31.86	$31.86
71046	Radiology	$63.55	$63.55
71046-26	Radiology	$20.42	$20.42
71046-TC	Radiology	$43.13	$43.13
71047	Radiology	$80.07	$80.07
71047-26	Radiology	$25.04	$25.04
71047-TC	Radiology	$55.03	$55.03
71048	Radiology	$87.79	$87.79
71048-26	Radiology	$29.00	$29.00
71048-TC	Radiology	$58.79	$58.79
71100	Radiology	$69.81	$69.81
71100-26	Radiology	$21.04	$21.04
71100-TC	Radiology	$48.77	$48.77
71101	Radiology	$80.07	$80.07
71101-26	Radiology	$25.04	$25.04
71101-TC	Radiology	$55.03	$55.03
71110	Radiology	$83.30	$83.30
71110-26	Radiology	$27.01	$27.01
71110-TC	Radiology	$56.30	$56.30
71111	Radiology	$99.72	$99.72
71111-26	Radiology	$29.66	$29.66
71111-TC	Radiology	$70.06	$70.06
71120	Radiology	$64.08	$64.08
71120-26	Radiology	$18.43	$18.43
71120-TC	Radiology	$45.65	$45.65
71130	Radiology	$78.57	$78.57
71130-26	Radiology	$20.42	$20.42
71130-TC	Radiology	$58.17	$58.17
71250	Radiology	$262.20	$262.20
71250-26	Radiology	$100.07	$100.07
71250-TC	Radiology	$162.12	$162.12
71260	Radiology	$328.97	$328.97
71260-26	Radiology	$107.35	$107.35
71260-TC	Radiology	$221.62	$221.62
71270	Radiology	$390.55	$390.55
71270-26	Radiology	$116.40	$116.40
71270-TC	Radiology	$274.15	$274.15
71271	Radiology	$270.95	$270.95
71271-26	Radiology	$100.07	$100.07
71271-TC	Radiology	$170.90	$170.90
71275	Radiology	$556.47	$556.47
71275-26	Radiology	$168.50	$168.50
71275-TC	Radiology	$387.97	$387.97
71550	Radiology	$681.29	$681.29
71550-26	Radiology	$135.51	$135.51
71550-TC	Radiology	$545.79	$545.79
71551	Radiology	$753.93	$753.93
71551-26	Radiology	$160.54	$160.54
71551-TC	Radiology	$593.39	$593.39
71552	Radiology	$952.44	$952.44
71552-26	Radiology	$208.77	$208.77
71552-TC	Radiology	$743.67	$743.67
71555	Radiology	$667.89	$667.89
71555-26	Radiology	$166.57	$166.57
71555-TC	Radiology	$501.33	$501.33
72020	Radiology	$46.35	$46.35
72020-26	Radiology	$15.11	$15.11
72020-TC	Radiology	$31.24	$31.24
72040	Radiology	$74.82	$74.82
72040-26	Radiology	$21.04	$21.04
72040-TC	Radiology	$53.78	$53.78
72050	Radiology	$100.74	$100.74
72050-26	Radiology	$25.66	$25.66
72050-TC	Radiology	$75.08	$75.08
72052	Radiology	$117.16	$117.16
72052-26	Radiology	$27.69	$27.69
72052-TC	Radiology	$89.49	$89.49
72070	Radiology	$62.21	$62.21
72070-26	Radiology	$19.05	$19.05
72070-TC	Radiology	$43.13	$43.13
72072	Radiology	$74.24	$74.24
72072-26	Radiology	$21.08	$21.08
72072-TC	Radiology	$53.16	$53.16
72074	Radiology	$84.36	$84.36
72074-26	Radiology	$23.07	$23.07
72074-TC	Radiology	$61.29	$61.29
72080	Radiology	$66.01	$66.01
72080-26	Radiology	$19.73	$19.73
72080-TC	Radiology	$46.27	$46.27
72081	Radiology	$80.65	$80.65
72081-26	Radiology	$24.36	$24.36
72081-TC	Radiology	$56.30	$56.30
72082	Radiology	$132.80	$132.80
72082-26	Radiology	$29.54	$29.54
72082-TC	Radiology	$103.25	$103.25
72083	Radiology	$148.73	$148.73
72083-26	Radiology	$33.56	$33.56
72083-TC	Radiology	$115.15	$115.15
72084	Radiology	$186.52	$186.52
72084-26	Radiology	$39.41	$39.41
72084-TC	Radiology	$147.09	$147.09
72100	Radiology	$75.45	$75.45
72100-26	Radiology	$21.04	$21.04
72100-TC	Radiology	$54.41	$54.41
72110	Radiology	$96.93	$96.93
72110-26	Radiology	$24.36	$24.36
72110-TC	Radiology	$72.58	$72.58
72114	Radiology	$117.16	$117.16
72114-26	Radiology	$28.31	$28.31
72114-TC	Radiology	$88.84	$88.84
72120	Radiology	$77.32	$77.32
72120-26	Radiology	$21.04	$21.04
72120-TC	Radiology	$56.30	$56.30
72125	Radiology	$256.80	$256.80
72125-26	Radiology	$92.78	$92.78
72125-TC	Radiology	$164.00	$164.00
72126	Radiology	$334.11	$334.11
72126-26	Radiology	$113.12	$113.12
72126-TC	Radiology	$220.99	$220.99
72127	Radiology	$392.46	$392.46
72127-26	Radiology	$118.31	$118.31
72127-TC	Radiology	$274.15	$274.15
72128	Radiology	$256.17	$256.17
72128-26	Radiology	$92.78	$92.78
72128-TC	Radiology	$163.37	$163.37
72129	Radiology	$336.61	$336.61
72129-26	Radiology	$113.74	$113.74
72129-TC	Radiology	$222.87	$222.87
72130	Radiology	$393.78	$393.78
72130-26	Radiology	$117.76	$117.76
72130-TC	Radiology	$276.02	$276.02
72131	Radiology	$255.53	$255.53
72131-26	Radiology	$92.78	$92.78
72131-TC	Radiology	$162.75	$162.75
72132	Radiology	$334.11	$334.11
72132-26	Radiology	$113.12	$113.12
72132-TC	Radiology	$220.99	$220.99
72133	Radiology	$391.81	$391.81
72133-26	Radiology	$118.31	$118.31
72133-TC	Radiology	$273.53	$273.53
72141	Radiology	$381.58	$381.58
72141-26	Radiology	$138.12	$138.12
72141-TC	Radiology	$243.46	$243.46
72142	Radiology	$551.40	$551.40
72142-26	Radiology	$165.79	$165.79
72142-TC	Radiology	$385.61	$385.61
72146	Radiology	$380.95	$380.95
72146-26	Radiology	$137.49	$137.49
72146-TC	Radiology	$243.46	$243.46
72147	Radiology	$545.77	$545.77
72147-26	Radiology	$165.17	$165.17
72147-TC	Radiology	$380.60	$380.60
72148	Radiology	$382.20	$382.20
72148-26	Radiology	$138.12	$138.12
72148-TC	Radiology	$244.08	$244.08
72149	Radiology	$541.40	$541.40
72149-26	Radiology	$165.17	$165.17
72149-TC	Radiology	$376.21	$376.21
72156	Radiology	$640.79	$640.79
72156-26	Radiology	$211.97	$211.97
72156-TC	Radiology	$428.82	$428.82
72157	Radiology	$641.41	$641.41
72157-26	Radiology	$211.97	$211.97
72157-TC	Radiology	$429.45	$429.45
72158	Radiology	$638.92	$638.92
72158-26	Radiology	$211.97	$211.97
72158-TC	Radiology	$426.95	$426.95
72159	Radiology	$689.75	$689.75
72159-26	Radiology	$167.15	$167.15
72159-TC	Radiology	$522.62	$522.62
72170	Radiology	$52.65	$52.65
72170-26	Radiology	$16.40	$16.40
72170-TC	Radiology	$36.25	$36.25
72190	Radiology	$79.97	$79.97
72190-26	Radiology	$23.69	$23.69
72190-TC	Radiology	$56.30	$56.30
72191	Radiology	$607.29	$607.29
72191-26	Radiology	$165.95	$165.95
72191-TC	Radiology	$441.34	$441.34
72192	Radiology	$262.86	$262.86
72192-26	Radiology	$100.74	$100.74
72192-TC	Radiology	$162.12	$162.12
72193	Radiology	$460.47	$460.47
72193-26	Radiology	$107.35	$107.35
72193-TC	Radiology	$353.13	$353.13
72194	Radiology	$507.51	$507.51
72194-26	Radiology	$113.12	$113.12
72194-TC	Radiology	$394.39	$394.39
72195	Radiology	$461.00	$461.00
72195-26	Radiology	$136.13	$136.13
72195-TC	Radiology	$324.87	$324.87
72196	Radiology	$539.90	$539.90
72196-26	Radiology	$160.54	$160.54
72196-TC	Radiology	$379.35	$379.35
72197	Radiology	$678.48	$678.48
72197-26	Radiology	$203.46	$203.46
72197-TC	Radiology	$475.02	$475.02
72198	Radiology	$670.98	$670.98
72198-26	Radiology	$165.26	$165.26
72198-TC	Radiology	$505.69	$505.69
72200	Radiology	$62.05	$62.05
72200-26	Radiology	$15.78	$15.78
72200-TC	Radiology	$46.27	$46.27
72202	Radiology	$74.24	$74.24
72202-26	Radiology	$21.08	$21.08
72202-TC	Radiology	$53.16	$53.16
72220	Radiology	$61.43	$61.43
72220-26	Radiology	$16.40	$16.40
72220-TC	Radiology	$45.01	$45.01
72240	Radiology	$220.66	$220.66
72240-26	Radiology	$85.47	$85.47
72240-TC	Radiology	$135.19	$135.19
72255	Radiology	$225.05	$225.05
72255-26	Radiology	$87.34	$87.34
72255-TC	Radiology	$137.69	$137.69
72265	Radiology	$209.08	$209.08
72265-26	Radiology	$77.01	$77.01
72265-TC	Radiology	$132.05	$132.05
72270	Radiology	$319.47	$319.47
72270-26	Radiology	$129.17	$129.17
72270-TC	Radiology	$190.30	$190.30
72285	Radiology	$242.54	$242.54
72285-26	Radiology	$108.60	$108.60
72285-TC	Radiology	$133.95	$133.95
72295	Radiology	$214.01	$214.01
72295-26	Radiology	$78.20	$78.20
72295-TC	Radiology	$135.82	$135.82
73000	Radiology	$60.74	$60.74
73000-26	Radiology	$15.74	$15.74
73000-TC	Radiology	$45.01	$45.01
73010	Radiology	$45.14	$45.14
73010-26	Radiology	$17.04	$17.04
73010-TC	Radiology	$28.10	$28.10
73020	Radiology	$40.66	$40.66
73020-26	Radiology	$14.43	$14.43
73020-TC	Radiology	$26.23	$26.23
73030	Radiology	$65.23	$65.23
73030-26	Radiology	$17.71	$17.71
73030-TC	Radiology	$47.52	$47.52
73040	Radiology	$251.49	$251.49
73040-26	Radiology	$52.44	$52.44
73040-TC	Radiology	$199.08	$199.08
73050	Radiology	$53.96	$53.96
73050-26	Radiology	$17.71	$17.71
73050-TC	Radiology	$36.25	$36.25
73060	Radiology	$60.12	$60.12
73060-26	Radiology	$15.11	$15.11
73060-TC	Radiology	$45.01	$45.01
73070	Radiology	$55.11	$55.11
73070-26	Radiology	$15.74	$15.74
73070-TC	Radiology	$39.37	$39.37
73080	Radiology	$61.43	$61.43
73080-26	Radiology	$16.40	$16.40
73080-TC	Radiology	$45.01	$45.01
73085	Radiology	$215.73	$215.73
73085-26	Radiology	$53.61	$53.61
73085-TC	Radiology	$162.12	$162.12
73090	Radiology	$55.11	$55.11
73090-26	Radiology	$15.11	$15.11
73090-TC	Radiology	$40.01	$40.01
73092	Radiology	$60.12	$60.12
73092-26	Radiology	$15.11	$15.11
73092-TC	Radiology	$45.01	$45.01
73100	Radiology	$63.88	$63.88
73100-26	Radiology	$15.74	$15.74
73100-TC	Radiology	$48.15	$48.15
73110	Radiology	$77.08	$77.08
73110-26	Radiology	$16.40	$16.40
73110-TC	Radiology	$60.66	$60.66
73115	Radiology	$260.89	$260.89
73115-26	Radiology	$53.06	$53.06
73115-TC	Radiology	$207.83	$207.83
73120	Radiology	$58.87	$58.87
73120-26	Radiology	$15.74	$15.74
73120-TC	Radiology	$43.13	$43.13
73130	Radiology	$68.93	$68.93
73130-26	Radiology	$16.40	$16.40
73130-TC	Radiology	$52.53	$52.53
73140	Radiology	$70.63	$70.63
73140-26	Radiology	$13.08	$13.08
73140-TC	Radiology	$57.54	$57.54
73200	Radiology	$322.55	$322.55
73200-26	Radiology	$92.78	$92.78
73200-TC	Radiology	$229.75	$229.75
73201	Radiology	$399.09	$399.09
73201-26	Radiology	$106.72	$106.72
73201-TC	Radiology	$292.38	$292.38
73202	Radiology	$499.36	$499.36
73202-26	Radiology	$113.12	$113.12
73202-TC	Radiology	$386.24	$386.24
73206	Radiology	$592.12	$592.12
73206-26	Radiology	$165.95	$165.95
73206-TC	Radiology	$426.17	$426.17
73218	Radiology	$610.21	$610.21
73218-26	Radiology	$126.28	$126.28
73218-TC	Radiology	$483.93	$483.93
73219	Radiology	$665.87	$665.87
73219-26	Radiology	$151.24	$151.24
73219-TC	Radiology	$514.62	$514.62
73220	Radiology	$827.29	$827.29
73220-26	Radiology	$199.47	$199.47
73220-TC	Radiology	$627.82	$627.82
73221	Radiology	$402.85	$402.85
73221-26	Radiology	$126.83	$126.83
73221-TC	Radiology	$276.02	$276.02
73222	Radiology	$631.41	$631.41
73222-26	Radiology	$151.87	$151.87
73222-TC	Radiology	$479.54	$479.54
73223	Radiology	$782.18	$782.18
73223-26	Radiology	$199.47	$199.47
73223-TC	Radiology	$582.74	$582.74
73225	Radiology	$683.79	$683.79
73225-26	Radiology	$161.17	$161.17
73225-TC	Radiology	$522.62	$522.62
73501	Radiology	$61.46	$61.46
73501-26	Radiology	$17.71	$17.71
73501-TC	Radiology	$43.76	$43.76
73502	Radiology	$88.59	$88.59
73502-26	Radiology	$21.04	$21.04
73502-TC	Radiology	$67.57	$67.57
73503	Radiology	$111.38	$111.38
73503-26	Radiology	$25.66	$25.66
73503-TC	Radiology	$85.72	$85.72
73521	Radiology	$77.94	$77.94
73521-26	Radiology	$21.04	$21.04
73521-TC	Radiology	$56.92	$56.92
73522	Radiology	$101.46	$101.46
73522-26	Radiology	$27.63	$27.63
73522-TC	Radiology	$73.83	$73.83
73523	Radiology	$115.97	$115.97
73523-26	Radiology	$29.00	$29.00
73523-TC	Radiology	$86.97	$86.97
73525	Radiology	$255.80	$255.80
73525-26	Radiology	$54.85	$54.85
73525-TC	Radiology	$200.95	$200.95
73551	Radiology	$55.11	$55.11
73551-26	Radiology	$15.74	$15.74
73551-TC	Radiology	$39.37	$39.37
73552	Radiology	$66.48	$66.48
73552-26	Radiology	$17.08	$17.08
73552-TC	Radiology	$49.39	$49.39
73560	Radiology	$64.51	$64.51
73560-26	Radiology	$15.74	$15.74
73560-TC	Radiology	$48.77	$48.77
73562	Radiology	$77.12	$77.12
73562-26	Radiology	$17.71	$17.71
73562-TC	Radiology	$59.42	$59.42
73564	Radiology	$87.34	$87.34
73564-26	Radiology	$21.04	$21.04
73564-TC	Radiology	$66.30	$66.30
73565	Radiology	$76.40	$76.40
73565-26	Radiology	$16.36	$16.36
73565-TC	Radiology	$60.04	$60.04
73580	Radiology	$281.97	$281.97
73580-26	Radiology	$54.72	$54.72
73580-TC	Radiology	$227.25	$227.25
73590	Radiology	$59.49	$59.49
73590-26	Radiology	$15.11	$15.11
73590-TC	Radiology	$44.38	$44.38
73592	Radiology	$60.12	$60.12
73592-26	Radiology	$15.11	$15.11
73592-TC	Radiology	$45.01	$45.01
73600	Radiology	$60.74	$60.74
73600-26	Radiology	$15.11	$15.11
73600-TC	Radiology	$45.65	$45.65
73610	Radiology	$69.56	$69.56
73610-26	Radiology	$16.40	$16.40
73610-TC	Radiology	$53.16	$53.16
73615	Radiology	$253.93	$253.93
73615-26	Radiology	$53.61	$53.61
73615-TC	Radiology	$200.32	$200.32
73620	Radiology	$53.24	$53.24
73620-26	Radiology	$14.49	$14.49
73620-TC	Radiology	$38.75	$38.75
73630	Radiology	$65.19	$65.19
73630-26	Radiology	$15.78	$15.78
73630-TC	Radiology	$49.39	$49.39
73650	Radiology	$54.48	$54.48
73650-26	Radiology	$15.11	$15.11
73650-TC	Radiology	$39.37	$39.37
73660	Radiology	$54.97	$54.97
73660-26	Radiology	$12.46	$12.46
73660-TC	Radiology	$42.51	$42.51
73700	Radiology	$255.53	$255.53
73700-26	Radiology	$92.78	$92.78
73700-TC	Radiology	$162.75	$162.75
73701	Radiology	$329.59	$329.59
73701-26	Radiology	$107.35	$107.35
73701-TC	Radiology	$222.24	$222.24
73702	Radiology	$386.02	$386.02
73702-26	Radiology	$113.12	$113.12
73702-TC	Radiology	$272.88	$272.88
73706	Radiology	$642.02	$642.02
73706-26	Radiology	$173.90	$173.90
73706-TC	Radiology	$468.14	$468.14
73718	Radiology	$447.39	$447.39
73718-26	Radiology	$125.03	$125.03
73718-TC	Radiology	$322.35	$322.35
73719	Radiology	$526.83	$526.83
73719-26	Radiology	$150.62	$150.62
73719-TC	Radiology	$376.21	$376.21
73720	Radiology	$678.23	$678.23
73720-26	Radiology	$198.84	$198.84
73720-TC	Radiology	$479.41	$479.41
73721	Radiology	$402.23	$402.23
73721-26	Radiology	$126.83	$126.83
73721-TC	Radiology	$275.40	$275.40
73722	Radiology	$632.68	$632.68
73722-26	Radiology	$151.87	$151.87
73722-TC	Radiology	$480.79	$480.79
73723	Radiology	$779.69	$779.69
73723-26	Radiology	$198.84	$198.84
73723-TC	Radiology	$580.85	$580.85
73725	Radiology	$668.56	$668.56
73725-26	Radiology	$165.98	$165.98
73725-TC	Radiology	$502.57	$502.57
74018	Radiology	$57.10	$57.10
74018-26	Radiology	$17.08	$17.08
74018-TC	Radiology	$40.01	$40.01
74019	Radiology	$69.85	$69.85
74019-26	Radiology	$21.70	$21.70
74019-TC	Radiology	$48.15	$48.15
74021	Radiology	$81.96	$81.96
74021-26	Radiology	$25.04	$25.04
74021-TC	Radiology	$56.92	$56.92
74022	Radiology	$94.71	$94.71
74022-26	Radiology	$29.66	$29.66
74022-TC	Radiology	$65.05	$65.05
74150	Radiology	$271.34	$271.34
74150-26	Radiology	$111.09	$111.09
74150-TC	Radiology	$160.25	$160.25
74160	Radiology	$470.24	$470.24
74160-26	Radiology	$118.38	$118.38
74160-TC	Radiology	$351.88	$351.88
74170	Radiology	$526.46	$526.46
74170-26	Radiology	$130.20	$130.20
74170-TC	Radiology	$396.26	$396.26
74174	Radiology	$756.68	$756.68
74174-26	Radiology	$202.14	$202.14
74174-TC	Radiology	$554.54	$554.54
74175	Radiology	$607.97	$607.97
74175-26	Radiology	$167.25	$167.25
74175-TC	Radiology	$440.72	$440.72
74176	Radiology	$362.17	$362.17
74176-26	Radiology	$161.23	$161.23
74176-TC	Radiology	$200.95	$200.95
74177	Radiology	$611.09	$611.09
74177-26	Radiology	$169.12	$169.12
74177-TC	Radiology	$441.97	$441.97
74178	Radiology	$684.04	$684.04
74178-26	Radiology	$185.70	$185.70
74178-TC	Radiology	$498.34	$498.34
74181	Radiology	$391.56	$391.56
74181-26	Radiology	$135.51	$135.51
74181-TC	Radiology	$256.05	$256.05
74182	Radiology	$606.90	$606.90
74182-26	Radiology	$160.54	$160.54
74182-TC	Radiology	$446.36	$446.36
74183	Radiology	$679.73	$679.73
74183-26	Radiology	$202.84	$202.84
74183-TC	Radiology	$476.89	$476.89
74185	Radiology	$672.22	$672.22
74185-26	Radiology	$165.26	$165.26
74185-TC	Radiology	$506.96	$506.96
74190	Radiology	$145.74	$145.74
74190-26	Radiology	$43.37	$43.37
74190-TC	Radiology	$102.38	$102.38
74210	Radiology	$189.11	$189.11
74210-26	Radiology	$55.19	$55.19
74210-TC	Radiology	$133.95	$133.95
74220	Radiology	$191.04	$191.04
74220-26	Radiology	$55.85	$55.85
74220-TC	Radiology	$135.19	$135.19
74221	Radiology	$215.32	$215.32
74221-26	Radiology	$65.11	$65.11
74221-TC	Radiology	$150.23	$150.23
74230	Radiology	$246.44	$246.44
74230-26	Radiology	$49.88	$49.88
74230-TC	Radiology	$196.56	$196.56
74235	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74235-26	Radiology	$111.09	$111.09
74235-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74240	Radiology	$239.62	$239.62
74240-26	Radiology	$74.35	$74.35
74240-TC	Radiology	$165.24	$165.24
74246	Radiology	$273.29	$273.29
74246-26	Radiology	$82.99	$82.99
74246-TC	Radiology	$190.30	$190.30
74248	Major surgery	$162.10	$162.10
74248-26	Radiology	$65.11	$65.11
74248-TC	Radiology	$96.99	$96.99
74250	Radiology	$239.03	$239.03
74250-26	Radiology	$75.04	$75.04
74250-TC	Radiology	$164.00	$164.00
74251	Radiology	$727.14	$727.14
74251-26	Radiology	$109.12	$109.12
74251-TC	Radiology	$618.01	$618.01
74261	Radiology	$839.22	$839.22
74261-26	Radiology	$221.89	$221.89
74261-TC	Radiology	$617.31	$617.31
74262	Radiology	$947.90	$947.90
74262-26	Radiology	$231.15	$231.15
74262-TC	Radiology	$716.74	$716.74
74263	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74263-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74263-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74270	Radiology	$300.83	$300.83
74270-26	Radiology	$96.12	$96.12
74270-TC	Radiology	$204.71	$204.71
74280	Radiology	$432.63	$432.63
74280-26	Radiology	$117.08	$117.08
74280-TC	Radiology	$315.55	$315.55
74283	Radiology	$498.09	$498.09
74283-26	Radiology	$194.43	$194.43
74283-TC	Radiology	$303.65	$303.65
74290	Radiology	$167.37	$167.37
74290-26	Radiology	$29.66	$29.66
74290-TC	Radiology	$137.69	$137.69
74300	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74300-26	Radiology	$25.58	$25.58
74300-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74301	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74301-26	Radiology	$19.73	$19.73
74301-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74328	Radiology	$291.62	$291.62
74328-26	Radiology	$44.71	$44.71
74328-TC	Radiology	$246.91	$246.91
74329	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74329-26	Radiology	$44.71	$44.71
74329-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74330	Radiology	$302.72	$302.72
74330-26	Radiology	$55.81	$55.81
74330-TC	Radiology	$246.91	$246.91
74340	Radiology	$255.96	$255.96
74340-26	Radiology	$50.54	$50.54
74340-TC	Radiology	$205.41	$205.41
74355	Radiology	$277.25	$277.25
74355-26	Radiology	$71.04	$71.04
74355-TC	Radiology	$206.21	$206.21
74360	Radiology	$298.58	$298.58
74360-26	Radiology	$52.44	$52.44
74360-TC	Radiology	$246.15	$246.15
74363	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74363-26	Radiology	$81.00	$81.00
74363-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74400	Radiology	$260.79	$260.79
74400-26	Radiology	$44.81	$44.81
74400-TC	Radiology	$215.98	$215.98
74410	Radiology	$269.57	$269.57
74410-26	Radiology	$44.81	$44.81
74410-TC	Radiology	$224.74	$224.74
74415	Radiology	$297.75	$297.75
74415-26	Radiology	$44.81	$44.81
74415-TC	Radiology	$252.93	$252.93
74420	Radiology	$145.70	$145.70
74420-26	Radiology	$47.46	$47.46
74420-TC	Radiology	$98.24	$98.24
74425	Radiology	$262.76	$262.76
74425-26	Radiology	$46.18	$46.18
74425-TC	Radiology	$216.61	$216.61
74430	Radiology	$77.18	$77.18
74430-26	Radiology	$29.04	$29.04
74430-TC	Radiology	$48.15	$48.15
74440	Radiology	$187.06	$187.06
74440-26	Radiology	$34.34	$34.34
74440-TC	Radiology	$152.72	$152.72
74445	Radiology	$190.32	$190.32
74445-26	Radiology	$103.56	$103.56
74445-TC	Radiology	$86.76	$86.76
74450	Radiology	$144.48	$144.48
74450-26	Radiology	$30.34	$30.34
74450-TC	Radiology	$114.13	$114.13
74455	Radiology	$200.60	$200.60
74455-26	Radiology	$29.72	$29.72
74455-TC	Radiology	$170.90	$170.90
74470	Radiology	$147.24	$147.24
74470-26	Radiology	$48.67	$48.67
74470-TC	Radiology	$98.57	$98.57
74485	Radiology	$228.01	$228.01
74485-26	Radiology	$74.65	$74.65
74485-TC	Radiology	$153.35	$153.35
74710	Radiology	$76.58	$76.58
74710-26	Radiology	$31.57	$31.57
74710-TC	Radiology	$45.01	$45.01
74712	Radiology	$821.24	$821.24
74712-26	Radiology	$277.33	$277.33
74712-TC	Radiology	$543.89	$543.89
74713	Radiology	$400.90	$400.90
74713-26	Radiology	$171.78	$171.78
74713-TC	Radiology	$229.13	$229.13
74740	Radiology	$185.74	$185.74
74740-26	Radiology	$35.51	$35.51
74740-TC	Radiology	$150.23	$150.23
74742	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74742-26	Radiology	$57.15	$57.15
74742-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
74775	Radiology	$172.73	$172.73
74775-26	Radiology	$57.82	$57.82
74775-TC	Radiology	$114.91	$114.91
75557	Radiology	$563.65	$563.65
75557-26	Radiology	$215.53	$215.53
75557-TC	Radiology	$348.11	$348.11
75559	Radiology	$759.29	$759.29
75559-26	Radiology	$268.48	$268.48
75559-TC	Radiology	$490.82	$490.82
75561	Radiology	$737.55	$737.55
75561-26	Radiology	$238.60	$238.60
75561-TC	Radiology	$498.97	$498.97
75563	Radiology	$864.05	$864.05
75563-26	Radiology	$273.66	$273.66
75563-TC	Radiology	$590.38	$590.38
75565	Radiology	$92.57	$92.57
75565-26	Radiology	$23.07	$23.07
75565-TC	Radiology	$69.52	$69.52
75571	Radiology	$194.08	$194.08
75571-26	Radiology	$53.88	$53.88
75571-TC	Radiology	$140.21	$140.21
75572	Radiology	$448.48	$448.48
75572-26	Radiology	$161.34	$161.34
75572-TC	Radiology	$287.14	$287.14
75573	Radiology	$603.08	$603.08
75573-26	Radiology	$235.15	$235.15
75573-TC	Radiology	$367.93	$367.93
75574	Radiology	$639.99	$639.99
75574-26	Radiology	$220.10	$220.10
75574-TC	Radiology	$419.91	$419.91
75600	Radiology	$356.09	$356.09
75600-26	Radiology	$46.25	$46.25
75600-TC	Radiology	$309.84	$309.84
75605	Radiology	$231.27	$231.27
75605-26	Radiology	$103.68	$103.68
75605-TC	Radiology	$127.61	$127.61
75625	Radiology	$244.67	$244.67
75625-26	Radiology	$130.77	$130.77
75625-TC	Radiology	$113.90	$113.90
75630	Radiology	$304.32	$304.32
75630-26	Radiology	$182.27	$182.27
75630-TC	Radiology	$122.05	$122.05
75635	Radiology	$809.00	$809.00
75635-26	Radiology	$218.77	$218.77
75635-TC	Radiology	$590.25	$590.25
75705	Radiology	$462.23	$462.23
75705-26	Radiology	$220.02	$220.02
75705-TC	Radiology	$242.21	$242.21
75710	Radiology	$289.87	$289.87
75710-26	Radiology	$159.69	$159.69
75710-TC	Radiology	$130.18	$130.18
75716	Radiology	$313.48	$313.48
75716-26	Radiology	$178.99	$178.99
75716-TC	Radiology	$134.49	$134.49
75726	Radiology	$326.43	$326.43
75726-26	Radiology	$181.29	$181.29
75726-TC	Radiology	$145.14	$145.14
75731	Radiology	$286.83	$286.83
75731-26	Radiology	$105.38	$105.38
75731-TC	Radiology	$181.47	$181.47
75733	Radiology	$318.90	$318.90
75733-26	Radiology	$118.79	$118.79
75733-TC	Radiology	$200.11	$200.11
75736	Radiology	$267.75	$267.75
75736-26	Radiology	$101.32	$101.32
75736-TC	Radiology	$166.43	$166.43
75741	Radiology	$249.23	$249.23
75741-26	Radiology	$116.55	$116.55
75741-TC	Radiology	$132.70	$132.70
75743	Radiology	$283.90	$283.90
75743-26	Radiology	$148.79	$148.79
75743-TC	Radiology	$135.12	$135.12
75746	Radiology	$254.67	$254.67
75746-26	Radiology	$103.27	$103.27
75746-TC	Radiology	$151.40	$151.40
75756	Radiology	$299.54	$299.54
75756-26	Radiology	$105.55	$105.55
75756-TC	Radiology	$193.99	$193.99
75774	Radiology	$186.40	$186.40
75774-26	Radiology	$90.03	$90.03
75774-TC	Radiology	$96.37	$96.37
75801	Radiology	$505.73	$505.73
75801-26	Radiology	$80.79	$80.79
75801-TC	Radiology	$424.94	$424.94
75803	Radiology	$533.72	$533.72
75803-26	Radiology	$108.01	$108.01
75803-TC	Radiology	$425.70	$425.70
75805	Radiology	$554.03	$554.03
75805-26	Radiology	$75.04	$75.04
75805-TC	Radiology	$479.00	$479.00
75807	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75807-26	Radiology	$102.78	$102.78
75807-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75809	Radiology	$155.96	$155.96
75809-26	Radiology	$44.58	$44.58
75809-TC	Radiology	$111.40	$111.40
75810	Radiology	$1,080.20	$1,080.20
75810-26	Radiology	$93.25	$93.25
75810-TC	Radiology	$986.95	$986.95
75820	Radiology	$211.03	$211.03
75820-26	Radiology	$96.51	$96.51
75820-TC	Radiology	$114.52	$114.52
75822	Radiology	$256.17	$256.17
75822-26	Radiology	$132.87	$132.87
75822-TC	Radiology	$123.30	$123.30
75825	Radiology	$217.50	$217.50
75825-26	Radiology	$101.73	$101.73
75825-TC	Radiology	$115.77	$115.77
75827	Radiology	$228.77	$228.77
75827-26	Radiology	$102.98	$102.98
75827-TC	Radiology	$125.79	$125.79
75831	Radiology	$227.74	$227.74
75831-26	Radiology	$100.07	$100.07
75831-TC	Radiology	$127.69	$127.69
75833	Radiology	$281.93	$281.93
75833-26	Radiology	$135.54	$135.54
75833-TC	Radiology	$146.39	$146.39
75840	Radiology	$245.56	$245.56
75840-26	Radiology	$105.38	$105.38
75840-TC	Radiology	$140.21	$140.21
75842	Radiology	$302.09	$302.09
75842-26	Radiology	$138.78	$138.78
75842-TC	Radiology	$163.29	$163.29
75860	Radiology	$240.26	$240.26
75860-26	Radiology	$103.82	$103.82
75860-TC	Radiology	$136.44	$136.44
75870	Radiology	$305.43	$305.43
75870-26	Radiology	$113.26	$113.26
75870-TC	Radiology	$192.17	$192.17
75872	Radiology	$245.56	$245.56
75872-26	Radiology	$105.38	$105.38
75872-TC	Radiology	$140.21	$140.21
75880	Radiology	$204.67	$204.67
75880-26	Radiology	$65.11	$65.11
75880-TC	Radiology	$139.58	$139.58
75885	Radiology	$259.25	$259.25
75885-26	Radiology	$125.33	$125.33
75885-TC	Radiology	$133.95	$133.95
75887	Radiology	$263.64	$263.64
75887-26	Radiology	$127.20	$127.20
75887-TC	Radiology	$136.44	$136.44
75889	Radiology	$235.40	$235.40
75889-26	Radiology	$100.21	$100.21
75889-TC	Radiology	$135.19	$135.19
75891	Radiology	$236.65	$236.65
75891-26	Radiology	$100.83	$100.83
75891-TC	Radiology	$135.82	$135.82
75893	Radiology	$195.14	$195.14
75893-26	Radiology	$48.67	$48.67
75893-TC	Radiology	$146.46	$146.46
75894	Radiology	$2,024.43	$2,024.43
75894-26	Radiology	$134.24	$134.24
75894-TC	Radiology	$1,890.19	$1,890.19
75898	Radiology	$252.04	$252.04
75898-26	Radiology	$169.81	$169.81
75898-TC	Radiology	$82.23	$82.23
75901	Radiology	$451.58	$451.58
75901-26	Radiology	$44.67	$44.67
75901-TC	Radiology	$406.91	$406.91
75902	Radiology	$177.51	$177.51
75902-26	Radiology	$36.04	$36.04
75902-TC	Radiology	$141.45	$141.45
75956	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75956-26	Radiology	$640.52	$640.52
75956-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75957	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75957-26	Radiology	$547.58	$547.58
75957-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75958	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75958-26	Radiology	$363.91	$363.91
75958-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75959	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75959-26	Radiology	$320.33	$320.33
75959-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75970	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75970-26	Radiology	$73.18	$73.18
75970-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
75984	Radiology	$185.89	$185.89
75984-26	Radiology	$73.24	$73.24
75984-TC	Radiology	$112.65	$112.65
75989	Radiology	$219.30	$219.30
75989-26	Radiology	$107.89	$107.89
75989-TC	Radiology	$111.40	$111.40
76000	Radiology	$81.26	$81.26
76000-26	Radiology	$29.35	$29.35
76000-TC	Radiology	$51.91	$51.91
76010	Radiology	$56.47	$56.47
76010-26	Radiology	$17.08	$17.08
76010-TC	Radiology	$39.37	$39.37
76080	Radiology	$115.60	$115.60
76080-26	Radiology	$48.67	$48.67
76080-TC	Radiology	$66.92	$66.92
76098	Radiology	$77.06	$77.06
76098-26	Radiology	$29.54	$29.54
76098-TC	Radiology	$47.52	$47.52
76100	Radiology	$170.90	$170.90
76100-26	Radiology	$54.50	$54.50
76100-TC	Radiology	$116.42	$116.42
76120	Radiology	$219.41	$219.41
76120-26	Radiology	$37.25	$37.25
76120-TC	Radiology	$182.17	$182.17
76125	Radiology	$110.92	$110.92
76125-26	Radiology	$25.04	$25.04
76125-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76140	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76145	Radiology	$1,503.16	$1,503.16
76376	Radiology	$43.41	$43.41
76376-26	Radiology	$18.43	$18.43
76376-TC	Radiology	$24.98	$24.98
76377	Radiology	$137.48	$137.48
76377-26	Radiology	$73.69	$73.69
76377-TC	Radiology	$63.80	$63.80
76380	Radiology	$261.09	$261.09
76380-26	Radiology	$88.94	$88.94
76380-TC	Radiology	$172.15	$172.15
76390	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76390-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76390-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76391	Radiology	$403.75	$403.75
76391-26	Radiology	$102.04	$102.04
76391-TC	Radiology	$301.70	$301.70
76496	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76496-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76496-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76497	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76497-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76497-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76498	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76498-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76498-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76499	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76499-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76499-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76506	Radiology	$219.92	$219.92
76506-26	Radiology	$59.69	$59.69
76506-TC	Radiology	$160.25	$160.25
76510	Radiology	$131.63	$131.63
76510-26	Radiology	$74.72	$74.72
76510-TC	Radiology	$56.92	$56.92
76511	Radiology	$107.54	$107.54
76511-26	Radiology	$67.53	$67.53
76511-TC	Radiology	$40.01	$40.01
76512	Radiology	$90.87	$90.87
76512-26	Radiology	$58.38	$58.38
76512-TC	Radiology	$32.49	$32.49
76513	Radiology	$143.05	$143.05
76513-26	Radiology	$61.70	$61.70
76513-TC	Radiology	$81.33	$81.33
76514	Radiology	$21.82	$21.82
76514-26	Radiology	$15.02	$15.02
76514-TC	Radiology	$6.81	$6.81
76516	Radiology	$87.59	$87.59
76516-26	Radiology	$42.57	$42.57
76516-TC	Radiology	$45.01	$45.01
76519	Radiology	$126.48	$126.48
76519-26	Radiology	$57.66	$57.66
76519-TC	Radiology	$68.82	$68.82
76529	Radiology	$161.69	$161.69
76529-26	Radiology	$60.94	$60.94
76529-TC	Radiology	$100.76	$100.76
76536	Radiology	$213.39	$213.39
76536-26	Radiology	$53.16	$53.16
76536-TC	Radiology	$160.25	$160.25
76604	Radiology	$111.46	$111.46
76604-26	Radiology	$53.92	$53.92
76604-TC	Radiology	$57.54	$57.54
76641	Radiology	$197.32	$197.32
76641-26	Radiology	$67.76	$67.76
76641-TC	Radiology	$129.56	$129.56
76642	Radiology	$162.01	$162.01
76642-26	Radiology	$63.12	$63.12
76642-TC	Radiology	$98.87	$98.87
76700	Radiology	$224.62	$224.62
76700-26	Radiology	$75.04	$75.04
76700-TC	Radiology	$149.60	$149.60
76705	Radiology	$167.82	$167.82
76705-26	Radiology	$55.19	$55.19
76705-TC	Radiology	$112.65	$112.65
76706	Radiology	$203.33	$203.33
76706-26	Radiology	$51.23	$51.23
76706-TC	Radiology	$152.10	$152.10
76770	Radiology	$208.01	$208.01
76770-26	Radiology	$68.43	$68.43
76770-TC	Radiology	$139.58	$139.58
76775	Radiology	$110.78	$110.78
76775-26	Radiology	$53.88	$53.88
76775-TC	Radiology	$56.92	$56.92
76776	Radiology	$284.43	$284.43
76776-26	Radiology	$70.41	$70.41
76776-TC	Radiology	$214.03	$214.03
76800	Radiology	$278.46	$278.46
76800-26	Radiology	$113.82	$113.82
76800-TC	Radiology	$164.62	$164.62
76801	Radiology	$224.87	$224.87
76801-26	Radiology	$91.57	$91.57
76801-TC	Radiology	$133.32	$133.32
76802	Radiology	$117.72	$117.72
76802-26	Radiology	$77.63	$77.63
76802-TC	Radiology	$40.07	$40.07
76805	Radiology	$258.06	$258.06
76805-26	Radiology	$92.20	$92.20
76805-TC	Radiology	$165.89	$165.89
76810	Radiology	$169.08	$169.08
76810-26	Radiology	$90.89	$90.89
76810-TC	Radiology	$78.21	$78.21
76811	Radiology	$333.43	$333.43
76811-26	Radiology	$177.18	$177.18
76811-TC	Radiology	$156.27	$156.27
76812	Radiology	$369.95	$369.95
76812-26	Radiology	$166.57	$166.57
76812-TC	Radiology	$203.39	$203.39
76813	Radiology	$226.43	$226.43
76813-26	Radiology	$110.02	$110.02
76813-TC	Radiology	$116.42	$116.42
76814	Radiology	$145.98	$145.98
76814-26	Radiology	$92.82	$92.82
76814-TC	Radiology	$53.16	$53.16
76815	Radiology	$155.59	$155.59
76815-26	Radiology	$60.47	$60.47
76815-TC	Radiology	$95.12	$95.12
76816	Radiology	$209.80	$209.80
76816-26	Radiology	$79.62	$79.62
76816-TC	Radiology	$130.18	$130.18
76817	Radiology	$178.00	$178.00
76817-26	Radiology	$70.36	$70.36
76817-TC	Radiology	$107.64	$107.64
76818	Radiology	$218.83	$218.83
76818-26	Radiology	$98.12	$98.12
76818-TC	Radiology	$120.72	$120.72
76819	Radiology	$159.94	$159.94
76819-26	Radiology	$72.33	$72.33
76819-TC	Radiology	$87.59	$87.59
76820	Radiology	$86.76	$86.76
76820-26	Radiology	$46.74	$46.74
76820-TC	Radiology	$40.01	$40.01
76821	Radiology	$169.12	$169.12
76821-26	Radiology	$65.25	$65.25
76821-TC	Radiology	$103.88	$103.88
76825	Radiology	$503.43	$503.43
76825-26	Radiology	$154.28	$154.28
76825-TC	Radiology	$349.15	$349.15
76826	Radiology	$302.31	$302.31
76826-26	Radiology	$77.63	$77.63
76826-TC	Radiology	$224.68	$224.68
76827	Radiology	$134.73	$134.73
76827-26	Radiology	$53.39	$53.39
76827-TC	Radiology	$81.33	$81.33
76828	Radiology	$95.18	$95.18
76828-26	Radiology	$52.05	$52.05
76828-TC	Radiology	$43.13	$43.13
76830	Radiology	$229.05	$229.05
76830-26	Radiology	$64.43	$64.43
76830-TC	Radiology	$164.62	$164.62
76831	Radiology	$222.94	$222.94
76831-26	Radiology	$67.70	$67.70
76831-TC	Radiology	$155.24	$155.24
76856	Radiology	$202.76	$202.76
76856-26	Radiology	$64.43	$64.43
76856-TC	Radiology	$138.33	$138.33
76857	Radiology	$91.14	$91.14
76857-26	Radiology	$45.49	$45.49
76857-TC	Radiology	$45.65	$45.65
76870	Radiology	$193.11	$193.11
76870-26	Radiology	$59.81	$59.81
76870-TC	Radiology	$133.32	$133.32
76872	Radiology	$385.69	$385.69
76872-26	Radiology	$62.69	$62.69
76872-TC	Radiology	$323.00	$323.00
76873	Radiology	$331.48	$331.48
76873-26	Radiology	$146.82	$146.82
76873-TC	Radiology	$184.67	$184.67
76881	Radiology	$111.81	$111.81
76881-26	Radiology	$58.66	$58.66
76881-TC	Radiology	$53.16	$53.16
76882	Radiology	$106.74	$106.74
76882-26	Radiology	$44.81	$44.81
76882-TC	Radiology	$61.93	$61.93
76885	Radiology	$262.41	$262.41
76885-26	Radiology	$69.05	$69.05
76885-TC	Radiology	$193.36	$193.36
76886	Radiology	$192.39	$192.39
76886-26	Radiology	$57.82	$57.82
76886-TC	Radiology	$134.57	$134.57
76932	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76932-26	Radiology	$68.35	$68.35
76932-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76936	Radiology	$498.73	$498.73
76936-26	Radiology	$182.15	$182.15
76936-TC	Radiology	$316.58	$316.58
76937	Radiology	$74.59	$74.59
76937-26	Radiology	$26.36	$26.36
76937-TC	Radiology	$48.22	$48.22
76940	Radiology	$322.37	$322.37
76940-26	Radiology	$191.37	$191.37
76940-TC	Radiology	$131.00	$131.00
76941	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76941-26	Radiology	$124.57	$124.57
76941-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76942	Radiology	$110.60	$110.60
76942-26	Radiology	$59.32	$59.32
76942-TC	Radiology	$51.29	$51.29
76945	Radiology	$69.71	$69.71
76945-26	Radiology	$61.97	$61.97
76945-TC	Radiology	$7.74	$7.74
76946	Radiology	$61.19	$61.19
76946-26	Radiology	$34.96	$34.96
76946-TC	Radiology	$26.23	$26.23
76948	Radiology	$152.70	$152.70
76948-26	Radiology	$61.97	$61.97
76948-TC	Radiology	$90.73	$90.73
76965	Radiology	$177.10	$177.10
76965-26	Radiology	$128.33	$128.33
76965-TC	Radiology	$48.77	$48.77
76975	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76975-26	Radiology	$78.31	$78.31
76975-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76977	Radiology	$13.24	$13.24
76977-26	Radiology	$5.19	$5.19
76977-TC	Radiology	$8.07	$8.07
76978	Radiology	$566.92	$566.92
76978-26	Radiology	$150.62	$150.62
76978-TC	Radiology	$416.31	$416.31
76979	Radiology	$374.50	$374.50
76979-26	Radiology	$78.98	$78.98
76979-TC	Radiology	$295.50	$295.50
76981	Radiology	$198.51	$198.51
76981-26	Radiology	$55.81	$55.81
76981-TC	Radiology	$142.70	$142.70
76982	Radiology	$179.09	$179.09
76982-26	Radiology	$55.81	$55.81
76982-TC	Radiology	$123.30	$123.30
76983	Radiology	$116.81	$116.81
76983-26	Radiology	$47.37	$47.37
76983-TC	Radiology	$69.44	$69.44
76998	Radiology	$323.86	$323.86
76998-26	Radiology	$117.64	$117.64
76998-TC	Radiology	$206.21	$206.21
76999	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76999-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
76999-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77001	Radiology	$194.36	$194.36
77001-26	Radiology	$35.37	$35.37
77001-TC	Radiology	$158.98	$158.98
77002	Radiology	$220.82	$220.82
77002-26	Radiology	$52.44	$52.44
77002-TC	Radiology	$168.38	$168.38
77003	Radiology	$200.44	$200.44
77003-26	Radiology	$55.85	$55.85
77003-TC	Radiology	$144.59	$144.59
77011	Radiology	$428.55	$428.55
77011-26	Radiology	$118.64	$118.64
77011-TC	Radiology	$309.91	$309.91
77012	Radiology	$272.71	$272.71
77012-26	Radiology	$136.27	$136.27
77012-TC	Radiology	$136.44	$136.44
77013	Radiology	$1,136.54	$1,136.54
77013-26	Radiology	$352.87	$352.87
77013-TC	Radiology	$783.67	$783.67
77014	Radiology	$227.96	$227.96
77014-26	Radiology	$85.88	$85.88
77014-TC	Radiology	$142.08	$142.08
77021	Radiology	$810.23	$810.23
77021-26	Radiology	$135.92	$135.92
77021-TC	Radiology	$674.31	$674.31
77022	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77022-26	Radiology	$391.52	$391.52
77022-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77046	Radiology	$426.50	$426.50
77046-26	Radiology	$134.84	$134.84
77046-TC	Radiology	$291.68	$291.68
77047	Radiology	$438.52	$438.52
77047-26	Radiology	$148.08	$148.08
77047-TC	Radiology	$290.43	$290.43
77048	Radiology	$674.39	$674.39
77048-26	Radiology	$194.20	$194.20
77048-TC	Radiology	$480.17	$480.17
77049	Radiology	$689.05	$689.05
77049-26	Radiology	$212.65	$212.65
77049-TC	Radiology	$476.42	$476.42
77053	Radiology	$101.11	$101.11
77053-26	Radiology	$33.54	$33.54
77053-TC	Radiology	$67.57	$67.57
77054	Radiology	$130.34	$130.34
77054-26	Radiology	$41.50	$41.50
77054-TC	Radiology	$88.84	$88.84
77061	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77061-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77061-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77062	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77062-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77062-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77063	Radiology	$100.31	$100.31
77063-26	Radiology	$56.47	$56.47
77063-TC	Radiology	$43.84	$43.84
77065	Radiology	$239.03	$239.03
77065-26	Radiology	$75.04	$75.04
77065-TC	Radiology	$164.00	$164.00
77066	Radiology	$301.88	$301.88
77066-26	Radiology	$92.78	$92.78
77066-TC	Radiology	$209.08	$209.08
77067	Radiology	$243.17	$243.17
77067-26	Radiology	$70.41	$70.41
77067-TC	Radiology	$172.77	$172.77
77071	Radiology	$104.73	$104.73
77072	Radiology	$49.63	$49.63
77072-26	Radiology	$17.76	$17.76
77072-TC	Radiology	$31.86	$31.86
77073	Radiology	$85.59	$85.59
77073-26	Radiology	$25.55	$25.55
77073-TC	Radiology	$60.04	$60.04
77074	Radiology	$124.04	$124.04
77074-26	Radiology	$40.81	$40.81
77074-TC	Radiology	$83.21	$83.21
77075	Radiology	$188.92	$188.92
77075-26	Radiology	$51.85	$51.85
77075-TC	Radiology	$137.07	$137.07
77076	Radiology	$203.42	$203.42
77076-26	Radiology	$65.11	$65.11
77076-TC	Radiology	$138.33	$138.33
77077	Radiology	$89.06	$89.06
77077-26	Radiology	$32.14	$32.14
77077-TC	Radiology	$56.92	$56.92
77078	Radiology	$202.10	$202.10
77078-26	Radiology	$23.07	$23.07
77078-TC	Radiology	$179.03	$179.03
77080	Radiology	$69.71	$69.71
77080-26	Radiology	$18.43	$18.43
77080-TC	Radiology	$51.29	$51.29
77081	Radiology	$58.44	$58.44
77081-26	Radiology	$19.05	$19.05
77081-TC	Radiology	$39.37	$39.37
77084	Radiology	$637.65	$637.65
77084-26	Radiology	$148.71	$148.71
77084-TC	Radiology	$488.94	$488.94
77085	Radiology	$95.88	$95.88
77085-26	Radiology	$28.31	$28.31
77085-TC	Radiology	$67.57	$67.57
77086	Radiology	$61.43	$61.43
77086-26	Radiology	$15.78	$15.78
77086-TC	Radiology	$45.65	$45.65
77089	Radiology	$75.89	$75.89
77090	Radiology	$4.31	$4.31
77091	Radiology	$51.91	$51.91
77092	Radiology	$19.68	$19.68
77261	Radiology	$135.92	$135.92
77262	Radiology	$206.10	$206.10
77263	Radiology	$321.67	$321.67
77280	Radiology	$501.52	$501.52
77280-26	Radiology	$72.62	$72.62
77280-TC	Radiology	$428.90	$428.90
77285	Radiology	$828.79	$828.79
77285-26	Radiology	$108.77	$108.77
77285-TC	Radiology	$720.02	$720.02
77290	Radiology	$856.09	$856.09
77290-26	Radiology	$157.99	$157.99
77290-TC	Radiology	$698.10	$698.10
77293	Radiology	$783.41	$783.41
77293-26	Radiology	$201.94	$201.94
77293-TC	Radiology	$581.47	$581.47
77295	Radiology	$892.67	$892.67
77295-26	Radiology	$431.65	$431.65
77295-TC	Radiology	$461.02	$461.02
77299	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77299-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77299-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77300	Radiology	$122.40	$122.40
77300-26	Radiology	$62.36	$62.36
77300-TC	Radiology	$60.04	$60.04
77301	Radiology	$3,407.29	$3,407.29
77301-26	Radiology	$802.58	$802.58
77301-TC	Radiology	$2,604.73	$2,604.73
77306	Radiology	$274.31	$274.31
77306-26	Radiology	$140.44	$140.44
77306-TC	Radiology	$133.87	$133.87
77307	Radiology	$534.01	$534.01
77307-26	Radiology	$291.33	$291.33
77307-TC	Radiology	$242.68	$242.68
77316	Radiology	$451.39	$451.39
77316-26	Radiology	$140.44	$140.44
77316-TC	Radiology	$310.95	$310.95
77317	Radiology	$596.45	$596.45
77317-26	Radiology	$184.90	$184.90
77317-TC	Radiology	$411.55	$411.55
77318	Radiology	$847.39	$847.39
77318-26	Radiology	$291.33	$291.33
77318-TC	Radiology	$556.06	$556.06
77321	Radiology	$175.83	$175.83
77321-26	Radiology	$95.75	$95.75
77321-TC	Radiology	$80.09	$80.09
77331	Radiology	$122.23	$122.23
77331-26	Radiology	$87.85	$87.85
77331-TC	Radiology	$34.38	$34.38
77332	Radiology	$72.74	$72.74
77332-26	Radiology	$45.88	$45.88
77332-TC	Radiology	$26.85	$26.85
77333	Radiology	$260.66	$260.66
77333-26	Radiology	$75.99	$75.99
77333-TC	Radiology	$184.67	$184.67
77334	Radiology	$233.16	$233.16
77334-26	Radiology	$115.52	$115.52
77334-TC	Radiology	$117.66	$117.66
77336	Radiology	$151.59	$151.59
77338	Radiology	$862.47	$862.47
77338-26	Radiology	$431.65	$431.65
77338-TC	Radiology	$430.81	$430.81
77370	Radiology	$241.47	$241.47
77371	Radiology	$4,730.86	$4,730.86
77372	Radiology	$1,820.38	$1,820.38
77373	Radiology	$1,880.29	$1,880.29
77385	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77386	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77387	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77399	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77399-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77399-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77401	Radiology	$76.32	$76.32
77402	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77407	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77412	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77417	Radiology	$23.09	$23.09
77423	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77424	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77425	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77427	Radiology	$363.34	$363.34
77431	Radiology	$203.29	$203.29
77432	Radiology	$812.47	$812.47
77435	Radiology	$1,225.32	$1,225.32
77469	Radiology	$607.25	$607.25
77470	Radiology	$258.38	$258.38
77470-26	Radiology	$205.22	$205.22
77470-TC	Radiology	$53.16	$53.16
77499	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77499-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77499-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77520	Radiology	$1,605.12	$1,605.12
77522	Radiology	$1,661.40	$1,661.40
77523	Radiology	$1,726.45	$1,726.45
77525	Radiology	$1,927.67	$1,927.67
77600	Radiology	$950.63	$950.63
77600-26	Radiology	$135.00	$135.00
77600-TC	Radiology	$815.61	$815.61
77605	Radiology	$1,867.71	$1,867.71
77605-26	Radiology	$193.05	$193.05
77605-TC	Radiology	$1,674.66	$1,674.66
77610	Radiology	$1,299.29	$1,299.29
77610-26	Radiology	$131.88	$131.88
77610-TC	Radiology	$1,167.41	$1,167.41
77615	Radiology	$2,022.75	$2,022.75
77615-26	Radiology	$185.58	$185.58
77615-TC	Radiology	$1,837.19	$1,837.19
77620	Radiology	$1,221.34	$1,221.34
77620-26	Radiology	$160.39	$160.39
77620-TC	Radiology	$1,060.96	$1,060.96
77750	Radiology	$738.87	$738.87
77750-26	Radiology	$503.76	$503.76
77750-TC	Radiology	$235.09	$235.09
77761	Radiology	$776.08	$776.08
77761-26	Radiology	$386.53	$386.53
77761-TC	Radiology	$389.55	$389.55
77762	Radiology	$1,022.68	$1,022.68
77762-26	Radiology	$579.33	$579.33
77762-TC	Radiology	$443.33	$443.33
77763	Radiology	$1,442.24	$1,442.24
77763-26	Radiology	$870.66	$870.66
77763-TC	Radiology	$571.56	$571.56
77767	Radiology	$461.04	$461.04
77767-26	Radiology	$105.63	$105.63
77767-TC	Radiology	$355.41	$355.41
77768	Radiology	$671.60	$671.60
77768-26	Radiology	$141.08	$141.08
77768-TC	Radiology	$530.54	$530.54
77770	Radiology	$645.39	$645.39
77770-26	Radiology	$196.76	$196.76
77770-TC	Radiology	$448.64	$448.64
77771	Radiology	$1,112.20	$1,112.20
77771-26	Radiology	$380.80	$380.80
77771-TC	Radiology	$731.41	$731.41
77772	Radiology	$1,652.57	$1,652.57
77772-26	Radiology	$538.28	$538.28
77772-TC	Radiology	$1,114.29	$1,114.29
77778	Radiology	$1,694.34	$1,694.34
77778-26	Radiology	$880.64	$880.64
77778-TC	Radiology	$813.70	$813.70
77789	Radiology	$249.33	$249.33
77789-26	Radiology	$115.46	$115.46
77789-TC	Radiology	$133.87	$133.87
77790	Radiology	$29.37	$29.37
77790-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77790-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77799	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77799-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
77799-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78012	Radiology	$150.23	$150.23
78012-26	Radiology	$17.14	$17.14
78012-TC	Radiology	$133.09	$133.09
78013	Radiology	$345.85	$345.85
78013-26	Radiology	$33.66	$33.66
78013-TC	Radiology	$312.20	$312.20
78014	Radiology	$424.69	$424.69
78014-26	Radiology	$45.49	$45.49
78014-TC	Radiology	$379.20	$379.20
78015	Radiology	$410.34	$410.34
78015-26	Radiology	$62.46	$62.46
78015-TC	Radiology	$347.90	$347.90
78016	Radiology	$504.52	$504.52
78016-26	Radiology	$64.66	$64.66
78016-TC	Radiology	$439.88	$439.88
78018	Radiology	$559.61	$559.61
78018-26	Radiology	$77.16	$77.16
78018-TC	Radiology	$482.45	$482.45
78020	Radiology	$150.40	$150.40
78020-26	Radiology	$52.24	$52.24
78020-TC	Radiology	$98.16	$98.16
78070	Radiology	$522.44	$522.44
78070-26	Radiology	$72.48	$72.48
78070-TC	Radiology	$449.96	$449.96
78071	Radiology	$625.70	$625.70
78071-26	Radiology	$108.79	$108.79
78071-TC	Radiology	$516.91	$516.91
78072	Radiology	$787.18	$787.18
78072-26	Radiology	$143.15	$143.15
78072-TC	Radiology	$644.03	$644.03
78075	Radiology	$791.84	$791.84
78075-26	Radiology	$69.05	$69.05
78075-TC	Radiology	$722.79	$722.79
78099	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78099-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78099-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78102	Radiology	$308.45	$308.45
78102-26	Radiology	$48.87	$48.87
78102-TC	Radiology	$259.58	$259.58
78103	Radiology	$340.20	$340.20
78103-26	Radiology	$59.30	$59.30
78103-TC	Radiology	$280.88	$280.88
78104	Radiology	$447.29	$447.29
78104-26	Radiology	$72.48	$72.48
78104-TC	Radiology	$374.83	$374.83
78110	Radiology	$130.18	$130.18
78110-26	Radiology	$15.25	$15.25
78110-TC	Radiology	$114.93	$114.93
78111	Radiology	$138.47	$138.47
78111-26	Radiology	$17.90	$17.90
78111-TC	Radiology	$120.57	$120.57
78120	Radiology	$133.52	$133.52
78120-26	Radiology	$18.58	$18.58
78120-TC	Radiology	$114.93	$114.93
78121	Radiology	$146.46	$146.46
78121-26	Radiology	$25.90	$25.90
78121-TC	Radiology	$120.57	$120.57
78122	Radiology	$182.79	$182.79
78122-26	Radiology	$39.68	$39.68
78122-TC	Radiology	$143.11	$143.11
78130	Radiology	$234.86	$234.86
78130-26	Radiology	$48.61	$48.61
78130-TC	Radiology	$186.24	$186.24
78140	Radiology	$208.63	$208.63
78140-26	Radiology	$48.61	$48.61
78140-TC	Radiology	$160.02	$160.02
78185	Radiology	$307.81	$307.81
78185-26	Radiology	$31.92	$31.92
78185-TC	Radiology	$275.87	$275.87
78191	Radiology	$234.86	$234.86
78191-26	Radiology	$48.61	$48.61
78191-TC	Radiology	$186.24	$186.24
78195	Radiology	$632.58	$632.58
78195-26	Radiology	$108.17	$108.17
78195-TC	Radiology	$524.41	$524.41
78199	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78199-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78199-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78201	Radiology	$340.49	$340.49
78201-26	Radiology	$39.57	$39.57
78201-TC	Radiology	$300.92	$300.92
78202	Radiology	$377.15	$377.15
78202-26	Radiology	$45.53	$45.53
78202-TC	Radiology	$331.62	$331.62
78215	Radiology	$350.75	$350.75
78215-26	Radiology	$44.81	$44.81
78215-TC	Radiology	$305.94	$305.94
78216	Radiology	$240.30	$240.30
78216-26	Radiology	$50.84	$50.84
78216-TC	Radiology	$189.46	$189.46
78226	Radiology	$579.70	$579.70
78226-26	Radiology	$67.80	$67.80
78226-TC	Radiology	$511.89	$511.89
78227	Radiology	$779.47	$779.47
78227-26	Radiology	$82.35	$82.35
78227-TC	Radiology	$697.11	$697.11
78230	Radiology	$314.87	$314.87
78230-26	Radiology	$41.50	$41.50
78230-TC	Radiology	$273.37	$273.37
78231	Radiology	$197.54	$197.54
78231-26	Radiology	$41.28	$41.28
78231-TC	Radiology	$156.27	$156.27
78232	Radiology	$194.16	$194.16
78232-26	Radiology	$37.28	$37.28
78232-TC	Radiology	$156.90	$156.90
78258	Radiology	$382.65	$382.65
78258-26	Radiology	$64.82	$64.82
78258-TC	Radiology	$317.83	$317.83
78261	Radiology	$367.46	$367.46
78261-26	Radiology	$54.64	$54.64
78261-TC	Radiology	$312.82	$312.82
78262	Radiology	$438.57	$438.57
78262-26	Radiology	$63.75	$63.75
78262-TC	Radiology	$374.83	$374.83
78264	Radiology	$589.33	$589.33
78264-26	Radiology	$72.42	$72.42
78264-TC	Radiology	$516.91	$516.91
78265	Radiology	$697.83	$697.83
78265-26	Radiology	$89.02	$89.02
78265-TC	Radiology	$608.81	$608.81
78266	Radiology	$782.77	$782.77
78266-26	Radiology	$94.50	$94.50
78266-TC	Radiology	$688.27	$688.27
78267	Clinical Laboratory	$16.59	$16.59
78268	Clinical Laboratory	$141.62	$141.62
78278	Radiology	$621.62	$621.62
78278-26	Radiology	$90.30	$90.30
78278-TC	Radiology	$531.30	$531.30
78282	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78282-26	Radiology	$30.58	$30.58
78282-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78290	Radiology	$586.91	$586.91
78290-26	Radiology	$61.87	$61.87
78290-TC	Radiology	$525.04	$525.04
78291	Radiology	$468.98	$468.98
78291-26	Radiology	$81.63	$81.63
78291-TC	Radiology	$387.35	$387.35
78299	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78299-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78299-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78300	Radiology	$407.59	$407.59
78300-26	Radiology	$57.82	$57.82
78300-TC	Radiology	$349.77	$349.77
78305	Radiology	$491.91	$491.91
78305-26	Radiology	$75.76	$75.76
78305-TC	Radiology	$416.15	$416.15
78306	Radiology	$529.00	$529.00
78306-26	Radiology	$77.79	$77.79
78306-TC	Radiology	$451.23	$451.23
78315	Radiology	$617.37	$617.37
78315-26	Radiology	$92.33	$92.33
78315-TC	Radiology	$525.04	$525.04
78350	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78350-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78350-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78351	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78399	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78399-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78399-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78414	Radiology	$169.34	$169.34
78414-26	Radiology	$41.57	$41.57
78414-TC	Radiology	$127.76	$127.76
78428	Radiology	$338.23	$338.23
78428-26	Radiology	$71.14	$71.14
78428-TC	Radiology	$267.11	$267.11
78429	Radiology	$183.90	$183.90
78429-26	Radiology	$154.71	$154.71
78429-TC	Radiology	$29.19	$29.19
78430	Radiology	$176.59	$176.59
78430-26	Radiology	$147.40	$147.40
78430-TC	Radiology	$29.19	$29.19
78431	Radiology	$4,243.86	$4,243.86
78431-26	Radiology	$171.54	$171.54
78431-TC	Radiology	$4,072.32	$4,072.32
78432	Radiology	$5,159.00	$5,159.00
78432-26	Radiology	$181.76	$181.76
78432-TC	Radiology	$4,977.24	$4,977.24
78433	Radiology	$5,177.37	$5,177.37
78433-26	Radiology	$200.15	$200.15
78433-TC	Radiology	$4,977.24	$4,977.24
78434	Major surgery	$58.03	$58.03
78434-26	Radiology	$56.76	$56.76
78434-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78445	Radiology	$375.59	$375.59
78445-26	Radiology	$47.74	$47.74
78445-TC	Radiology	$327.85	$327.85
78451	Radiology	$609.02	$609.02
78451-26	Radiology	$125.33	$125.33
78451-TC	Radiology	$483.72	$483.72
78452	Radiology	$847.18	$847.18
78452-26	Radiology	$148.26	$148.26
78452-TC	Radiology	$698.92	$698.92
78453	Radiology	$527.81	$527.81
78453-26	Radiology	$90.99	$90.99
78453-TC	Radiology	$436.82	$436.82
78454	Radiology	$775.13	$775.13
78454-26	Radiology	$123.73	$123.73
78454-TC	Radiology	$651.40	$651.40
78456	Radiology	$560.92	$560.92
78456-26	Radiology	$91.61	$91.61
78456-TC	Radiology	$469.31	$469.31
78457	Radiology	$325.05	$325.05
78457-26	Radiology	$71.08	$71.08
78457-TC	Radiology	$253.95	$253.95
78458	Radiology	$371.38	$371.38
78458-26	Radiology	$83.62	$83.62
78458-TC	Radiology	$287.78	$287.78
78459	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78459-26	Radiology	$142.10	$142.10
78459-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78466	Radiology	$349.07	$349.07
78466-26	Radiology	$65.68	$65.68
78466-TC	Radiology	$283.39	$283.39
78468	Radiology	$353.36	$353.36
78468-26	Radiology	$73.11	$73.11
78468-TC	Radiology	$280.25	$280.25
78469	Radiology	$397.78	$397.78
78469-26	Radiology	$84.34	$84.34
78469-TC	Radiology	$313.44	$313.44
78472	Radiology	$409.97	$409.97
78472-26	Radiology	$89.64	$89.64
78472-TC	Radiology	$320.35	$320.35
78473	Radiology	$520.61	$520.61
78473-26	Radiology	$132.64	$132.64
78473-TC	Radiology	$387.97	$387.97
78481	Radiology	$321.67	$321.67
78481-26	Radiology	$89.64	$89.64
78481-TC	Radiology	$232.03	$232.03
78483	Radiology	$439.20	$439.20
78483-26	Radiology	$134.53	$134.53
78483-TC	Radiology	$304.69	$304.69
78491	Radiology	$2,305.15	$2,305.15
78491-26	Radiology	$137.48	$137.48
78491-TC	Radiology	$2,167.68	$2,167.68
78492	Radiology	$2,331.23	$2,331.23
78492-26	Radiology	$163.55	$163.55
78492-TC	Radiology	$2,167.68	$2,167.68
78494	Radiology	$413.50	$413.50
78494-26	Radiology	$108.81	$108.81
78494-TC	Radiology	$304.69	$304.69
78496	Radiology	$81.12	$81.12
78496-26	Radiology	$46.12	$46.12
78496-TC	Radiology	$35.00	$35.00
78499	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78499-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78499-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78579	Radiology	$333.84	$333.84
78579-26	Radiology	$44.19	$44.19
78579-TC	Radiology	$289.65	$289.65
78580	Radiology	$422.58	$422.58
78580-26	Radiology	$67.80	$67.80
78580-TC	Radiology	$354.78	$354.78
78582	Radiology	$593.81	$593.81
78582-26	Radiology	$96.95	$96.95
78582-TC	Radiology	$496.86	$496.86
78597	Radiology	$360.79	$360.79
78597-26	Radiology	$65.50	$65.50
78597-TC	Radiology	$295.29	$295.29
78598	Radiology	$542.10	$542.10
78598-26	Radiology	$76.48	$76.48
78598-TC	Radiology	$465.62	$465.62
78599	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78599-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78599-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78600	Radiology	$328.59	$328.59
78600-26	Radiology	$40.81	$40.81
78600-TC	Radiology	$287.78	$287.78
78601	Radiology	$384.66	$384.66
78601-26	Radiology	$46.18	$46.18
78601-TC	Radiology	$338.50	$338.50
78605	Radiology	$357.83	$357.83
78605-26	Radiology	$48.77	$48.77
78605-TC	Radiology	$309.08	$309.08
78606	Radiology	$583.60	$583.60
78606-26	Radiology	$58.56	$58.56
78606-TC	Radiology	$525.04	$525.04
78608	Radiology	$2,301.10	$2,301.10
78608-26	Radiology	$133.42	$133.42
78608-TC	Radiology	$2,167.68	$2,167.68
78609	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78609-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78609-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78610	Radiology	$311.71	$311.71
78610-26	Radiology	$27.07	$27.07
78610-TC	Radiology	$284.64	$284.64
78630	Radiology	$601.95	$601.95
78630-26	Radiology	$62.50	$62.50
78630-TC	Radiology	$539.45	$539.45
78635	Radiology	$600.35	$600.35
78635-26	Radiology	$57.15	$57.15
78635-TC	Radiology	$543.21	$543.21
78645	Radiology	$574.63	$574.63
78645-26	Radiology	$50.84	$50.84
78645-TC	Radiology	$523.79	$523.79
78650	Radiology	$494.73	$494.73
78650-26	Radiology	$48.61	$48.61
78650-TC	Radiology	$446.14	$446.14
78660	Radiology	$332.79	$332.79
78660-26	Radiology	$48.77	$48.77
78660-TC	Radiology	$284.02	$284.02
78699	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78699-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78699-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78700	Radiology	$305.47	$305.47
78700-26	Radiology	$40.87	$40.87
78700-TC	Radiology	$264.60	$264.60
78701	Radiology	$394.58	$394.58
78701-26	Radiology	$44.81	$44.81
78701-TC	Radiology	$349.77	$349.77
78707	Radiology	$416.13	$416.13
78707-26	Radiology	$85.78	$85.78
78707-TC	Radiology	$330.35	$330.35
78708	Radiology	$329.53	$329.53
78708-26	Radiology	$109.47	$109.47
78708-TC	Radiology	$220.06	$220.06
78709	Radiology	$661.64	$661.64
78709-26	Radiology	$127.82	$127.82
78709-TC	Radiology	$533.81	$533.81
78725	Radiology	$210.02	$210.02
78725-26	Radiology	$34.34	$34.34
78725-TC	Radiology	$175.68	$175.68
78730	Radiology	$134.67	$134.67
78730-26	Radiology	$14.51	$14.51
78730-TC	Radiology	$120.16	$120.16
78740	Radiology	$388.79	$388.79
78740-26	Radiology	$50.29	$50.29
78740-TC	Radiology	$338.50	$338.50
78761	Radiology	$380.48	$380.48
78761-26	Radiology	$66.40	$66.40
78761-TC	Radiology	$314.07	$314.07
78799	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78799-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78799-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78800	Radiology	$452.71	$452.71
78800-26	Radiology	$59.73	$59.73
78800-TC	Radiology	$392.98	$392.98
78801	Radiology	$491.42	$491.42
78801-26	Radiology	$65.87	$65.87
78801-TC	Radiology	$425.55	$425.55
78802	Radiology	$553.76	$553.76
78802-26	Radiology	$72.48	$72.48
78802-TC	Radiology	$481.28	$481.28
78803	Radiology	$684.72	$684.72
78803-26	Radiology	$97.05	$97.05
78803-TC	Radiology	$587.67	$587.67
78804	Radiology	$1,162.49	$1,162.49
78804-26	Radiology	$91.65	$91.65
78804-TC	Radiology	$1,070.82	$1,070.82
78808	Radiology	$75.25	$75.25
78811	Radiology	$2,305.52	$2,305.52
78811-26	Radiology	$137.85	$137.85
78811-TC	Radiology	$2,167.68	$2,167.68
78812	Radiology	$2,909.44	$2,909.44
78812-26	Radiology	$174.12	$174.12
78812-TC	Radiology	$2,735.32	$2,735.32
78813	Radiology	$2,910.47	$2,910.47
78813-26	Radiology	$175.15	$175.15
78813-TC	Radiology	$2,735.32	$2,735.32
78814	Radiology	$2,366.21	$2,366.21
78814-26	Radiology	$198.53	$198.53
78814-TC	Radiology	$2,167.68	$2,167.68
78815	Radiology	$2,955.60	$2,955.60
78815-26	Radiology	$220.29	$220.29
78815-TC	Radiology	$2,735.32	$2,735.32
78816	Radiology	$2,957.84	$2,957.84
78816-26	Radiology	$222.53	$222.53
78816-TC	Radiology	$2,735.32	$2,735.32
78830	Radiology	$865.08	$865.08
78830-26	Radiology	$132.11	$132.11
78830-TC	Radiology	$732.95	$732.95
78831	Radiology	$1,259.43	$1,259.43
78831-26	Radiology	$162.94	$162.94
78831-TC	Radiology	$1,096.50	$1,096.50
78832	Radiology	$1,638.37	$1,638.37
78832-26	Radiology	$189.36	$189.36
78832-TC	Radiology	$1,448.99	$1,448.99
78835	Major surgery	$179.28	$179.28
78835-26	Radiology	$41.59	$41.59
78835-TC	Radiology	$137.69	$137.69
78999	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78999-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
78999-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
79005	Radiology	$258.51	$258.51
79005-26	Radiology	$164.09	$164.09
79005-TC	Radiology	$94.42	$94.42
79101	Radiology	$280.02	$280.02
79101-26	Radiology	$181.86	$181.86
79101-TC	Radiology	$98.16	$98.16
79200	Radiology	$257.36	$257.36
79200-26	Radiology	$157.31	$157.31
79200-TC	Radiology	$100.05	$100.05
79300	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
79300-26	Radiology	$126.07	$126.07
79300-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
79403	Radiology	$304.20	$304.20
79403-26	Radiology	$177.37	$177.37
79403-TC	Radiology	$126.83	$126.83
79440	Radiology	$232.95	$232.95
79440-26	Radiology	$157.31	$157.31
79440-TC	Radiology	$75.62	$75.62
79445	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
79445-26	Radiology	$211.24	$211.24
79445-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
79999	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
79999-26	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
79999-TC	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80047	Clinical Laboratory	$20.60	$20.60
80048	Clinical Laboratory	$12.69	$12.69
80050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80051	Clinical Laboratory	$10.52	$10.52
80053	Clinical Laboratory	$15.84	$15.84
80055	Other professional services	$71.72	$71.72
80061	Clinical Laboratory	$20.09	$20.09
80069	Clinical Laboratory	$13.02	$13.02
80074	Clinical Laboratory	$71.45	$71.45
80076	Clinical Laboratory	$12.26	$12.26
80081	Clinical Laboratory	$112.29	$112.29
80143	Clinical Laboratory	$27.96	$27.96
80145	Clinical Laboratory	$57.86	$57.86
80150	Clinical Laboratory	$22.62	$22.62
80151	Clinical Laboratory	$27.96	$27.96
80155	Clinical Laboratory	$57.86	$57.86
80156	Clinical Laboratory	$21.86	$21.86
80157	Clinical Laboratory	$19.88	$19.88
80158	Clinical Laboratory	$27.08	$27.08
80159	Clinical Laboratory	$30.23	$30.23
80161	Clinical Laboratory	$27.96	$27.96
80162	Clinical Laboratory	$19.92	$19.92
80163	Clinical Laboratory	$19.92	$19.92
80164	Clinical Laboratory	$20.31	$20.31
80165	Clinical Laboratory	$20.31	$20.31
80167	Clinical Laboratory	$27.96	$27.96
80168	Clinical Laboratory	$24.51	$24.51
80169	Clinical Laboratory	$20.60	$20.60
80170	Clinical Laboratory	$24.57	$24.57
80171	Clinical Laboratory	$32.51	$32.51
80173	Clinical Laboratory	$23.67	$23.67
80175	Clinical Laboratory	$19.88	$19.88
80176	Clinical Laboratory	$22.04	$22.04
80177	Clinical Laboratory	$19.88	$19.88
80178	Clinical Laboratory	$9.92	$9.92
80179	Clinical Laboratory	$27.96	$27.96
80180	Clinical Laboratory	$27.08	$27.08
80181	Clinical Laboratory	$27.96	$27.96
80183	Clinical Laboratory	$19.88	$19.88
80184	Clinical Laboratory	$22.95	$22.95
80185	Clinical Laboratory	$19.88	$19.88
80186	Clinical Laboratory	$20.64	$20.64
80187	Clinical Laboratory	$40.67	$40.67
80188	Clinical Laboratory	$24.89	$24.89
80189	Clinical Laboratory	$40.67	$40.67
80190	Clinical Laboratory	$90.00	$90.00
80192	Clinical Laboratory	$25.13	$25.13
80193	Clinical Laboratory	$57.86	$57.86
80194	Clinical Laboratory	$21.90	$21.90
80195	Clinical Laboratory	$20.60	$20.60
80197	Clinical Laboratory	$20.60	$20.60
80198	Clinical Laboratory	$21.21	$21.21
80199	Clinical Laboratory	$40.67	$40.67
80200	Clinical Laboratory	$24.20	$24.20
80201	Clinical Laboratory	$17.88	$17.88
80202	Clinical Laboratory	$20.31	$20.31
80203	Clinical Laboratory	$19.88	$19.88
80204	Clinical Laboratory	$57.86	$57.86
80210	Clinical Laboratory	$40.67	$40.67
80220	Clinical Laboratory	$27.96	$27.96
80230	Clinical Laboratory	$57.86	$57.86
80235	Clinical Laboratory	$40.67	$40.67
80280	Clinical Laboratory	$57.86	$57.86
80285	Clinical Laboratory	$40.67	$40.67
80299	Clinical Laboratory	$27.96	$27.96
80305	Clinical Laboratory	$18.90	$18.90
80306	Clinical Laboratory	$25.71	$25.71
80307	Clinical Laboratory	$93.21	$93.21
80320	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80321	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80322	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80323	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80324	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80325	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80326	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80327	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80328	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80329	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80330	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80331	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80332	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80333	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80334	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80335	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80336	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80337	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80338	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80339	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80340	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80341	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80342	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80343	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80344	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80345	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80346	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80347	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80348	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80349	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80350	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80351	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80352	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80353	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80354	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80355	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80356	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80357	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80358	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80359	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80360	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80361	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80362	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80363	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80364	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80365	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80366	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80367	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80368	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80369	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80370	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80371	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80372	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80373	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80374	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80375	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80376	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80377	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
80400	Clinical Laboratory	$48.93	$48.93
80402	Clinical Laboratory	$130.44	$130.44
80406	Clinical Laboratory	$117.39	$117.39
80408	Clinical Laboratory	$188.25	$188.25
80410	Clinical Laboratory	$120.56	$120.56
80412	Clinical Laboratory	$1,202.43	$1,202.43
80414	Clinical Laboratory	$77.46	$77.46
80415	Clinical Laboratory	$83.84	$83.84
80416	Clinical Laboratory	$313.98	$313.98
80417	Clinical Laboratory	$65.99	$65.99
80418	Clinical Laboratory	$869.22	$869.22
80420	Clinical Laboratory	$242.82	$242.82
80422	Clinical Laboratory	$69.11	$69.11
80424	Clinical Laboratory	$75.75	$75.75
80426	Clinical Laboratory	$222.62	$222.62
80428	Clinical Laboratory	$100.05	$100.05
80430	Clinical Laboratory	$194.00	$194.00
80432	Clinical Laboratory	$248.42	$248.42
80434	Clinical Laboratory	$427.55	$427.55
80435	Clinical Laboratory	$154.50	$154.50
80436	Clinical Laboratory	$136.74	$136.74
80438	Clinical Laboratory	$75.62	$75.62
80439	Clinical Laboratory	$100.82	$100.82
80503	Clinical Laboratory	$38.58	$32.81
80504	Clinical Laboratory	$77.31	$70.08
80505	Clinical Laboratory	$140.22	$132.03
80506	Clinical Laboratory	$62.99	$62.99
81000	Clinical Laboratory	$6.03	$6.03
81001	Clinical Laboratory	$4.76	$4.76
81002	Clinical Laboratory	$5.22	$5.22
81003	Clinical Laboratory	$3.38	$3.38
81005	Clinical Laboratory	$3.26	$3.26
81007	Clinical Laboratory	$44.97	$44.97
81015	Clinical Laboratory	$4.58	$4.58
81020	Clinical Laboratory	$7.05	$7.05
81025	Clinical Laboratory	$12.92	$12.92
81050	Clinical Laboratory	$5.46	$5.46
81099	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
81105	Clinical Laboratory	$183.33	$183.33
81106	Clinical Laboratory	$183.33	$183.33
81107	Clinical Laboratory	$183.33	$183.33
81108	Clinical Laboratory	$183.33	$183.33
81109	Clinical Laboratory	$183.33	$183.33
81110	Clinical Laboratory	$183.33	$183.33
81111	Clinical Laboratory	$183.33	$183.33
81112	Clinical Laboratory	$183.33	$183.33
81120	Clinical Laboratory	$289.88	$289.88
81121	Clinical Laboratory	$443.69	$443.69
81161	Clinical Laboratory	$418.50	$418.50
81162	Clinical Laboratory	$2,737.32	$2,737.32
81163	Clinical Laboratory	$702.00	$702.00
81164	Clinical Laboratory	$876.35	$876.35
81165	Clinical Laboratory	$424.32	$424.32
81166	Clinical Laboratory	$452.03	$452.03
81167	Clinical Laboratory	$424.32	$424.32
81168	Clinical Laboratory	$310.97	$310.97
81170	Clinical Laboratory	$450.00	$450.00
81171	Clinical Laboratory	$205.50	$205.50
81172	Clinical Laboratory	$412.25	$412.25
81173	Clinical Laboratory	$452.03	$452.03
81174	Clinical Laboratory	$277.80	$277.80
81175	Clinical Laboratory	$1,014.75	$1,014.75
81176	Clinical Laboratory	$362.85	$362.85
81177	Clinical Laboratory	$205.50	$205.50
81178	Clinical Laboratory	$205.50	$205.50
81179	Clinical Laboratory	$205.50	$205.50
81180	Clinical Laboratory	$205.50	$205.50
81181	Clinical Laboratory	$205.50	$205.50
81182	Clinical Laboratory	$205.50	$205.50
81183	Clinical Laboratory	$205.50	$205.50
81184	Clinical Laboratory	$205.50	$205.50
81185	Clinical Laboratory	$1,269.41	$1,269.41
81186	Clinical Laboratory	$277.80	$277.80
81187	Clinical Laboratory	$205.50	$205.50
81188	Clinical Laboratory	$205.50	$205.50
81189	Clinical Laboratory	$412.25	$412.25
81190	Clinical Laboratory	$277.80	$277.80
81191	Clinical Laboratory	$310.97	$310.97
81192	Clinical Laboratory	$310.97	$310.97
81193	Clinical Laboratory	$310.97	$310.97
81194	Clinical Laboratory	$777.42	$777.42
81200	Other professional services	$70.88	$70.88
81201	Other professional services	$1,170.00	$1,170.00
81202	Other professional services	$420.00	$420.00
81203	Other professional services	$300.00	$300.00
81204	Clinical Laboratory	$205.50	$205.50
81205	Other professional services	$142.49	$142.49
81206	Clinical Laboratory	$245.94	$245.94
81207	Clinical Laboratory	$217.26	$217.26
81208	Clinical Laboratory	$321.93	$321.93
81209	Other professional services	$58.97	$58.97
81210	Clinical Laboratory	$263.10	$263.10
81212	Clinical Laboratory	$660.00	$660.00
81215	Clinical Laboratory	$562.88	$562.88
81216	Other professional services	$277.68	$277.68
81217	Clinical Laboratory	$562.88	$562.88
81218	Clinical Laboratory	$362.85	$362.85
81219	Clinical Laboratory	$182.45	$182.45
81220	Other professional services	$834.90	$834.90
81221	Other professional services	$145.83	$145.83
81222	Other professional services	$652.61	$652.61
81223	Other professional services	$748.50	$748.50
81224	Other professional services	$253.13	$253.13
81225	Clinical Laboratory	$437.04	$437.04
81226	Clinical Laboratory	$676.37	$676.37
81227	Clinical Laboratory	$262.22	$262.22
81228	Other professional services	$1,350.00	$1,350.00
81229	Other professional services	$1,740.00	$1,740.00
81230	Clinical Laboratory	$262.22	$262.22
81231	Clinical Laboratory	$262.22	$262.22
81232	Clinical Laboratory	$262.22	$262.22
81233	Clinical Laboratory	$263.10	$263.10
81234	Clinical Laboratory	$205.50	$205.50
81235	Clinical Laboratory	$486.87	$486.87
81236	Clinical Laboratory	$424.32	$424.32
81237	Clinical Laboratory	$263.10	$263.10
81238	Clinical Laboratory	$900.00	$900.00
81239	Clinical Laboratory	$412.25	$412.25
81240	Clinical Laboratory	$98.54	$98.54
81241	Clinical Laboratory	$110.06	$110.06
81242	Other professional services	$54.93	$54.93
81243	Other professional services	$85.56	$85.56
81244	Other professional services	$67.34	$67.34
81245	Clinical Laboratory	$248.27	$248.27
81246	Clinical Laboratory	$124.50	$124.50
81247	Clinical Laboratory	$262.22	$262.22
81248	Clinical Laboratory	$562.88	$562.88
81249	Clinical Laboratory	$900.00	$900.00
81250	Other professional services	$87.74	$87.74
81251	Other professional services	$70.88	$70.88
81252	Other professional services	$151.68	$151.68
81253	Other professional services	$92.28	$92.28
81254	Other professional services	$52.50	$52.50
81255	Other professional services	$77.18	$77.18
81256	Clinical Laboratory	$98.04	$98.04
81257	Other professional services	$153.39	$153.39
81258	Clinical Laboratory	$562.88	$562.88
81259	Clinical Laboratory	$900.00	$900.00
81260	Other professional services	$58.97	$58.97
81261	Clinical Laboratory	$296.99	$296.99
81262	Clinical Laboratory	$102.83	$102.83
81263	Clinical Laboratory	$441.78	$441.78
81264	Clinical Laboratory	$259.10	$259.10
81265	Clinical Laboratory	$349.61	$349.61
81266	Other professional services	$457.22	$457.22
81267	Clinical Laboratory	$311.19	$311.19
81268	Clinical Laboratory	$391.19	$391.19
81269	Clinical Laboratory	$303.60	$303.60
81270	Clinical Laboratory	$137.49	$137.49
81271	Clinical Laboratory	$205.50	$205.50
81272	Clinical Laboratory	$494.27	$494.27
81273	Clinical Laboratory	$187.31	$187.31
81274	Clinical Laboratory	$412.25	$412.25
81275	Clinical Laboratory	$289.88	$289.88
81276	Clinical Laboratory	$289.88	$289.88
81277	Clinical Laboratory	$1,740.00	$1,740.00
81278	Clinical Laboratory	$310.97	$310.97
81279	Clinical Laboratory	$277.80	$277.80
81283	Clinical Laboratory	$110.06	$110.06
81284	Clinical Laboratory	$205.50	$205.50
81285	Clinical Laboratory	$412.25	$412.25
81286	Clinical Laboratory	$412.25	$412.25
81287	Clinical Laboratory	$186.96	$186.96
81288	Clinical Laboratory	$288.48	$288.48
81289	Clinical Laboratory	$277.80	$277.80
81290	Other professional services	$58.97	$58.97
81291	Clinical Laboratory	$98.01	$98.01
81292	Clinical Laboratory	$1,013.10	$1,013.10
81293	Clinical Laboratory	$496.50	$496.50
81294	Clinical Laboratory	$303.60	$303.60
81295	Clinical Laboratory	$572.55	$572.55
81296	Clinical Laboratory	$506.60	$506.60
81297	Clinical Laboratory	$319.95	$319.95
81298	Clinical Laboratory	$962.78	$962.78
81299	Clinical Laboratory	$462.00	$462.00
81300	Clinical Laboratory	$357.00	$357.00
81301	Clinical Laboratory	$522.84	$522.84
81302	Other professional services	$791.81	$791.81
81303	Other professional services	$180.00	$180.00
81304	Other professional services	$225.00	$225.00
81305	Clinical Laboratory	$263.10	$263.10
81306	Clinical Laboratory	$437.04	$437.04
81307	Clinical Laboratory	$1,014.75	$1,014.75
81308	Clinical Laboratory	$452.03	$452.03
81309	Clinical Laboratory	$412.25	$412.25
81310	Clinical Laboratory	$369.78	$369.78
81311	Clinical Laboratory	$443.69	$443.69
81312	Clinical Laboratory	$205.50	$205.50
81313	Clinical Laboratory	$382.58	$382.58
81314	Clinical Laboratory	$494.27	$494.27
81315	Clinical Laboratory	$310.97	$310.97
81316	Clinical Laboratory	$310.97	$310.97
81317	Clinical Laboratory	$1,014.75	$1,014.75
81318	Clinical Laboratory	$496.50	$496.50
81319	Clinical Laboratory	$305.25	$305.25
81320	Clinical Laboratory	$437.04	$437.04
81321	Clinical Laboratory	$900.00	$900.00
81322	Clinical Laboratory	$69.90	$69.90
81323	Clinical Laboratory	$450.00	$450.00
81324	Other professional services	$1,137.54	$1,137.54
81325	Other professional services	$1,154.37	$1,154.37
81326	Other professional services	$69.90	$69.90
81327	Clinical Laboratory	$288.00	$288.00
81328	Clinical Laboratory	$262.22	$262.22
81329	Clinical Laboratory	$205.50	$205.50
81330	Other professional services	$70.50	$70.50
81331	Other professional services	$76.61	$76.61
81332	Clinical Laboratory	$65.48	$65.48
81333	Clinical Laboratory	$205.50	$205.50
81334	Clinical Laboratory	$494.27	$494.27
81335	Clinical Laboratory	$262.22	$262.22
81336	Clinical Laboratory	$452.03	$452.03
81337	Clinical Laboratory	$277.80	$277.80
81338	Clinical Laboratory	$225.50	$225.50
81339	Clinical Laboratory	$277.80	$277.80
81340	Clinical Laboratory	$313.38	$313.38
81341	Clinical Laboratory	$74.39	$74.39
81342	Clinical Laboratory	$302.25	$302.25
81343	Clinical Laboratory	$205.50	$205.50
81344	Clinical Laboratory	$205.50	$205.50
81345	Clinical Laboratory	$277.80	$277.80
81346	Clinical Laboratory	$262.22	$262.22
81347	Clinical Laboratory	$289.88	$289.88
81348	Clinical Laboratory	$263.10	$263.10
81349	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
81350	Other professional services	$351.00	$351.00
81351	Clinical Laboratory	$962.78	$962.78
81352	Clinical Laboratory	$494.27	$494.27
81353	Clinical Laboratory	$462.00	$462.00
81355	Other professional services	$132.30	$132.30
81357	Clinical Laboratory	$289.88	$289.88
81360	Clinical Laboratory	$289.88	$289.88
81361	Clinical Laboratory	$262.22	$262.22
81362	Clinical Laboratory	$562.88	$562.88
81363	Clinical Laboratory	$303.60	$303.60
81364	Clinical Laboratory	$486.87	$486.87
81370	Clinical Laboratory	$603.18	$603.18
81371	Clinical Laboratory	$606.78	$606.78
81372	Clinical Laboratory	$605.39	$605.39
81373	Clinical Laboratory	$191.15	$191.15
81374	Clinical Laboratory	$111.50	$111.50
81375	Clinical Laboratory	$331.11	$331.11
81376	Clinical Laboratory	$183.33	$183.33
81377	Clinical Laboratory	$142.11	$142.11
81378	Clinical Laboratory	$518.36	$518.36
81379	Clinical Laboratory	$503.07	$503.07
81380	Clinical Laboratory	$265.88	$265.88
81381	Clinical Laboratory	$254.85	$254.85
81382	Clinical Laboratory	$185.52	$185.52
81383	Clinical Laboratory	$163.70	$163.70
81400	Other professional services	$95.94	$95.94
81401	Other professional services	$205.50	$205.50
81402	Other professional services	$225.50	$225.50
81403	Other professional services	$277.80	$277.80
81404	Other professional services	$412.25	$412.25
81405	Other professional services	$452.03	$452.03
81406	Other professional services	$424.32	$424.32
81407	Other professional services	$1,269.41	$1,269.41
81408	Other professional services	$3,000.00	$3,000.00
81410	Clinical Laboratory	$756.00	$756.00
81411	Clinical Laboratory	$2,025.29	$2,025.29
81412	Clinical Laboratory	$3,672.84	$3,672.84
81413	Clinical Laboratory	$877.35	$877.35
81414	Clinical Laboratory	$877.35	$877.35
81415	Clinical Laboratory	$7,170.00	$7,170.00
81416	Clinical Laboratory	$18,000.00	$18,000.00
81417	Clinical Laboratory	$480.00	$480.00
81419	Clinical Laboratory	$3,672.84	$3,672.84
81420	Clinical Laboratory	$1,138.58	$1,138.58
81422	Clinical Laboratory	$1,138.58	$1,138.58
81425	Clinical Laboratory	$7,546.80	$7,546.80
81426	Clinical Laboratory	$4,064.93	$4,064.93
81427	Clinical Laboratory	$3,506.48	$3,506.48
81430	Clinical Laboratory	$2,437.50	$2,437.50
81431	Clinical Laboratory	$1,019.36	$1,019.36
81432	Clinical Laboratory	$1,018.58	$1,018.58
81433	Clinical Laboratory	$658.40	$658.40
81434	Clinical Laboratory	$896.87	$896.87
81435	Clinical Laboratory	$877.35	$877.35
81436	Clinical Laboratory	$877.35	$877.35
81437	Clinical Laboratory	$658.40	$658.40
81438	Clinical Laboratory	$658.40	$658.40
81439	Clinical Laboratory	$877.35	$877.35
81440	Clinical Laboratory	$4,986.00	$4,986.00
81442	Clinical Laboratory	$3,215.40	$3,215.40
81443	Clinical Laboratory	$3,672.84	$3,672.84
81445	Clinical Laboratory	$896.87	$896.87
81448	Clinical Laboratory	$877.35	$877.35
81450	Clinical Laboratory	$1,139.30	$1,139.30
81455	Clinical Laboratory	$4,379.40	$4,379.40
81460	Clinical Laboratory	$1,930.50	$1,930.50
81465	Clinical Laboratory	$1,404.00	$1,404.00
81470	Clinical Laboratory	$1,371.00	$1,371.00
81471	Clinical Laboratory	$1,371.00	$1,371.00
81479	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
81490	Clinical Laboratory	$1,260.98	$1,260.98
81493	Clinical Laboratory	$1,575.00	$1,575.00
81500	Other professional services	$390.75	$390.75
81503	Other professional services	$1,345.50	$1,345.50
81504	Other professional services	$780.00	$780.00
81506	Other professional services	$103.38	$103.38
81507	Other professional services	$1,192.50	$1,192.50
81508	Other professional services	$81.45	$81.45
81509	Other professional services	$2,231.06	$2,231.06
81510	Other professional services	$83.31	$83.31
81511	Other professional services	$230.25	$230.25
81512	Other professional services	$104.28	$104.28
81513	Clinical Laboratory	$213.95	$213.95
81514	Clinical Laboratory	$394.49	$394.49
81518	Clinical Laboratory	$5,809.50	$5,809.50
81519	Other professional services	$5,809.50	$5,809.50
81520	Clinical Laboratory	$3,765.32	$3,765.32
81521	Clinical Laboratory	$5,809.50	$5,809.50
81522	Clinical Laboratory	$5,809.50	$5,809.50
81523	Clinical Laboratory	$5,809.50	$5,809.50
81525	Clinical Laboratory	$4,674.00	$4,674.00
81528	Clinical Laboratory	$763.31	$763.31
81529	Clinical Laboratory	$10,789.50	$10,789.50
81535	Clinical Laboratory	$869.19	$869.19
81536	Clinical Laboratory	$266.34	$266.34
81538	Clinical Laboratory	$4,306.50	$4,306.50
81539	Clinical Laboratory	$1,140.00	$1,140.00
81540	Clinical Laboratory	$5,625.00	$5,625.00
81541	Clinical Laboratory	$5,809.50	$5,809.50
81542	Clinical Laboratory	$5,809.50	$5,809.50
81546	Clinical Laboratory	$5,400.00	$5,400.00
81551	Clinical Laboratory	$3,045.00	$3,045.00
81552	Clinical Laboratory	$11,664.00	$11,664.00
81554	Clinical Laboratory	$8,250.00	$8,250.00
81560	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
81595	Clinical Laboratory	$4,860.00	$4,860.00
81596	Clinical Laboratory	$108.29	$108.29
81599	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
82009	Clinical Laboratory	$6.78	$6.78
82010	Clinical Laboratory	$12.26	$12.26
82013	Clinical Laboratory	$18.44	$18.44
82016	Clinical Laboratory	$24.74	$24.74
82017	Clinical Laboratory	$25.31	$25.31
82024	Clinical Laboratory	$57.93	$57.93
82030	Clinical Laboratory	$38.70	$38.70
82040	Clinical Laboratory	$7.43	$7.43
82042	Clinical Laboratory	$11.67	$11.67
82043	Clinical Laboratory	$8.67	$8.67
82044	Clinical Laboratory	$9.35	$9.35
82045	Clinical Laboratory	$50.91	$50.91
82075	Clinical Laboratory	$45.00	$45.00
82077	Clinical Laboratory	$25.91	$25.91
82085	Clinical Laboratory	$14.57	$14.57
82088	Clinical Laboratory	$61.13	$61.13
82103	Clinical Laboratory	$20.16	$20.16
82104	Clinical Laboratory	$21.69	$21.69
82105	Clinical Laboratory	$25.16	$25.16
82106	Clinical Laboratory	$25.50	$25.50
82107	Clinical Laboratory	$96.62	$96.62
82108	Clinical Laboratory	$38.22	$38.22
82120	Clinical Laboratory	$8.99	$8.99
82127	Clinical Laboratory	$21.27	$21.27
82128	Clinical Laboratory	$20.81	$20.81
82131	Clinical Laboratory	$34.47	$34.47
82135	Clinical Laboratory	$24.68	$24.68
82136	Clinical Laboratory	$29.42	$29.42
82139	Clinical Laboratory	$25.31	$25.31
82140	Clinical Laboratory	$21.86	$21.86
82143	Clinical Laboratory	$14.03	$14.03
82150	Clinical Laboratory	$9.72	$9.72
82154	Clinical Laboratory	$43.25	$43.25
82157	Clinical Laboratory	$43.92	$43.92
82160	Clinical Laboratory	$38.33	$38.33
82163	Clinical Laboratory	$30.78	$30.78
82164	Clinical Laboratory	$21.90	$21.90
82172	Clinical Laboratory	$31.64	$31.64
82175	Clinical Laboratory	$28.46	$28.46
82180	Clinical Laboratory	$14.84	$14.84
82190	Clinical Laboratory	$23.85	$23.85
82232	Clinical Laboratory	$24.27	$24.27
82239	Clinical Laboratory	$25.68	$25.68
82240	Clinical Laboratory	$39.87	$39.87
82247	Clinical Laboratory	$7.53	$7.53
82248	Clinical Laboratory	$7.53	$7.53
82252	Clinical Laboratory	$6.84	$6.84
82261	Clinical Laboratory	$25.31	$25.31
82270	Clinical Laboratory	$6.57	$6.57
82271	Clinical Laboratory	$7.98	$7.98
82272	Clinical Laboratory	$6.35	$6.35
82274	Clinical Laboratory	$23.88	$23.88
82286	Clinical Laboratory	$7.74	$7.74
82300	Clinical Laboratory	$35.46	$35.46
82306	Clinical Laboratory	$44.40	$44.40
82308	Clinical Laboratory	$40.19	$40.19
82310	Clinical Laboratory	$7.74	$7.74
82330	Clinical Laboratory	$20.52	$20.52
82331	Clinical Laboratory	$20.01	$20.01
82340	Clinical Laboratory	$9.05	$9.05
82355	Clinical Laboratory	$17.37	$17.37
82360	Clinical Laboratory	$19.31	$19.31
82365	Clinical Laboratory	$19.35	$19.35
82370	Clinical Laboratory	$18.78	$18.78
82373	Clinical Laboratory	$27.09	$27.09
82374	Clinical Laboratory	$7.32	$7.32
82375	Clinical Laboratory	$18.48	$18.48
82376	Clinical Laboratory	$21.11	$21.11
82378	Clinical Laboratory	$28.44	$28.44
82379	Clinical Laboratory	$25.31	$25.31
82380	Clinical Laboratory	$13.83	$13.83
82382	Clinical Laboratory	$40.95	$40.95
82383	Clinical Laboratory	$43.62	$43.62
82384	Clinical Laboratory	$37.88	$37.88
82387	Clinical Laboratory	$27.09	$27.09
82390	Clinical Laboratory	$16.11	$16.11
82397	Clinical Laboratory	$21.18	$21.18
82415	Clinical Laboratory	$19.01	$19.01
82435	Clinical Laboratory	$6.90	$6.90
82436	Clinical Laboratory	$8.63	$8.63
82438	Clinical Laboratory	$7.50	$7.50
82441	Clinical Laboratory	$9.02	$9.02
82465	Clinical Laboratory	$6.53	$6.53
82480	Clinical Laboratory	$11.81	$11.81
82482	Clinical Laboratory	$14.72	$14.72
82485	Clinical Laboratory	$30.98	$30.98
82495	Clinical Laboratory	$30.42	$30.42
82507	Clinical Laboratory	$41.70	$41.70
82523	Clinical Laboratory	$28.02	$28.02
82525	Clinical Laboratory	$18.62	$18.62
82528	Clinical Laboratory	$33.78	$33.78
82530	Clinical Laboratory	$25.07	$25.07
82533	Clinical Laboratory	$24.45	$24.45
82540	Clinical Laboratory	$6.96	$6.96
82542	Clinical Laboratory	$36.14	$36.14
82550	Clinical Laboratory	$9.77	$9.77
82552	Clinical Laboratory	$20.09	$20.09
82553	Clinical Laboratory	$17.33	$17.33
82554	Clinical Laboratory	$17.81	$17.81
82565	Clinical Laboratory	$7.68	$7.68
82570	Clinical Laboratory	$7.77	$7.77
82575	Clinical Laboratory	$14.19	$14.19
82585	Clinical Laboratory	$21.21	$21.21
82595	Clinical Laboratory	$9.71	$9.71
82600	Clinical Laboratory	$29.10	$29.10
82607	Clinical Laboratory	$22.62	$22.62
82608	Clinical Laboratory	$21.48	$21.48
82610	Clinical Laboratory	$27.78	$27.78
82615	Clinical Laboratory	$14.33	$14.33
82626	Clinical Laboratory	$37.91	$37.91
82627	Clinical Laboratory	$33.35	$33.35
82633	Clinical Laboratory	$46.47	$46.47
82634	Clinical Laboratory	$43.92	$43.92
82638	Clinical Laboratory	$18.38	$18.38
82642	Clinical Laboratory	$43.92	$43.92
82652	Clinical Laboratory	$57.75	$57.75
82653	Clinical Laboratory	$34.46	$34.46
82656	Clinical Laboratory	$17.30	$17.30
82657	Clinical Laboratory	$33.26	$33.26
82658	Clinical Laboratory	$66.05	$66.05
82664	Clinical Laboratory	$92.25	$92.25
82668	Clinical Laboratory	$28.19	$28.19
82670	Clinical Laboratory	$41.91	$41.91
82671	Clinical Laboratory	$48.45	$48.45
82672	Clinical Laboratory	$32.55	$32.55
82677	Clinical Laboratory	$36.27	$36.27
82679	Clinical Laboratory	$37.43	$37.43
82681	Clinical Laboratory	$41.91	$41.91
82693	Clinical Laboratory	$22.35	$22.35
82696	Clinical Laboratory	$39.36	$39.36
82705	Clinical Laboratory	$7.65	$7.65
82710	Clinical Laboratory	$25.20	$25.20
82715	Clinical Laboratory	$34.46	$34.46
82725	Clinical Laboratory	$28.16	$28.16
82726	Clinical Laboratory	$29.63	$29.63
82728	Clinical Laboratory	$20.45	$20.45
82731	Clinical Laboratory	$96.62	$96.62
82735	Clinical Laboratory	$27.81	$27.81
82746	Clinical Laboratory	$22.05	$22.05
82747	Clinical Laboratory	$26.48	$26.48
82757	Clinical Laboratory	$26.01	$26.01
82759	Clinical Laboratory	$32.22	$32.22
82760	Clinical Laboratory	$16.80	$16.80
82775	Clinical Laboratory	$31.61	$31.61
82776	Clinical Laboratory	$17.61	$17.61
82777	Clinical Laboratory	$66.38	$66.38
82784	Clinical Laboratory	$13.95	$13.95
82785	Clinical Laboratory	$24.69	$24.69
82787	Clinical Laboratory	$12.03	$12.03
82800	Clinical Laboratory	$16.50	$16.50
82803	Clinical Laboratory	$39.11	$39.11
82805	Clinical Laboratory	$118.16	$118.16
82810	Clinical Laboratory	$14.66	$14.66
82820	Clinical Laboratory	$20.01	$20.01
82930	Clinical Laboratory	$10.07	$10.07
82938	Clinical Laboratory	$26.54	$26.54
82941	Clinical Laboratory	$26.45	$26.45
82943	Clinical Laboratory	$21.44	$21.44
82945	Clinical Laboratory	$5.90	$5.90
82946	Clinical Laboratory	$26.66	$26.66
82947	Clinical Laboratory	$5.90	$5.90
82948	Clinical Laboratory	$7.56	$7.56
82950	Clinical Laboratory	$7.13	$7.13
82951	Clinical Laboratory	$19.31	$19.31
82952	Clinical Laboratory	$5.88	$5.88
82955	Clinical Laboratory	$14.55	$14.55
82960	Clinical Laboratory	$9.08	$9.08
82962	Clinical Laboratory	$4.92	$4.92
82963	Clinical Laboratory	$32.22	$32.22
82965	Clinical Laboratory	$19.73	$19.73
82977	Clinical Laboratory	$10.80	$10.80
82978	Clinical Laboratory	$23.18	$23.18
82979	Clinical Laboratory	$14.16	$14.16
82985	Clinical Laboratory	$25.14	$25.14
83001	Clinical Laboratory	$27.87	$27.87
83002	Clinical Laboratory	$27.78	$27.78
83003	Clinical Laboratory	$25.01	$25.01
83006	Clinical Laboratory	$113.40	$113.40
83009	Clinical Laboratory	$101.04	$101.04
83010	Clinical Laboratory	$18.87	$18.87
83012	Clinical Laboratory	$40.34	$40.34
83013	Clinical Laboratory	$101.04	$101.04
83014	Clinical Laboratory	$11.79	$11.79
83015	Clinical Laboratory	$31.41	$31.41
83018	Clinical Laboratory	$32.94	$32.94
83020	Clinical Laboratory	$19.31	$19.31
83020-26	Clinical Laboratory	$26.81	$26.81
83021	Clinical Laboratory	$27.09	$27.09
83026	Clinical Laboratory	$6.02	$6.02
83030	Clinical Laboratory	$16.11	$16.11
83033	Clinical Laboratory	$12.00	$12.00
83036	Clinical Laboratory	$14.57	$14.57
83037	Clinical Laboratory	$14.57	$14.57
83045	Clinical Laboratory	$9.74	$9.74
83050	Clinical Laboratory	$12.30	$12.30
83051	Clinical Laboratory	$10.97	$10.97
83060	Clinical Laboratory	$13.20	$13.20
83065	Clinical Laboratory	$13.50	$13.50
83068	Clinical Laboratory	$14.21	$14.21
83069	Clinical Laboratory	$5.93	$5.93
83070	Clinical Laboratory	$7.13	$7.13
83080	Clinical Laboratory	$25.31	$25.31
83088	Clinical Laboratory	$44.30	$44.30
83090	Clinical Laboratory	$26.88	$26.88
83150	Clinical Laboratory	$33.62	$33.62
83491	Clinical Laboratory	$26.85	$26.85
83497	Clinical Laboratory	$19.35	$19.35
83498	Clinical Laboratory	$40.76	$40.76
83500	Clinical Laboratory	$33.98	$33.98
83505	Clinical Laboratory	$36.45	$36.45
83516	Clinical Laboratory	$17.30	$17.30
83518	Clinical Laboratory	$14.46	$14.46
83519	Clinical Laboratory	$27.60	$27.60
83520	Clinical Laboratory	$25.91	$25.91
83521	Clinical Laboratory	$25.91	$25.91
83525	Clinical Laboratory	$17.15	$17.15
83527	Clinical Laboratory	$19.43	$19.43
83528	Clinical Laboratory	$29.73	$29.73
83529	Clinical Laboratory	$25.91	$25.91
83540	Clinical Laboratory	$9.71	$9.71
83550	Clinical Laboratory	$13.11	$13.11
83570	Clinical Laboratory	$13.28	$13.28
83582	Clinical Laboratory	$23.21	$23.21
83586	Clinical Laboratory	$19.20	$19.20
83593	Clinical Laboratory	$42.75	$42.75
83605	Clinical Laboratory	$17.36	$17.36
83615	Clinical Laboratory	$9.06	$9.06
83625	Clinical Laboratory	$19.19	$19.19
83630	Clinical Laboratory	$29.55	$29.55
83631	Clinical Laboratory	$29.45	$29.45
83632	Clinical Laboratory	$30.33	$30.33
83633	Clinical Laboratory	$16.88	$16.88
83655	Clinical Laboratory	$18.17	$18.17
83661	Clinical Laboratory	$32.99	$32.99
83662	Clinical Laboratory	$28.37	$28.37
83663	Clinical Laboratory	$28.37	$28.37
83664	Clinical Laboratory	$28.98	$28.98
83670	Clinical Laboratory	$14.72	$14.72
83690	Clinical Laboratory	$10.34	$10.34
83695	Clinical Laboratory	$21.48	$21.48
83698	Clinical Laboratory	$69.47	$69.47
83700	Clinical Laboratory	$16.89	$16.89
83701	Clinical Laboratory	$50.79	$50.79
83704	Clinical Laboratory	$51.29	$51.29
83718	Clinical Laboratory	$12.29	$12.29
83719	Clinical Laboratory	$19.13	$19.13
83721	Clinical Laboratory	$15.75	$15.75
83722	Clinical Laboratory	$51.29	$51.29
83727	Clinical Laboratory	$25.79	$25.79
83735	Clinical Laboratory	$10.05	$10.05
83775	Clinical Laboratory	$11.06	$11.06
83785	Clinical Laboratory	$39.98	$39.98
83789	Clinical Laboratory	$36.17	$36.17
83825	Clinical Laboratory	$24.39	$24.39
83835	Clinical Laboratory	$25.41	$25.41
83857	Clinical Laboratory	$16.11	$16.11
83861	Clinical Laboratory	$33.72	$33.72
83864	Clinical Laboratory	$42.75	$42.75
83872	Clinical Laboratory	$8.79	$8.79
83873	Clinical Laboratory	$25.80	$25.80
83874	Clinical Laboratory	$19.38	$19.38
83876	Clinical Laboratory	$76.29	$76.29
83880	Clinical Laboratory	$58.89	$58.89
83883	Clinical Laboratory	$20.40	$20.40
83885	Clinical Laboratory	$36.77	$36.77
83915	Clinical Laboratory	$16.73	$16.73
83916	Clinical Laboratory	$41.09	$41.09
83918	Clinical Laboratory	$35.40	$35.40
83919	Clinical Laboratory	$24.68	$24.68
83921	Clinical Laboratory	$31.82	$31.82
83930	Clinical Laboratory	$9.92	$9.92
83935	Clinical Laboratory	$10.23	$10.23
83937	Clinical Laboratory	$44.78	$44.78
83945	Clinical Laboratory	$21.68	$21.68
83950	Clinical Laboratory	$96.62	$96.62
83951	Clinical Laboratory	$96.62	$96.62
83970	Clinical Laboratory	$61.92	$61.92
83986	Clinical Laboratory	$5.37	$5.37
83987	Clinical Laboratory	$5.37	$5.37
83992	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
83993	Clinical Laboratory	$29.45	$29.45
84030	Clinical Laboratory	$8.25	$8.25
84035	Clinical Laboratory	$5.97	$5.97
84060	Clinical Laboratory	$11.46	$11.46
84066	Clinical Laboratory	$14.49	$14.49
84075	Clinical Laboratory	$7.77	$7.77
84078	Clinical Laboratory	$12.39	$12.39
84080	Clinical Laboratory	$22.17	$22.17
84081	Clinical Laboratory	$24.78	$24.78
84085	Clinical Laboratory	$14.16	$14.16
84087	Clinical Laboratory	$16.10	$16.10
84100	Clinical Laboratory	$7.11	$7.11
84105	Clinical Laboratory	$8.67	$8.67
84106	Clinical Laboratory	$8.73	$8.73
84110	Clinical Laboratory	$12.66	$12.66
84112	Clinical Laboratory	$147.17	$147.17
84119	Clinical Laboratory	$20.04	$20.04
84120	Clinical Laboratory	$22.07	$22.07
84126	Clinical Laboratory	$58.67	$58.67
84132	Clinical Laboratory	$7.14	$7.14
84133	Clinical Laboratory	$7.10	$7.10
84134	Clinical Laboratory	$21.89	$21.89
84135	Clinical Laboratory	$31.91	$31.91
84138	Clinical Laboratory	$31.58	$31.58
84140	Clinical Laboratory	$31.01	$31.01
84143	Clinical Laboratory	$34.22	$34.22
84144	Clinical Laboratory	$31.29	$31.29
84145	Clinical Laboratory	$40.83	$40.83
84146	Clinical Laboratory	$29.07	$29.07
84150	Clinical Laboratory	$62.66	$62.66
84152	Clinical Laboratory	$27.59	$27.59
84153	Clinical Laboratory	$27.59	$27.59
84154	Clinical Laboratory	$27.59	$27.59
84155	Clinical Laboratory	$5.51	$5.51
84156	Clinical Laboratory	$5.51	$5.51
84157	Clinical Laboratory	$6.00	$6.00
84160	Clinical Laboratory	$8.42	$8.42
84163	Clinical Laboratory	$22.58	$22.58
84165	Clinical Laboratory	$16.11	$16.11
84165-26	Clinical Laboratory	$26.81	$26.81
84166	Clinical Laboratory	$26.75	$26.75
84166-26	Clinical Laboratory	$26.81	$26.81
84181	Clinical Laboratory	$25.55	$25.55
84181-26	Clinical Laboratory	$26.81	$26.81
84182	Clinical Laboratory	$43.82	$43.82
84182-26	Clinical Laboratory	$26.81	$26.81
84202	Clinical Laboratory	$21.53	$21.53
84203	Clinical Laboratory	$14.61	$14.61
84206	Clinical Laboratory	$40.04	$40.04
84207	Clinical Laboratory	$42.15	$42.15
84210	Clinical Laboratory	$21.72	$21.72
84220	Clinical Laboratory	$14.16	$14.16
84228	Clinical Laboratory	$17.45	$17.45
84233	Clinical Laboratory	$131.82	$131.82
84234	Clinical Laboratory	$97.32	$97.32
84235	Clinical Laboratory	$106.85	$106.85
84238	Clinical Laboratory	$54.86	$54.86
84244	Clinical Laboratory	$32.99	$32.99
84252	Clinical Laboratory	$30.36	$30.36
84255	Clinical Laboratory	$38.30	$38.30
84260	Clinical Laboratory	$46.47	$46.47
84270	Clinical Laboratory	$32.60	$32.60
84275	Clinical Laboratory	$20.16	$20.16
84285	Clinical Laboratory	$37.82	$37.82
84295	Clinical Laboratory	$7.22	$7.22
84300	Clinical Laboratory	$7.59	$7.59
84302	Clinical Laboratory	$7.29	$7.29
84305	Clinical Laboratory	$31.89	$31.89
84307	Clinical Laboratory	$27.42	$27.42
84311	Clinical Laboratory	$12.15	$12.15
84315	Clinical Laboratory	$4.92	$4.92
84375	Clinical Laboratory	$58.50	$58.50
84376	Clinical Laboratory	$8.25	$8.25
84377	Clinical Laboratory	$8.25	$8.25
84378	Clinical Laboratory	$17.30	$17.30
84379	Clinical Laboratory	$17.30	$17.30
84392	Clinical Laboratory	$8.24	$8.24
84402	Clinical Laboratory	$38.21	$38.21
84403	Clinical Laboratory	$38.72	$38.72
84410	Clinical Laboratory	$76.92	$76.92
84425	Clinical Laboratory	$31.85	$31.85
84430	Clinical Laboratory	$17.45	$17.45
84431	Clinical Laboratory	$52.67	$52.67
84432	Clinical Laboratory	$24.09	$24.09
84436	Clinical Laboratory	$10.31	$10.31
84437	Clinical Laboratory	$9.71	$9.71
84439	Clinical Laboratory	$13.53	$13.53
84442	Clinical Laboratory	$22.17	$22.17
84443	Clinical Laboratory	$25.20	$25.20
84445	Clinical Laboratory	$76.29	$76.29
84446	Clinical Laboratory	$21.27	$21.27
84449	Clinical Laboratory	$27.00	$27.00
84450	Clinical Laboratory	$7.77	$7.77
84460	Clinical Laboratory	$7.95	$7.95
84466	Clinical Laboratory	$19.14	$19.14
84478	Clinical Laboratory	$8.61	$8.61
84479	Clinical Laboratory	$9.71	$9.71
84480	Clinical Laboratory	$21.27	$21.27
84481	Clinical Laboratory	$25.41	$25.41
84482	Clinical Laboratory	$23.64	$23.64
84484	Clinical Laboratory	$18.71	$18.71
84485	Clinical Laboratory	$10.80	$10.80
84488	Clinical Laboratory	$10.95	$10.95
84490	Clinical Laboratory	$14.90	$14.90
84510	Clinical Laboratory	$15.95	$15.95
84512	Clinical Laboratory	$15.14	$15.14
84520	Clinical Laboratory	$5.93	$5.93
84525	Clinical Laboratory	$7.70	$7.70
84540	Clinical Laboratory	$8.34	$8.34
84545	Clinical Laboratory	$10.80	$10.80
84550	Clinical Laboratory	$6.78	$6.78
84560	Clinical Laboratory	$7.62	$7.62
84577	Clinical Laboratory	$25.20	$25.20
84578	Clinical Laboratory	$6.71	$6.71
84580	Clinical Laboratory	$14.33	$14.33
84583	Clinical Laboratory	$9.08	$9.08
84585	Clinical Laboratory	$23.25	$23.25
84586	Clinical Laboratory	$53.00	$53.00
84588	Clinical Laboratory	$50.91	$50.91
84590	Clinical Laboratory	$17.42	$17.42
84591	Clinical Laboratory	$25.59	$25.59
84597	Clinical Laboratory	$20.58	$20.58
84600	Clinical Laboratory	$25.67	$25.67
84620	Clinical Laboratory	$19.37	$19.37
84630	Clinical Laboratory	$17.09	$17.09
84681	Clinical Laboratory	$31.22	$31.22
84702	Clinical Laboratory	$22.58	$22.58
84703	Clinical Laboratory	$11.28	$11.28
84704	Clinical Laboratory	$22.94	$22.94
84830	Clinical Laboratory	$19.05	$19.05
84999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
85002	Clinical Laboratory	$7.23	$7.23
85004	Clinical Laboratory	$9.71	$9.71
85007	Clinical Laboratory	$5.70	$5.70
85008	Clinical Laboratory	$5.15	$5.15
85009	Clinical Laboratory	$7.61	$7.61
85013	Clinical Laboratory	$10.50	$10.50
85014	Clinical Laboratory	$3.56	$3.56
85018	Clinical Laboratory	$3.56	$3.56
85025	Clinical Laboratory	$11.66	$11.66
85027	Clinical Laboratory	$9.71	$9.71
85032	Clinical Laboratory	$6.47	$6.47
85041	Clinical Laboratory	$4.53	$4.53
85044	Clinical Laboratory	$6.47	$6.47
85045	Clinical Laboratory	$5.99	$5.99
85046	Clinical Laboratory	$8.36	$8.36
85048	Clinical Laboratory	$3.81	$3.81
85049	Clinical Laboratory	$6.72	$6.72
85055	Clinical Laboratory	$53.61	$53.61
85060	Other professional services	$35.66	$35.66
85097	Other professional services	$100.05	$70.67
85130	Clinical Laboratory	$17.84	$17.84
85170	Clinical Laboratory	$24.45	$24.45
85175	Clinical Laboratory	$30.56	$30.56
85210	Clinical Laboratory	$19.47	$19.47
85220	Clinical Laboratory	$26.48	$26.48
85230	Clinical Laboratory	$26.85	$26.85
85240	Clinical Laboratory	$26.85	$26.85
85244	Clinical Laboratory	$30.63	$30.63
85245	Clinical Laboratory	$34.41	$34.41
85246	Clinical Laboratory	$34.41	$34.41
85247	Clinical Laboratory	$34.41	$34.41
85250	Clinical Laboratory	$28.56	$28.56
85260	Clinical Laboratory	$26.85	$26.85
85270	Clinical Laboratory	$26.85	$26.85
85280	Clinical Laboratory	$29.03	$29.03
85290	Clinical Laboratory	$24.51	$24.51
85291	Clinical Laboratory	$13.67	$13.67
85292	Clinical Laboratory	$28.40	$28.40
85293	Clinical Laboratory	$28.40	$28.40
85300	Clinical Laboratory	$17.78	$17.78
85301	Clinical Laboratory	$16.22	$16.22
85302	Clinical Laboratory	$18.02	$18.02
85303	Clinical Laboratory	$20.76	$20.76
85305	Clinical Laboratory	$17.42	$17.42
85306	Clinical Laboratory	$22.98	$22.98
85307	Clinical Laboratory	$22.98	$22.98
85335	Clinical Laboratory	$19.31	$19.31
85337	Clinical Laboratory	$25.91	$25.91
85345	Clinical Laboratory	$7.04	$7.04
85347	Clinical Laboratory	$6.42	$6.42
85348	Clinical Laboratory	$6.74	$6.74
85360	Clinical Laboratory	$12.62	$12.62
85362	Clinical Laboratory	$10.34	$10.34
85366	Clinical Laboratory	$120.69	$120.69
85370	Clinical Laboratory	$18.65	$18.65
85378	Clinical Laboratory	$14.58	$14.58
85379	Clinical Laboratory	$15.27	$15.27
85380	Clinical Laboratory	$15.27	$15.27
85384	Clinical Laboratory	$14.58	$14.58
85385	Clinical Laboratory	$21.69	$21.69
85390	Clinical Laboratory	$23.22	$23.22
85390-26	Clinical Laboratory	$54.60	$54.60
85396	Other professional services	$28.73	$28.73
85397	Clinical Laboratory	$46.29	$46.29
85400	Clinical Laboratory	$11.57	$11.57
85410	Clinical Laboratory	$11.57	$11.57
85415	Clinical Laboratory	$25.79	$25.79
85420	Clinical Laboratory	$9.80	$9.80
85421	Clinical Laboratory	$15.27	$15.27
85441	Clinical Laboratory	$6.30	$6.30
85445	Clinical Laboratory	$10.23	$10.23
85460	Clinical Laboratory	$11.60	$11.60
85461	Clinical Laboratory	$14.04	$14.04
85475	Clinical Laboratory	$13.31	$13.31
85520	Clinical Laboratory	$19.64	$19.64
85525	Clinical Laboratory	$17.76	$17.76
85530	Clinical Laboratory	$19.64	$19.64
85536	Clinical Laboratory	$10.32	$10.32
85540	Clinical Laboratory	$12.90	$12.90
85547	Clinical Laboratory	$12.90	$12.90
85549	Clinical Laboratory	$28.13	$28.13
85555	Clinical Laboratory	$11.21	$11.21
85557	Clinical Laboratory	$20.04	$20.04
85576	Clinical Laboratory	$37.37	$37.37
85576-26	Clinical Laboratory	$26.81	$26.81
85597	Clinical Laboratory	$26.97	$26.97
85598	Clinical Laboratory	$26.97	$26.97
85610	Clinical Laboratory	$6.44	$6.44
85611	Clinical Laboratory	$5.91	$5.91
85612	Clinical Laboratory	$26.24	$26.24
85613	Clinical Laboratory	$14.37	$14.37
85635	Clinical Laboratory	$14.78	$14.78
85651	Clinical Laboratory	$6.41	$6.41
85652	Clinical Laboratory	$4.05	$4.05
85660	Clinical Laboratory	$8.27	$8.27
85670	Clinical Laboratory	$8.66	$8.66
85675	Clinical Laboratory	$10.28	$10.28
85705	Clinical Laboratory	$14.45	$14.45
85730	Clinical Laboratory	$9.02	$9.02
85732	Clinical Laboratory	$9.71	$9.71
85810	Clinical Laboratory	$17.51	$17.51
85999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86000	Clinical Laboratory	$10.47	$10.47
86001	Clinical Laboratory	$11.73	$11.73
86003	Clinical Laboratory	$7.83	$7.83
86005	Clinical Laboratory	$11.96	$11.96
86008	Clinical Laboratory	$26.90	$26.90
86015	Clinical Laboratory	$17.30	$17.30
86021	Clinical Laboratory	$22.58	$22.58
86022	Clinical Laboratory	$27.56	$27.56
86023	Clinical Laboratory	$18.69	$18.69
86036	Clinical Laboratory	$18.08	$18.08
86037	Clinical Laboratory	$18.08	$18.08
86038	Clinical Laboratory	$18.14	$18.14
86039	Clinical Laboratory	$16.74	$16.74
86051	Clinical Laboratory	$17.30	$17.30
86052	Clinical Laboratory	$18.08	$18.08
86053	Clinical Laboratory	$18.08	$18.08
86060	Clinical Laboratory	$10.95	$10.95
86063	Clinical Laboratory	$8.66	$8.66
86077	Other professional services	$77.90	$72.60
86078	Other professional services	$77.90	$72.60
86079	Other professional services	$77.90	$72.60
86140	Clinical Laboratory	$7.77	$7.77
86141	Clinical Laboratory	$19.43	$19.43
86146	Clinical Laboratory	$38.18	$38.18
86147	Clinical Laboratory	$38.18	$38.18
86148	Clinical Laboratory	$24.11	$24.11
86152	Clinical Laboratory	$376.17	$376.17
86153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86153-26	Clinical Laboratory	$50.52	$50.52
86155	Clinical Laboratory	$23.99	$23.99
86156	Clinical Laboratory	$12.11	$12.11
86157	Clinical Laboratory	$12.09	$12.09
86160	Clinical Laboratory	$18.00	$18.00
86161	Clinical Laboratory	$18.00	$18.00
86162	Clinical Laboratory	$30.48	$30.48
86171	Clinical Laboratory	$15.02	$15.02
86200	Clinical Laboratory	$19.43	$19.43
86215	Clinical Laboratory	$19.88	$19.88
86225	Clinical Laboratory	$20.61	$20.61
86226	Clinical Laboratory	$18.17	$18.17
86231	Clinical Laboratory	$18.14	$18.14
86235	Clinical Laboratory	$26.90	$26.90
86255	Clinical Laboratory	$18.08	$18.08
86255-26	Clinical Laboratory	$26.81	$26.81
86256	Clinical Laboratory	$18.08	$18.08
86256-26	Clinical Laboratory	$26.81	$26.81
86258	Clinical Laboratory	$17.30	$17.30
86277	Clinical Laboratory	$23.61	$23.61
86280	Clinical Laboratory	$12.29	$12.29
86294	Clinical Laboratory	$38.36	$38.36
86300	Clinical Laboratory	$31.22	$31.22
86301	Clinical Laboratory	$31.22	$31.22
86304	Clinical Laboratory	$31.22	$31.22
86305	Clinical Laboratory	$31.22	$31.22
86308	Clinical Laboratory	$7.77	$7.77
86309	Clinical Laboratory	$9.71	$9.71
86310	Clinical Laboratory	$11.06	$11.06
86316	Clinical Laboratory	$31.22	$31.22
86317	Clinical Laboratory	$22.49	$22.49
86318	Clinical Laboratory	$27.14	$27.14
86320	Clinical Laboratory	$44.88	$44.88
86320-26	Clinical Laboratory	$26.81	$26.81
86325	Clinical Laboratory	$34.70	$34.70
86325-26	Clinical Laboratory	$26.81	$26.81
86327	Clinical Laboratory	$44.88	$44.88
86327-26	Clinical Laboratory	$31.86	$31.86
86328	Clinical Laboratory	$67.92	$67.92
86329	Clinical Laboratory	$21.08	$21.08
86331	Clinical Laboratory	$17.97	$17.97
86332	Clinical Laboratory	$36.56	$36.56
86334	Clinical Laboratory	$33.51	$33.51
86334-26	Clinical Laboratory	$26.81	$26.81
86335	Clinical Laboratory	$44.03	$44.03
86335-26	Clinical Laboratory	$26.81	$26.81
86336	Clinical Laboratory	$23.39	$23.39
86337	Clinical Laboratory	$32.12	$32.12
86340	Clinical Laboratory	$22.62	$22.62
86341	Clinical Laboratory	$35.36	$35.36
86343	Clinical Laboratory	$18.69	$18.69
86344	Clinical Laboratory	$15.59	$15.59
86352	Clinical Laboratory	$203.79	$203.79
86353	Clinical Laboratory	$73.55	$73.55
86355	Clinical Laboratory	$56.60	$56.60
86356	Clinical Laboratory	$40.17	$40.17
86357	Clinical Laboratory	$56.60	$56.60
86359	Clinical Laboratory	$56.60	$56.60
86360	Clinical Laboratory	$70.47	$70.47
86361	Clinical Laboratory	$40.17	$40.17
86362	Clinical Laboratory	$18.08	$18.08
86363	Clinical Laboratory	$18.08	$18.08
86364	Clinical Laboratory	$17.30	$17.30
86367	Clinical Laboratory	$116.67	$116.67
86376	Clinical Laboratory	$21.83	$21.83
86381	Clinical Laboratory	$38.18	$38.18
86382	Clinical Laboratory	$25.37	$25.37
86384	Clinical Laboratory	$20.42	$20.42
86386	Clinical Laboratory	$32.67	$32.67
86403	Clinical Laboratory	$17.31	$17.31
86406	Clinical Laboratory	$15.96	$15.96
86408	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86409	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86413	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86430	Clinical Laboratory	$9.21	$9.21
86431	Clinical Laboratory	$8.51	$8.51
86480	Clinical Laboratory	$92.97	$92.97
86481	Clinical Laboratory	$150.00	$150.00
86485	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86486	Other professional services	$8.61	$8.61
86490	Other professional services	$119.42	$119.42
86510	Other professional services	$10.55	$10.55
86580	Other professional services	$14.88	$14.88
86590	Clinical Laboratory	$18.99	$18.99
86592	Clinical Laboratory	$6.41	$6.41
86593	Clinical Laboratory	$6.60	$6.60
86596	Clinical Laboratory	$27.60	$27.60
86602	Clinical Laboratory	$15.27	$15.27
86603	Clinical Laboratory	$19.31	$19.31
86606	Clinical Laboratory	$22.58	$22.58
86609	Clinical Laboratory	$19.32	$19.32
86611	Clinical Laboratory	$15.27	$15.27
86612	Clinical Laboratory	$19.35	$19.35
86615	Clinical Laboratory	$19.79	$19.79
86617	Clinical Laboratory	$23.24	$23.24
86618	Clinical Laboratory	$25.55	$25.55
86619	Clinical Laboratory	$20.07	$20.07
86622	Clinical Laboratory	$13.40	$13.40
86625	Clinical Laboratory	$19.68	$19.68
86628	Clinical Laboratory	$18.02	$18.02
86631	Clinical Laboratory	$17.73	$17.73
86632	Clinical Laboratory	$19.02	$19.02
86635	Clinical Laboratory	$17.21	$17.21
86638	Clinical Laboratory	$18.18	$18.18
86641	Clinical Laboratory	$21.62	$21.62
86644	Clinical Laboratory	$21.59	$21.59
86645	Clinical Laboratory	$25.28	$25.28
86648	Clinical Laboratory	$22.82	$22.82
86651	Clinical Laboratory	$19.79	$19.79
86652	Clinical Laboratory	$19.79	$19.79
86653	Clinical Laboratory	$19.79	$19.79
86654	Clinical Laboratory	$19.79	$19.79
86658	Clinical Laboratory	$19.55	$19.55
86663	Clinical Laboratory	$19.68	$19.68
86664	Clinical Laboratory	$22.94	$22.94
86665	Clinical Laboratory	$27.21	$27.21
86666	Clinical Laboratory	$15.27	$15.27
86668	Clinical Laboratory	$21.24	$21.24
86671	Clinical Laboratory	$18.38	$18.38
86674	Clinical Laboratory	$22.08	$22.08
86677	Clinical Laboratory	$25.28	$25.28
86682	Clinical Laboratory	$19.52	$19.52
86684	Clinical Laboratory	$23.76	$23.76
86687	Clinical Laboratory	$13.64	$13.64
86688	Clinical Laboratory	$21.00	$21.00
86689	Clinical Laboratory	$29.03	$29.03
86692	Clinical Laboratory	$25.74	$25.74
86694	Clinical Laboratory	$21.59	$21.59
86695	Clinical Laboratory	$19.79	$19.79
86696	Clinical Laboratory	$29.03	$29.03
86698	Clinical Laboratory	$20.69	$20.69
86701	Clinical Laboratory	$13.34	$13.34
86702	Clinical Laboratory	$20.28	$20.28
86703	Clinical Laboratory	$20.57	$20.57
86704	Clinical Laboratory	$18.08	$18.08
86705	Clinical Laboratory	$17.66	$17.66
86706	Clinical Laboratory	$16.11	$16.11
86707	Clinical Laboratory	$17.36	$17.36
86708	Clinical Laboratory	$18.59	$18.59
86709	Clinical Laboratory	$16.89	$16.89
86710	Clinical Laboratory	$20.33	$20.33
86711	Clinical Laboratory	$25.34	$25.34
86713	Clinical Laboratory	$22.95	$22.95
86717	Clinical Laboratory	$18.38	$18.38
86720	Clinical Laboratory	$24.30	$24.30
86723	Clinical Laboratory	$19.79	$19.79
86727	Clinical Laboratory	$19.31	$19.31
86732	Clinical Laboratory	$22.50	$22.50
86735	Clinical Laboratory	$19.58	$19.58
86738	Clinical Laboratory	$19.86	$19.86
86741	Clinical Laboratory	$19.79	$19.79
86744	Clinical Laboratory	$23.99	$23.99
86747	Clinical Laboratory	$22.55	$22.55
86750	Clinical Laboratory	$19.79	$19.79
86753	Clinical Laboratory	$18.59	$18.59
86756	Clinical Laboratory	$23.84	$23.84
86757	Clinical Laboratory	$29.03	$29.03
86759	Clinical Laboratory	$27.35	$27.35
86762	Clinical Laboratory	$21.59	$21.59
86765	Clinical Laboratory	$19.32	$19.32
86768	Clinical Laboratory	$19.79	$19.79
86769	Clinical Laboratory	$63.20	$63.20
86771	Clinical Laboratory	$36.72	$36.72
86774	Clinical Laboratory	$22.20	$22.20
86777	Clinical Laboratory	$21.59	$21.59
86778	Clinical Laboratory	$21.62	$21.62
86780	Clinical Laboratory	$19.86	$19.86
86784	Clinical Laboratory	$18.84	$18.84
86787	Clinical Laboratory	$19.32	$19.32
86788	Clinical Laboratory	$25.28	$25.28
86789	Clinical Laboratory	$21.59	$21.59
86790	Clinical Laboratory	$19.32	$19.32
86793	Clinical Laboratory	$19.79	$19.79
86794	Clinical Laboratory	$25.28	$25.28
86800	Clinical Laboratory	$23.87	$23.87
86803	Clinical Laboratory	$21.41	$21.41
86804	Clinical Laboratory	$23.24	$23.24
86805	Clinical Laboratory	$284.27	$284.27
86806	Clinical Laboratory	$71.39	$71.39
86807	Clinical Laboratory	$117.98	$117.98
86808	Clinical Laboratory	$44.52	$44.52
86812	Clinical Laboratory	$38.72	$38.72
86813	Clinical Laboratory	$87.00	$87.00
86816	Clinical Laboratory	$45.26	$45.26
86817	Clinical Laboratory	$159.21	$159.21
86821	Clinical Laboratory	$54.84	$54.84
86825	Clinical Laboratory	$164.24	$164.24
86826	Clinical Laboratory	$54.80	$54.80
86828	Clinical Laboratory	$96.29	$96.29
86829	Clinical Laboratory	$96.29	$96.29
86830	Clinical Laboratory	$143.28	$143.28
86831	Clinical Laboratory	$122.82	$122.82
86832	Clinical Laboratory	$485.63	$485.63
86833	Clinical Laboratory	$488.70	$488.70
86834	Clinical Laboratory	$536.34	$536.34
86835	Clinical Laboratory	$484.44	$484.44
86849	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86850	Other professional services	$14.66	$14.66
86860	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86870	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86880	Clinical Laboratory	$8.09	$8.09
86885	Clinical Laboratory	$8.58	$8.58
86886	Clinical Laboratory	$7.77	$7.77
86890	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86891	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86900	Clinical Laboratory	$4.49	$4.49
86901	Clinical Laboratory	$4.49	$4.49
86902	Clinical Laboratory	$9.53	$9.53
86904	Clinical Laboratory	$24.51	$24.51
86905	Clinical Laboratory	$5.75	$5.75
86906	Clinical Laboratory	$11.63	$11.63
86910	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86911	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86920	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86921	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86922	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86923	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86927	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86930	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86931	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86932	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86940	Clinical Laboratory	$13.16	$13.16
86941	Clinical Laboratory	$18.17	$18.17
86945	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86950	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86960	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86965	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86970	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86971	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86972	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86975	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86976	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86977	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86978	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86985	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
86999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
87003	Clinical Laboratory	$25.26	$25.26
87015	Clinical Laboratory	$10.02	$10.02
87040	Clinical Laboratory	$15.48	$15.48
87045	Clinical Laboratory	$14.16	$14.16
87046	Clinical Laboratory	$14.16	$14.16
87070	Clinical Laboratory	$12.93	$12.93
87071	Clinical Laboratory	$14.84	$14.84
87073	Clinical Laboratory	$14.49	$14.49
87075	Clinical Laboratory	$14.21	$14.21
87076	Clinical Laboratory	$12.12	$12.12
87077	Clinical Laboratory	$12.12	$12.12
87081	Clinical Laboratory	$9.95	$9.95
87084	Clinical Laboratory	$40.61	$40.61
87086	Clinical Laboratory	$12.11	$12.11
87088	Clinical Laboratory	$12.14	$12.14
87101	Clinical Laboratory	$11.57	$11.57
87102	Clinical Laboratory	$12.62	$12.62
87103	Clinical Laboratory	$30.69	$30.69
87106	Clinical Laboratory	$15.48	$15.48
87107	Clinical Laboratory	$15.48	$15.48
87109	Clinical Laboratory	$23.09	$23.09
87110	Clinical Laboratory	$29.40	$29.40
87116	Clinical Laboratory	$16.20	$16.20
87118	Clinical Laboratory	$21.92	$21.92
87140	Clinical Laboratory	$8.36	$8.36
87143	Clinical Laboratory	$18.78	$18.78
87147	Clinical Laboratory	$7.77	$7.77
87149	Clinical Laboratory	$30.08	$30.08
87150	Clinical Laboratory	$52.64	$52.64
87152	Clinical Laboratory	$11.61	$11.61
87153	Clinical Laboratory	$173.04	$173.04
87154	Clinical Laboratory	$327.09	$327.09
87158	Clinical Laboratory	$11.61	$11.61
87164	Clinical Laboratory	$16.11	$16.11
87164-26	Clinical Laboratory	$28.31	$28.31
87166	Clinical Laboratory	$16.95	$16.95
87168	Clinical Laboratory	$6.41	$6.41
87169	Clinical Laboratory	$6.47	$6.47
87172	Clinical Laboratory	$6.41	$6.41
87176	Clinical Laboratory	$8.82	$8.82
87177	Clinical Laboratory	$13.35	$13.35
87181	Clinical Laboratory	$7.13	$7.13
87184	Clinical Laboratory	$11.22	$11.22
87185	Clinical Laboratory	$7.13	$7.13
87186	Clinical Laboratory	$12.98	$12.98
87187	Clinical Laboratory	$60.26	$60.26
87188	Clinical Laboratory	$9.96	$9.96
87190	Clinical Laboratory	$10.97	$10.97
87197	Clinical Laboratory	$22.53	$22.53
87205	Clinical Laboratory	$6.41	$6.41
87206	Clinical Laboratory	$8.09	$8.09
87207	Clinical Laboratory	$8.99	$8.99
87207-26	Clinical Laboratory	$26.81	$26.81
87209	Clinical Laboratory	$26.97	$26.97
87210	Clinical Laboratory	$8.73	$8.73
87220	Clinical Laboratory	$6.41	$6.41
87230	Clinical Laboratory	$29.61	$29.61
87250	Clinical Laboratory	$29.34	$29.34
87252	Clinical Laboratory	$39.11	$39.11
87253	Clinical Laboratory	$30.30	$30.30
87254	Clinical Laboratory	$29.34	$29.34
87255	Clinical Laboratory	$50.79	$50.79
87260	Clinical Laboratory	$21.65	$21.65
87265	Clinical Laboratory	$17.97	$17.97
87267	Clinical Laboratory	$20.13	$20.13
87269	Clinical Laboratory	$20.42	$20.42
87270	Clinical Laboratory	$17.97	$17.97
87271	Clinical Laboratory	$20.13	$20.13
87272	Clinical Laboratory	$17.97	$17.97
87273	Clinical Laboratory	$17.97	$17.97
87274	Clinical Laboratory	$17.97	$17.97
87275	Clinical Laboratory	$18.38	$18.38
87276	Clinical Laboratory	$24.11	$24.11
87278	Clinical Laboratory	$23.40	$23.40
87279	Clinical Laboratory	$24.65	$24.65
87280	Clinical Laboratory	$20.13	$20.13
87281	Clinical Laboratory	$17.97	$17.97
87283	Clinical Laboratory	$91.20	$91.20
87285	Clinical Laboratory	$18.27	$18.27
87290	Clinical Laboratory	$20.13	$20.13
87299	Clinical Laboratory	$24.15	$24.15
87300	Clinical Laboratory	$17.97	$17.97
87301	Clinical Laboratory	$17.97	$17.97
87305	Clinical Laboratory	$17.97	$17.97
87320	Clinical Laboratory	$22.50	$22.50
87324	Clinical Laboratory	$17.97	$17.97
87327	Clinical Laboratory	$20.13	$20.13
87328	Clinical Laboratory	$20.73	$20.73
87329	Clinical Laboratory	$17.97	$17.97
87332	Clinical Laboratory	$17.97	$17.97
87335	Clinical Laboratory	$18.99	$18.99
87336	Clinical Laboratory	$24.00	$24.00
87337	Clinical Laboratory	$17.97	$17.97
87338	Clinical Laboratory	$21.57	$21.57
87339	Clinical Laboratory	$24.00	$24.00
87340	Clinical Laboratory	$15.50	$15.50
87341	Clinical Laboratory	$15.50	$15.50
87350	Clinical Laboratory	$17.30	$17.30
87380	Clinical Laboratory	$27.54	$27.54
87385	Clinical Laboratory	$19.88	$19.88
87389	Clinical Laboratory	$36.12	$36.12
87390	Clinical Laboratory	$36.09	$36.09
87391	Clinical Laboratory	$32.85	$32.85
87400	Clinical Laboratory	$21.20	$21.20
87420	Clinical Laboratory	$20.87	$20.87
87425	Clinical Laboratory	$17.97	$17.97
87426	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
87427	Clinical Laboratory	$17.97	$17.97
87428	Clinical Laboratory	$46.41	$46.41
87430	Clinical Laboratory	$25.22	$25.22
87449	Clinical Laboratory	$17.97	$17.97
87451	Clinical Laboratory	$15.77	$15.77
87471	Clinical Laboratory	$52.64	$52.64
87472	Clinical Laboratory	$64.26	$64.26
87475	Clinical Laboratory	$30.08	$30.08
87476	Clinical Laboratory	$52.64	$52.64
87480	Clinical Laboratory	$30.08	$30.08
87481	Clinical Laboratory	$52.64	$52.64
87482	Clinical Laboratory	$83.61	$83.61
87483	Clinical Laboratory	$625.17	$625.17
87485	Clinical Laboratory	$30.08	$30.08
87486	Clinical Laboratory	$52.64	$52.64
87487	Clinical Laboratory	$64.26	$64.26
87490	Clinical Laboratory	$34.13	$34.13
87491	Clinical Laboratory	$52.64	$52.64
87492	Clinical Laboratory	$80.21	$80.21
87493	Clinical Laboratory	$55.91	$55.91
87495	Clinical Laboratory	$45.05	$45.05
87496	Clinical Laboratory	$52.64	$52.64
87497	Clinical Laboratory	$64.26	$64.26
87498	Clinical Laboratory	$52.64	$52.64
87500	Clinical Laboratory	$52.64	$52.64
87501	Clinical Laboratory	$76.97	$76.97
87502	Clinical Laboratory	$143.70	$143.70
87503	Clinical Laboratory	$43.83	$43.83
87505	Clinical Laboratory	$192.44	$192.44
87506	Clinical Laboratory	$394.49	$394.49
87507	Clinical Laboratory	$625.17	$625.17
87510	Clinical Laboratory	$30.08	$30.08
87511	Clinical Laboratory	$52.64	$52.64
87512	Clinical Laboratory	$62.64	$62.64
87516	Clinical Laboratory	$52.64	$52.64
87517	Clinical Laboratory	$64.26	$64.26
87520	Clinical Laboratory	$46.83	$46.83
87521	Clinical Laboratory	$52.64	$52.64
87522	Clinical Laboratory	$64.26	$64.26
87525	Clinical Laboratory	$44.70	$44.70
87526	Clinical Laboratory	$58.89	$58.89
87527	Clinical Laboratory	$62.64	$62.64
87528	Clinical Laboratory	$30.08	$30.08
87529	Clinical Laboratory	$52.64	$52.64
87530	Clinical Laboratory	$64.26	$64.26
87531	Clinical Laboratory	$87.00	$87.00
87532	Clinical Laboratory	$52.64	$52.64
87533	Clinical Laboratory	$62.64	$62.64
87534	Clinical Laboratory	$32.88	$32.88
87535	Clinical Laboratory	$52.64	$52.64
87536	Clinical Laboratory	$127.65	$127.65
87537	Clinical Laboratory	$32.88	$32.88
87538	Clinical Laboratory	$52.64	$52.64
87539	Clinical Laboratory	$87.93	$87.93
87540	Clinical Laboratory	$30.08	$30.08
87541	Clinical Laboratory	$52.64	$52.64
87542	Clinical Laboratory	$62.64	$62.64
87550	Clinical Laboratory	$30.08	$30.08
87551	Clinical Laboratory	$72.36	$72.36
87552	Clinical Laboratory	$64.26	$64.26
87555	Clinical Laboratory	$40.32	$40.32
87556	Clinical Laboratory	$62.52	$62.52
87557	Clinical Laboratory	$64.26	$64.26
87560	Clinical Laboratory	$40.94	$40.94
87561	Clinical Laboratory	$52.64	$52.64
87562	Clinical Laboratory	$64.26	$64.26
87563	Clinical Laboratory	$52.64	$52.64
87580	Clinical Laboratory	$30.08	$30.08
87581	Clinical Laboratory	$52.64	$52.64
87582	Clinical Laboratory	$453.93	$453.93
87590	Clinical Laboratory	$40.32	$40.32
87591	Clinical Laboratory	$52.64	$52.64
87592	Clinical Laboratory	$64.26	$64.26
87623	Clinical Laboratory	$52.64	$52.64
87624	Clinical Laboratory	$52.64	$52.64
87625	Clinical Laboratory	$60.83	$60.83
87631	Clinical Laboratory	$213.95	$213.95
87632	Clinical Laboratory	$327.09	$327.09
87633	Clinical Laboratory	$625.17	$625.17
87634	Clinical Laboratory	$105.30	$105.30
87635	Clinical Laboratory	$76.97	$76.97
87636	Clinical Laboratory	$213.95	$213.95
87637	Clinical Laboratory	$213.95	$213.95
87640	Clinical Laboratory	$52.64	$52.64
87641	Clinical Laboratory	$52.64	$52.64
87650	Clinical Laboratory	$30.08	$30.08
87651	Clinical Laboratory	$52.64	$52.64
87652	Clinical Laboratory	$62.64	$62.64
87653	Clinical Laboratory	$52.64	$52.64
87660	Clinical Laboratory	$30.08	$30.08
87661	Clinical Laboratory	$52.64	$52.64
87662	Clinical Laboratory	$76.97	$76.97
87797	Clinical Laboratory	$45.05	$45.05
87798	Clinical Laboratory	$52.64	$52.64
87799	Clinical Laboratory	$64.26	$64.26
87800	Clinical Laboratory	$65.51	$65.51
87801	Clinical Laboratory	$105.30	$105.30
87802	Clinical Laboratory	$19.10	$19.10
87803	Clinical Laboratory	$24.00	$24.00
87804	Clinical Laboratory	$24.83	$24.83
87806	Clinical Laboratory	$49.16	$49.16
87807	Clinical Laboratory	$19.65	$19.65
87808	Clinical Laboratory	$22.94	$22.94
87809	Clinical Laboratory	$32.64	$32.64
87810	Clinical Laboratory	$52.94	$52.94
87811	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
87850	Clinical Laboratory	$36.84	$36.84
87880	Clinical Laboratory	$24.80	$24.80
87899	Clinical Laboratory	$24.11	$24.11
87900	Clinical Laboratory	$195.53	$195.53
87901	Clinical Laboratory	$386.18	$386.18
87902	Clinical Laboratory	$386.18	$386.18
87903	Clinical Laboratory	$732.99	$732.99
87904	Clinical Laboratory	$39.11	$39.11
87905	Clinical Laboratory	$18.33	$18.33
87906	Clinical Laboratory	$193.10	$193.10
87910	Clinical Laboratory	$386.18	$386.18
87912	Clinical Laboratory	$386.18	$386.18
87999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88007	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88029	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88045	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88099	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88104	Other professional services	$96.89	$96.89
88104-26	Clinical Laboratory	$40.10	$40.10
88104-TC	Clinical Laboratory	$56.79	$56.79
88106	Other professional services	$96.17	$96.17
88106-26	Clinical Laboratory	$27.83	$27.83
88106-TC	Clinical Laboratory	$68.34	$68.34
88108	Other professional services	$92.58	$92.58
88108-26	Clinical Laboratory	$32.90	$32.90
88108-TC	Clinical Laboratory	$59.67	$59.67
88112	Other professional services	$95.91	$95.91
88112-26	Clinical Laboratory	$40.58	$40.58
88112-TC	Clinical Laboratory	$55.34	$55.34
88120	Other professional services	$881.84	$881.84
88120-26	Clinical Laboratory	$85.31	$85.31
88120-TC	Clinical Laboratory	$796.53	$796.53
88121	Other professional services	$621.62	$621.62
88121-26	Clinical Laboratory	$70.59	$70.59
88121-TC	Clinical Laboratory	$551.03	$551.03
88125	Other professional services	$38.91	$38.91
88125-26	Clinical Laboratory	$20.19	$20.19
88125-TC	Clinical Laboratory	$18.74	$18.74
88130	Clinical Laboratory	$26.97	$26.97
88140	Clinical Laboratory	$11.99	$11.99
88141	Other professional services	$32.22	$32.22
88142	Clinical Laboratory	$30.39	$30.39
88143	Clinical Laboratory	$34.56	$34.56
88147	Clinical Laboratory	$75.84	$75.84
88148	Clinical Laboratory	$24.00	$24.00
88150	Clinical Laboratory	$23.88	$23.88
88152	Clinical Laboratory	$41.46	$41.46
88153	Clinical Laboratory	$36.05	$36.05
88155	Clinical Laboratory	$21.98	$21.98
88160	Other professional services	$102.92	$102.92
88160-26	Clinical Laboratory	$37.46	$37.46
88160-TC	Clinical Laboratory	$65.46	$65.46
88161	Other professional services	$105.81	$105.81
88161-26	Clinical Laboratory	$36.98	$36.98
88161-TC	Clinical Laboratory	$68.84	$68.84
88162	Other professional services	$163.08	$163.08
88162-26	Clinical Laboratory	$57.23	$57.23
88162-TC	Clinical Laboratory	$105.87	$105.87
88164	Clinical Laboratory	$23.88	$23.88
88165	Clinical Laboratory	$63.33	$63.33
88166	Clinical Laboratory	$23.88	$23.88
88167	Clinical Laboratory	$23.88	$23.88
88172	Other professional services	$79.07	$79.07
88172-26	Clinical Laboratory	$51.66	$51.66
88172-TC	Clinical Laboratory	$27.41	$27.41
88173	Other professional services	$226.82	$226.82
88173-26	Clinical Laboratory	$102.77	$102.77
88173-TC	Clinical Laboratory	$124.05	$124.05
88174	Clinical Laboratory	$38.06	$38.06
88175	Clinical Laboratory	$39.92	$39.92
88177	Other professional services	$41.97	$41.97
88177-26	Clinical Laboratory	$31.86	$31.86
88177-TC	Clinical Laboratory	$10.11	$10.11
88182	Other professional services	$210.21	$210.21
88182-26	Clinical Laboratory	$56.30	$56.30
88182-TC	Clinical Laboratory	$153.93	$153.93
88184	Other professional services	$96.23	$96.23
88185	Other professional services	$30.83	$30.83
88187	Other professional services	$52.64	$52.64
88188	Other professional services	$91.71	$91.71
88189	Other professional services	$123.39	$123.39
88199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88199-26	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88199-TC	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88230	Clinical Laboratory	$174.74	$174.74
88233	Clinical Laboratory	$211.10	$211.10
88235	Clinical Laboratory	$225.45	$225.45
88237	Clinical Laboratory	$215.63	$215.63
88239	Clinical Laboratory	$221.28	$221.28
88240	Clinical Laboratory	$19.61	$19.61
88241	Clinical Laboratory	$18.14	$18.14
88245	Clinical Laboratory	$259.76	$259.76
88248	Clinical Laboratory	$259.76	$259.76
88249	Clinical Laboratory	$259.76	$259.76
88261	Clinical Laboratory	$396.51	$396.51
88262	Clinical Laboratory	$188.24	$188.24
88263	Clinical Laboratory	$225.44	$225.44
88264	Clinical Laboratory	$216.92	$216.92
88267	Clinical Laboratory	$282.86	$282.86
88269	Clinical Laboratory	$260.49	$260.49
88271	Clinical Laboratory	$32.13	$32.13
88272	Clinical Laboratory	$61.05	$61.05
88273	Clinical Laboratory	$52.22	$52.22
88274	Clinical Laboratory	$63.57	$63.57
88275	Clinical Laboratory	$76.79	$76.79
88280	Clinical Laboratory	$50.21	$50.21
88283	Clinical Laboratory	$102.90	$102.90
88285	Clinical Laboratory	$40.37	$40.37
88289	Clinical Laboratory	$51.65	$51.65
88291	Other professional services	$48.45	$48.45
88299	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88300	Other professional services	$21.87	$21.87
88300-26	Clinical Laboratory	$6.51	$6.51
88300-TC	Clinical Laboratory	$15.36	$15.36
88302	Other professional services	$45.18	$45.18
88302-26	Clinical Laboratory	$10.07	$10.07
88302-TC	Clinical Laboratory	$35.12	$35.12
88304	Other professional services	$59.48	$59.48
88304-26	Clinical Laboratory	$16.67	$16.67
88304-TC	Clinical Laboratory	$42.81	$42.81
88305	Other professional services	$102.89	$102.89
88305-26	Clinical Laboratory	$54.77	$54.77
88305-TC	Clinical Laboratory	$48.12	$48.12
88307	Other professional services	$410.13	$410.13
88307-26	Clinical Laboratory	$120.36	$120.36
88307-TC	Clinical Laboratory	$289.77	$289.77
88309	Other professional services	$624.63	$624.63
88309-26	Clinical Laboratory	$211.55	$211.55
88309-TC	Clinical Laboratory	$413.09	$413.09
88311	Other professional services	$30.17	$30.17
88311-26	Clinical Laboratory	$18.18	$18.18
88311-TC	Clinical Laboratory	$11.99	$11.99
88312	Other professional services	$161.36	$161.36
88312-26	Clinical Laboratory	$38.57	$38.57
88312-TC	Clinical Laboratory	$122.78	$122.78
88313	Other professional services	$115.44	$115.44
88313-26	Clinical Laboratory	$17.70	$17.70
88313-TC	Clinical Laboratory	$97.73	$97.73
88314	Other professional services	$141.27	$141.27
88314-26	Clinical Laboratory	$31.01	$31.01
88314-TC	Clinical Laboratory	$110.25	$110.25
88319	Other professional services	$199.80	$199.80
88319-26	Clinical Laboratory	$39.50	$39.50
88319-TC	Clinical Laboratory	$160.31	$160.31
88321	Other professional services	$141.92	$122.64
88323	Other professional services	$165.63	$165.63
88323-26	Clinical Laboratory	$127.64	$127.64
88323-TC	Clinical Laboratory	$38.00	$38.00
88325	Other professional services	$231.08	$198.81
88329	Other professional services	$83.21	$51.90
88331	Other professional services	$148.31	$148.31
88331-26	Clinical Laboratory	$90.56	$90.56
88331-TC	Clinical Laboratory	$57.75	$57.75
88332	Other professional services	$78.69	$78.69
88332-26	Clinical Laboratory	$44.54	$44.54
88332-TC	Clinical Laboratory	$34.14	$34.14
88333	Other professional services	$135.83	$135.83
88333-26	Clinical Laboratory	$90.12	$90.12
88333-TC	Clinical Laboratory	$45.71	$45.71
88334	Other professional services	$81.68	$81.68
88334-26	Clinical Laboratory	$54.69	$54.69
88334-TC	Clinical Laboratory	$26.97	$26.97
88341	Other professional services	$126.80	$126.80
88341-26	Clinical Laboratory	$41.06	$41.06
88341-TC	Clinical Laboratory	$85.74	$85.74
88342	Other professional services	$145.10	$145.10
88342-26	Clinical Laboratory	$50.73	$50.73
88342-TC	Clinical Laboratory	$94.37	$94.37
88344	Other professional services	$243.63	$243.63
88344-26	Clinical Laboratory	$55.82	$55.82
88344-TC	Clinical Laboratory	$187.82	$187.82
88346	Other professional services	$219.42	$219.42
88346-26	Clinical Laboratory	$52.82	$52.82
88346-TC	Clinical Laboratory	$166.62	$166.62
88348	Other professional services	$649.98	$649.98
88348-26	Clinical Laboratory	$113.33	$113.33
88348-TC	Clinical Laboratory	$536.67	$536.67
88350	Clinical Laboratory	$169.25	$169.25
88350-26	Clinical Laboratory	$42.62	$42.62
88350-TC	Clinical Laboratory	$126.63	$126.63
88355	Other professional services	$205.76	$205.76
88355-26	Clinical Laboratory	$121.02	$121.02
88355-TC	Clinical Laboratory	$84.72	$84.72
88356	Other professional services	$356.79	$356.79
88356-26	Clinical Laboratory	$189.87	$189.87
88356-TC	Clinical Laboratory	$166.94	$166.94
88358	Other professional services	$200.40	$200.40
88358-26	Clinical Laboratory	$72.33	$72.33
88358-TC	Clinical Laboratory	$128.09	$128.09
88360	Other professional services	$173.60	$173.60
88360-26	Clinical Laboratory	$60.93	$60.93
88360-TC	Clinical Laboratory	$112.67	$112.67
88361	Other professional services	$173.49	$173.49
88361-26	Clinical Laboratory	$64.19	$64.19
88361-TC	Clinical Laboratory	$109.29	$109.29
88362	Other professional services	$320.36	$320.36
88362-26	Clinical Laboratory	$162.95	$162.95
88362-TC	Clinical Laboratory	$157.41	$157.41
88363	Other professional services	$33.54	$28.25
88364	Other professional services	$197.60	$197.60
88364-26	Clinical Laboratory	$50.25	$50.25
88364-TC	Clinical Laboratory	$147.35	$147.35
88365	Other professional services	$257.42	$257.42
88365-26	Clinical Laboratory	$63.87	$63.87
88365-TC	Clinical Laboratory	$193.55	$193.55
88366	Other professional services	$407.61	$407.61
88366-26	Clinical Laboratory	$90.75	$90.75
88366-TC	Clinical Laboratory	$316.86	$316.86
88367	Other professional services	$162.54	$162.54
88367-26	Clinical Laboratory	$49.40	$49.40
88367-TC	Clinical Laboratory	$113.15	$113.15
88368	Other professional services	$195.33	$195.33
88368-26	Clinical Laboratory	$60.56	$60.56
88368-TC	Clinical Laboratory	$134.78	$134.78
88369	Other professional services	$165.33	$165.33
88369-26	Clinical Laboratory	$47.36	$47.36
88369-TC	Clinical Laboratory	$117.96	$117.96
88371	Clinical Laboratory	$33.35	$33.35
88371-26	Clinical Laboratory	$28.31	$28.31
88372	Clinical Laboratory	$39.33	$39.33
88372-26	Clinical Laboratory	$26.81	$26.81
88373	Other professional services	$99.90	$99.90
88373-26	Clinical Laboratory	$37.76	$37.76
88373-TC	Clinical Laboratory	$62.15	$62.15
88374	Other professional services	$465.33	$465.33
88374-26	Clinical Laboratory	$63.63	$63.63
88374-TC	Clinical Laboratory	$401.70	$401.70
88375	Other professional services	$70.56	$70.56
88377	Other professional services	$578.25	$578.25
88377-26	Clinical Laboratory	$93.75	$93.75
88377-TC	Clinical Laboratory	$484.50	$484.50
88380	Other professional services	$183.72	$183.72
88380-26	Clinical Laboratory	$79.77	$79.77
88380-TC	Clinical Laboratory	$103.94	$103.94
88381	Other professional services	$299.40	$299.40
88381-26	Clinical Laboratory	$35.16	$35.16
88381-TC	Clinical Laboratory	$264.24	$264.24
88387	Other professional services	$50.37	$50.37
88387-26	Clinical Laboratory	$39.36	$39.36
88387-TC	Clinical Laboratory	$11.03	$11.03
88388	Other professional services	$54.56	$54.56
88388-26	Clinical Laboratory	$34.38	$34.38
88388-TC	Clinical Laboratory	$20.18	$20.18
88399	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88399-26	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88399-TC	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
88720	Clinical Laboratory	$7.53	$7.53
88738	Clinical Laboratory	$7.53	$7.53
88740	Clinical Laboratory	$14.06	$14.06
88741	Clinical Laboratory	$14.06	$14.06
88749	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89049	Other professional services	$386.55	$89.82
89050	Clinical Laboratory	$7.08	$7.08
89051	Clinical Laboratory	$8.40	$8.40
89055	Clinical Laboratory	$6.41	$6.41
89060	Clinical Laboratory	$11.00	$11.00
89060-26	Clinical Laboratory	$26.81	$26.81
89125	Clinical Laboratory	$8.82	$8.82
89160	Clinical Laboratory	$7.28	$7.28
89190	Clinical Laboratory	$8.69	$8.69
89220	Other professional services	$26.39	$26.39
89230	Other professional services	$3.32	$3.32
89240	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89251	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89253	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89254	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89255	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89257	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89258	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89259	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89261	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89264	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89268	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89272	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89280	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89281	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89290	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89291	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89300	Clinical Laboratory	$14.76	$14.76
89310	Clinical Laboratory	$12.92	$12.92
89320	Clinical Laboratory	$18.47	$18.47
89321	Clinical Laboratory	$18.08	$18.08
89322	Clinical Laboratory	$23.25	$23.25
89325	Clinical Laboratory	$16.01	$16.01
89329	Clinical Laboratory	$29.39	$29.39
89330	Clinical Laboratory	$15.57	$15.57
89331	Clinical Laboratory	$29.39	$29.39
89335	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89337	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89342	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89343	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89344	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89346	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89352	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89353	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89354	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89356	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
89398	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90281	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90283	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90284	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90287	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90288	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90291	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90296	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90371	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90375	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90376	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90377	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90378	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90384	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90385	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90386	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90389	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90393	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90396	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90399	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90460	Other professional services	$24.18	$24.18
90461	Other professional services	$18.33	$18.33
90471	Other professional services	$24.18	$24.18
90472	Other professional services	$18.33	$18.33
90473	Other professional services	$24.18	$24.18
90474	Other professional services	$18.33	$18.33
90476	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90477	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90581	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90585	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90586	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90587	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90619	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90620	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90621	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90625	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90626	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90627	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90630	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90632	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90633	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90634	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90636	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90644	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90647	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90648	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90649	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90650	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90651	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90653	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90654	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90655	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90656	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90657	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90658	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90660	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90661	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90662	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90664	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90666	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90667	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90668	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90670	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90671	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90672	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90673	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90674	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90675	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90676	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90677	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90680	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90681	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90682	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90685	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90686	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90687	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90688	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90689	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90690	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90691	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90694	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90696	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90697	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90698	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90700	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90702	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90707	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90710	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90713	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90714	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90715	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90716	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90717	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90723	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90732	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90733	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90734	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90736	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90738	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90739	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90740	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90743	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90744	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90746	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90747	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90748	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90749	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90750	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90756	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90758	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90759	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90785	Other professional services	$21.89	$19.49
90791	Other professional services	$262.73	$228.05
90792	Other professional services	$293.51	$259.31
90832	Other professional services	$114.35	$101.82
90833	Other professional services	$104.45	$93.84
90834	Other professional services	$150.93	$134.07
90836	Other professional services	$131.90	$118.41
90837	Other professional services	$221.78	$196.73
90838	Other professional services	$173.52	$156.66
90839	Other professional services	$211.89	$188.78
90840	Other professional services	$105.18	$94.59
90845	Other professional services	$142.70	$127.77
90846	Other professional services	$145.28	$144.30
90847	Other professional services	$150.47	$149.99
90849	Other professional services	$51.23	$41.60
90853	Other professional services	$40.16	$35.33
90863	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90865	Other professional services	$244.59	$185.82
90867	Other professional services	$292.04	$176.36
90868	Other professional services	$270.38	$36.98
90869	Other professional services	$263.19	$147.56
90870	Other professional services	$254.99	$158.16
90875	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90876	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90880	Other professional services	$157.01	$133.89
90882	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90885	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90887	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90889	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90899	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90901	Other professional services	$59.22	$28.40
90912	Other professional services	$118.22	$63.78
90913	Major surgery	$61.00	$46.61
90935	Other professional services	$106.67	$106.67
90937	Other professional services	$152.69	$152.69
90940	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90945	Other professional services	$126.18	$126.18
90947	Other professional services	$183.27	$183.27
90951	Other professional services	$1,753.35	$1,753.35
90952	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90953	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90954	Other professional services	$1,507.71	$1,507.71
90955	Other professional services	$777.77	$777.77
90956	Other professional services	$514.34	$514.34
90957	Other professional services	$1,150.92	$1,150.92
90958	Other professional services	$748.25	$748.25
90959	Other professional services	$482.90	$482.90
90960	Other professional services	$525.90	$525.90
90961	Other professional services	$435.87	$435.87
90962	Other professional services	$298.73	$298.73
90963	Other professional services	$904.07	$904.07
90964	Other professional services	$775.04	$775.04
90965	Other professional services	$744.62	$744.62
90966	Other professional services	$435.87	$435.87
90967	Other professional services	$26.25	$26.25
90968	Other professional services	$25.73	$25.73
90969	Other professional services	$25.20	$25.20
90970	Other professional services	$14.10	$14.10
90989	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90993	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
90997	Other professional services	$131.51	$131.51
90999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91010	Other professional services	$330.41	$330.41
91010-26	Other professional services	$96.39	$96.39
91010-TC	Other professional services	$234.00	$234.00
91013	Other professional services	$38.19	$38.19
91013-26	Other professional services	$13.62	$13.62
91013-TC	Other professional services	$24.57	$24.57
91020	Other professional services	$412.04	$412.04
91020-26	Other professional services	$108.18	$108.18
91020-TC	Other professional services	$303.86	$303.86
91022	Other professional services	$253.61	$253.61
91022-26	Other professional services	$107.76	$107.76
91022-TC	Other professional services	$145.85	$145.85
91030	Other professional services	$213.57	$213.57
91030-26	Other professional services	$68.69	$68.69
91030-TC	Other professional services	$144.89	$144.89
91034	Other professional services	$283.53	$283.53
91034-26	Other professional services	$73.56	$73.56
91034-TC	Other professional services	$209.97	$209.97
91035	Other professional services	$697.01	$697.01
91035-26	Other professional services	$119.97	$119.97
91035-TC	Other professional services	$577.04	$577.04
91037	Other professional services	$250.95	$250.95
91037-26	Other professional services	$72.77	$72.77
91037-TC	Other professional services	$178.19	$178.19
91038	Other professional services	$616.04	$616.04
91038-26	Other professional services	$82.41	$82.41
91038-TC	Other professional services	$533.63	$533.63
91040	Other professional services	$793.67	$793.67
91040-26	Other professional services	$73.08	$73.08
91040-TC	Other professional services	$720.60	$720.60
91065	Other professional services	$131.66	$131.66
91065-26	Other professional services	$15.14	$15.14
91065-TC	Other professional services	$116.52	$116.52
91110	Other professional services	$1,131.23	$1,131.23
91110-26	Other professional services	$167.85	$167.85
91110-TC	Other professional services	$963.38	$963.38
91111	Other professional services	$1,355.75	$1,355.75
91111-26	Other professional services	$67.70	$67.70
91111-TC	Other professional services	$1,288.07	$1,288.07
91112	Other professional services	$2,505.48	$2,505.48
91112-26	Other professional services	$157.64	$157.64
91112-TC	Other professional services	$2,347.85	$2,347.85
91113	Other professional services	$1,361.16	$1,361.16
91113-26	Other professional services	$179.57	$179.57
91113-TC	Other professional services	$1,181.60	$1,181.60
91117	Other professional services	$200.40	$200.40
91120	Other professional services	$768.26	$768.26
91120-26	Other professional services	$71.75	$71.75
91120-TC	Other professional services	$696.51	$696.51
91122	Other professional services	$402.45	$402.45
91122-26	Other professional services	$129.42	$129.42
91122-TC	Other professional services	$273.02	$273.02
91132	Other professional services	$678.11	$678.11
91132-26	Other professional services	$38.93	$38.93
91132-TC	Other professional services	$639.18	$639.18
91133	Other professional services	$709.46	$709.46
91133-26	Other professional services	$49.56	$49.56
91133-TC	Other professional services	$659.90	$659.90
91200	Other professional services	$44.51	$44.51
91200-26	Other professional services	$15.66	$15.66
91200-TC	Other professional services	$28.85	$28.85
91299	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91299-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91299-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91301	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91302	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91303	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91304	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91305	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91306	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
91307	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92002	Other professional services	$124.94	$68.58
92004	Other professional services	$218.00	$139.95
92012	Other professional services	$129.42	$74.51
92014	Other professional services	$183.74	$112.44
92015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92018	Other professional services	$202.43	$202.43
92019	Other professional services	$104.81	$104.81
92020	Other professional services	$40.83	$29.75
92025	Other professional services	$52.26	$52.26
92025-26	Other professional services	$28.23	$28.23
92025-TC	Other professional services	$24.03	$24.03
92060	Other professional services	$91.10	$91.10
92060-26	Other professional services	$54.06	$54.06
92060-TC	Other professional services	$37.04	$37.04
92065	Other professional services	$75.93	$75.93
92065-26	Other professional services	$25.89	$25.89
92065-TC	Other professional services	$50.04	$50.04
92071	Other professional services	$53.72	$47.45
92072	Other professional services	$186.81	$141.06
92081	Other professional services	$47.73	$47.73
92081-26	Other professional services	$23.22	$23.22
92081-TC	Other professional services	$24.51	$24.51
92082	Other professional services	$66.90	$66.90
92082-26	Other professional services	$30.35	$30.35
92082-TC	Other professional services	$36.56	$36.56
92083	Other professional services	$90.39	$90.39
92083-26	Other professional services	$39.39	$39.39
92083-TC	Other professional services	$51.00	$51.00
92100	Other professional services	$122.60	$47.45
92132	Other professional services	$45.33	$45.33
92132-26	Other professional services	$23.70	$23.70
92132-TC	Other professional services	$21.62	$21.62
92133	Other professional services	$53.40	$53.40
92133-26	Other professional services	$31.79	$31.79
92133-TC	Other professional services	$21.62	$21.62
92134	Other professional services	$58.89	$58.89
92134-26	Other professional services	$36.80	$36.80
92134-TC	Other professional services	$22.10	$22.10
92136	Other professional services	$72.24	$72.24
92136-26	Other professional services	$44.36	$44.36
92136-TC	Other professional services	$27.89	$27.89
92145	Other professional services	$18.09	$18.09
92145-26	Other professional services	$8.03	$8.03
92145-TC	Other professional services	$10.07	$10.07
92201	Other professional services	$36.06	$33.18
92202	Other professional services	$23.07	$21.15
92227	Other professional services	$22.59	$22.59
92228	Other professional services	$44.43	$44.43
92228-26	Other professional services	$26.19	$26.19
92228-TC	Other professional services	$18.26	$18.26
92229	Other professional services	$65.46	$65.46
92230	Other professional services	$140.75	$47.78
92235	Other professional services	$180.45	$180.45
92235-26	Other professional services	$61.52	$61.52
92235-TC	Other professional services	$118.94	$118.94
92240	Other professional services	$277.97	$277.97
92240-26	Other professional services	$68.96	$68.96
92240-TC	Other professional services	$209.01	$209.01
92242	Neurology	$365.95	$365.95
92242-26	Other professional services	$79.44	$79.44
92242-TC	Other professional services	$279.35	$279.35
92250	Other professional services	$53.90	$53.90
92250-26	Other professional services	$30.83	$30.83
92250-TC	Other professional services	$23.07	$23.07
92260	Other professional services	$28.64	$15.63
92265	Other professional services	$124.79	$124.79
92265-26	Other professional services	$66.56	$66.56
92265-TC	Other professional services	$58.23	$58.23
92270	Other professional services	$157.01	$157.01
92270-26	Other professional services	$62.22	$62.22
92270-TC	Other professional services	$94.79	$94.79
92273	Other professional services	$182.09	$182.09
92273-26	Other professional services	$53.58	$53.58
92273-TC	Other professional services	$128.51	$128.51
92274	Other professional services	$125.01	$125.01
92274-26	Other professional services	$47.51	$47.51
92274-TC	Other professional services	$77.51	$77.51
92283	Other professional services	$77.12	$77.12
92283-26	Other professional services	$13.11	$13.11
92283-TC	Other professional services	$64.01	$64.01
92284	Other professional services	$82.62	$82.62
92284-26	Other professional services	$17.70	$17.70
92284-TC	Other professional services	$64.92	$64.92
92285	Other professional services	$32.84	$32.84
92285-26	Other professional services	$4.47	$4.47
92285-TC	Other professional services	$28.37	$28.37
92286	Other professional services	$56.78	$56.78
92286-26	Other professional services	$31.79	$31.79
92286-TC	Other professional services	$24.99	$24.99
92287	Other professional services	$259.13	$259.13
92287-26	Other professional services	$66.56	$66.56
92287-TC	Other professional services	$192.57	$192.57
92310	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92311	Other professional services	$154.70	$77.63
92312	Other professional services	$179.46	$89.87
92313	Other professional services	$145.97	$64.08
92314	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92315	Other professional services	$119.16	$31.01
92316	Other professional services	$147.48	$46.80
92317	Other professional services	$124.95	$31.01
92325	Other professional services	$65.46	$65.46
92326	Other professional services	$55.83	$55.83
92340	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92341	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92342	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92352	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92353	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92354	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92355	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92358	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92370	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92371	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92499	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92499-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92499-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92502	Other professional services	$138.99	$138.99
92504	Other professional services	$42.05	$13.62
92507	Other professional services	$113.45	$113.45
92508	Other professional services	$34.89	$34.89
92511	Other professional services	$172.10	$55.05
92512	Other professional services	$90.47	$40.85
92516	Other professional services	$100.14	$33.66
92517	Other professional services	$100.02	$61.47
92518	Other professional services	$94.23	$61.47
92519	Other professional services	$155.30	$92.19
92520	Other professional services	$119.64	$58.46
92521	Other professional services	$196.70	$196.70
92522	Other professional services	$165.15	$165.15
92523	Other professional services	$335.94	$335.94
92524	Other professional services	$162.75	$162.75
92526	Other professional services	$125.64	$125.64
92531	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92532	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92533	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92534	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92537	Neurology	$61.63	$61.63
92537-26	Other professional services	$46.02	$46.02
92537-TC	Other professional services	$14.40	$14.40
92538	Neurology	$33.95	$33.95
92538-26	Other professional services	$23.70	$23.70
92538-TC	Other professional services	$9.59	$9.59
92540	Other professional services	$162.84	$162.84
92540-26	Other professional services	$115.22	$115.22
92540-TC	Other professional services	$47.64	$47.64
92541	Other professional services	$37.52	$37.52
92541-26	Other professional services	$30.83	$30.83
92541-TC	Other professional services	$6.69	$6.69
92542	Other professional services	$43.11	$43.11
92542-26	Other professional services	$36.90	$36.90
92542-TC	Other professional services	$6.21	$6.21
92544	Other professional services	$26.43	$26.43
92544-26	Other professional services	$21.18	$21.18
92544-TC	Other professional services	$5.24	$5.24
92545	Other professional services	$24.90	$24.90
92545-26	Other professional services	$19.67	$19.67
92545-TC	Other professional services	$5.24	$5.24
92546	Other professional services	$179.15	$179.15
92546-26	Other professional services	$22.23	$22.23
92546-TC	Other professional services	$156.93	$156.93
92547	Other professional services	$14.94	$14.94
92548	Other professional services	$71.70	$71.70
92548-26	Other professional services	$50.57	$50.57
92548-TC	Other professional services	$21.14	$21.14
92549	Other professional services	$93.71	$93.71
92549-26	Other professional services	$65.82	$65.82
92549-TC	Other professional services	$27.89	$27.89
92550	Other professional services	$32.99	$32.99
92551	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92552	Other professional services	$47.64	$47.64
92553	Other professional services	$57.75	$57.75
92555	Other professional services	$36.08	$36.08
92556	Other professional services	$56.79	$56.79
92557	Other professional services	$55.49	$47.78
92558	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92562	Other professional services	$65.46	$65.46
92563	Other professional services	$45.23	$45.23
92565	Other professional services	$26.93	$26.93
92567	Other professional services	$24.30	$15.63
92568	Other professional services	$23.13	$22.65
92570	Other professional services	$48.56	$43.74
92571	Other professional services	$40.41	$40.41
92572	Other professional services	$58.23	$58.23
92575	Other professional services	$99.50	$99.50
92576	Other professional services	$53.90	$53.90
92577	Other professional services	$26.45	$26.45
92579	Other professional services	$67.91	$55.86
92582	Other professional services	$109.73	$109.73
92583	Other professional services	$71.72	$71.72
92584	Other professional services	$167.24	$167.24
92587	Other professional services	$32.51	$32.51
92587-26	Other professional services	$26.79	$26.79
92587-TC	Other professional services	$5.73	$5.73
92588	Other professional services	$50.12	$50.12
92588-26	Other professional services	$42.47	$42.47
92588-TC	Other professional services	$7.65	$7.65
92590	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92591	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92592	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92593	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92594	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92595	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92596	Other professional services	$97.25	$97.25
92597	Other professional services	$106.92	$106.92
92601	Other professional services	$240.27	$182.96
92602	Other professional services	$151.50	$103.34
92603	Other professional services	$225.15	$177.95
92604	Other professional services	$135.42	$98.81
92605	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92606	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92607	Other professional services	$182.78	$182.78
92608	Other professional services	$72.24	$72.24
92609	Other professional services	$153.11	$153.11
92610	Other professional services	$125.85	$103.70
92611	Other professional services	$135.05	$135.05
92612	Other professional services	$280.80	$98.72
92613	Other professional services	$53.97	$53.97
92614	Other professional services	$212.40	$97.74
92615	Other professional services	$48.38	$48.38
92616	Other professional services	$314.22	$145.62
92617	Other professional services	$60.48	$60.48
92618	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92620	Other professional services	$134.73	$118.85
92621	Other professional services	$32.57	$27.75
92625	Other professional services	$101.33	$90.72
92626	Other professional services	$130.20	$110.45
92627	Other professional services	$30.56	$26.22
92630	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92633	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92640	Other professional services	$164.19	$140.10
92650	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92651	Other professional services	$129.18	$129.18
92652	Other professional services	$169.85	$169.85
92653	Other professional services	$125.88	$125.88
92700	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92920	Other professional services	$772.19	$772.19
92921	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92924	Other professional services	$920.33	$920.33
92925	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92928	Other professional services	$859.17	$859.17
92929	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92933	Other professional services	$963.50	$963.50
92934	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92937	Other professional services	$858.17	$858.17
92938	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92941	Other professional services	$965.49	$965.49
92943	Other professional services	$965.43	$965.43
92944	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
92950	Other professional services	$486.69	$272.34
92953	Other professional services	$1.43	$1.43
92960	Other professional services	$228.27	$158.91
92961	Other professional services	$358.11	$358.11
92970	Other professional services	$276.26	$276.26
92971	Other professional services	$145.44	$145.44
92973	Other professional services	$257.55	$257.55
92974	Other professional services	$235.22	$235.22
92975	Other professional services	$548.67	$548.67
92977	Other professional services	$73.08	$73.08
92978	Other professional services	$408.63	$408.63
92978-26	Other professional services	$138.24	$138.24
92978-TC	Other professional services	$270.39	$270.39
92979	Other professional services	$245.36	$245.36
92979-26	Other professional services	$110.31	$110.31
92979-TC	Other professional services	$135.05	$135.05
92986	Major surgery	$2,503.45	$2,503.45
92987	Major surgery	$2,589.60	$2,589.60
92990	Major surgery	$2,061.38	$2,061.38
92997	Other professional services	$929.85	$929.85
92998	Other professional services	$463.08	$463.08
93000	Other professional services	$20.76	$20.76
93005	Other professional services	$8.61	$8.61
93010	Other professional services	$12.14	$12.14
93015	Other professional services	$103.20	$103.20
93016	Other professional services	$31.92	$31.92
93017	Other professional services	$49.98	$49.98
93018	Other professional services	$21.30	$21.30
93024	Other professional services	$159.03	$159.03
93024-26	Other professional services	$82.19	$82.19
93024-TC	Other professional services	$76.85	$76.85
93025	Other professional services	$174.08	$174.08
93025-26	Other professional services	$54.72	$54.72
93025-TC	Other professional services	$119.36	$119.36
93040	Other professional services	$18.27	$18.27
93041	Other professional services	$8.13	$8.13
93042	Other professional services	$10.14	$10.14
93050	Other professional services	$23.16	$23.16
93050-26	Other professional services	$12.14	$12.14
93050-TC	Other professional services	$11.03	$11.03
93224	Other professional services	$108.71	$108.71
93225	Other professional services	$27.41	$27.41
93226	Other professional services	$53.90	$53.90
93227	Other professional services	$27.42	$27.42
93228	Other professional services	$37.70	$37.70
93229	Other professional services	$1,268.76	$1,268.76
93241	Other professional services	$508.43	$508.43
93242	Other professional services	$20.18	$20.18
93243	Other professional services	$454.38	$454.38
93244	Other professional services	$35.96	$35.96
93245	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93246	Other professional services	$20.18	$20.18
93247	Other professional services	$472.91	$472.91
93248	Other professional services	$39.51	$39.51
93260	Other professional services	$113.69	$113.69
93260-26	Other professional services	$62.69	$62.69
93260-TC	Other professional services	$51.00	$51.00
93261	Other professional services	$105.09	$105.09
93261-26	Other professional services	$54.57	$54.57
93261-TC	Other professional services	$50.52	$50.52
93264	Other professional services	$72.66	$51.95
93268	Other professional services	$265.22	$265.22
93270	Other professional services	$11.99	$11.99
93271	Other professional services	$216.72	$216.72
93272	Other professional services	$36.51	$36.51
93278	Other professional services	$41.76	$41.76
93278-26	Other professional services	$18.23	$18.23
93278-TC	Other professional services	$23.55	$23.55
93279	Other professional services	$101.01	$101.01
93279-26	Other professional services	$46.64	$46.64
93279-TC	Other professional services	$54.38	$54.38
93280	Other professional services	$119.66	$119.66
93280-26	Other professional services	$56.12	$56.12
93280-TC	Other professional services	$63.53	$63.53
93281	Other professional services	$126.69	$126.69
93281-26	Other professional services	$62.21	$62.21
93281-TC	Other professional services	$64.50	$64.50
93282	Other professional services	$120.92	$120.92
93282-26	Other professional services	$62.21	$62.21
93282-TC	Other professional services	$58.71	$58.71
93283	Other professional services	$147.57	$147.57
93283-26	Other professional services	$83.55	$83.55
93283-TC	Other professional services	$64.01	$64.01
93284	Other professional services	$159.02	$159.02
93284-26	Other professional services	$90.68	$90.68
93284-TC	Other professional services	$68.34	$68.34
93285	Other professional services	$90.89	$90.89
93285-26	Other professional services	$37.97	$37.97
93285-TC	Other professional services	$52.94	$52.94
93286	Other professional services	$69.41	$69.41
93286-26	Other professional services	$22.26	$22.26
93286-TC	Other professional services	$47.15	$47.15
93287	Other professional services	$80.52	$80.52
93287-26	Other professional services	$33.36	$33.36
93287-TC	Other professional services	$47.15	$47.15
93288	Other professional services	$84.78	$84.78
93288-26	Other professional services	$30.89	$30.89
93288-TC	Other professional services	$53.90	$53.90
93289	Other professional services	$108.98	$108.98
93289-26	Other professional services	$54.60	$54.60
93289-TC	Other professional services	$54.38	$54.38
93290	Other professional services	$80.93	$80.93
93290-26	Other professional services	$31.37	$31.37
93290-TC	Other professional services	$49.56	$49.56
93291	Other professional services	$74.49	$74.49
93291-26	Other professional services	$26.85	$26.85
93291-TC	Other professional services	$47.64	$47.64
93292	Other professional services	$75.62	$75.62
93292-26	Other professional services	$30.89	$30.89
93292-TC	Other professional services	$44.75	$44.75
93293	Other professional services	$68.97	$68.97
93293-26	Other professional services	$21.81	$21.81
93293-TC	Other professional services	$47.15	$47.15
93294	Other professional services	$44.40	$44.40
93295	Other professional services	$54.99	$54.99
93296	Other professional services	$33.18	$33.18
93297	Other professional services	$38.81	$38.81
93298	Other professional services	$38.81	$38.81
93303	Other professional services	$326.31	$326.31
93303-26	Other professional services	$91.83	$91.83
93303-TC	Other professional services	$234.48	$234.48
93304	Other professional services	$229.35	$229.35
93304-26	Other professional services	$53.64	$53.64
93304-TC	Other professional services	$175.71	$175.71
93306	Other professional services	$290.24	$290.24
93306-26	Other professional services	$102.96	$102.96
93306-TC	Other professional services	$187.28	$187.28
93307	Other professional services	$203.01	$203.01
93307-26	Other professional services	$65.36	$65.36
93307-TC	Other professional services	$137.66	$137.66
93308	Other professional services	$143.43	$143.43
93308-26	Other professional services	$37.04	$37.04
93308-TC	Other professional services	$106.41	$106.41
93312	Other professional services	$351.92	$351.92
93312-26	Other professional services	$159.35	$159.35
93312-TC	Other professional services	$192.57	$192.57
93313	Other professional services	$16.76	$16.76
93314	Other professional services	$336.24	$336.24
93314-26	Other professional services	$132.59	$132.59
93314-TC	Other professional services	$203.66	$203.66
93315	Other professional services	$406.46	$406.46
93315-26	Other professional services	$187.31	$187.31
93315-TC	Other professional services	$219.15	$219.15
93316	Other professional services	$38.57	$38.57
93317	Other professional services	$350.72	$350.72
93317-26	Other professional services	$131.57	$131.57
93317-TC	Other professional services	$219.15	$219.15
93318	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93318-26	Other professional services	$151.88	$151.88
93318-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93319	Other professional services	$87.81	$36.75
93320	Other professional services	$75.02	$75.02
93320-26	Other professional services	$26.42	$26.42
93320-TC	Other professional services	$48.60	$48.60
93321	Other professional services	$37.11	$37.11
93321-26	Other professional services	$10.62	$10.62
93321-TC	Other professional services	$26.49	$26.49
93325	Other professional services	$34.47	$34.47
93325-26	Other professional services	$4.59	$4.59
93325-TC	Other professional services	$29.87	$29.87
93350	Other professional services	$275.79	$275.79
93350-26	Other professional services	$102.96	$102.96
93350-TC	Other professional services	$172.83	$172.83
93351	Other professional services	$342.17	$342.17
93351-26	Other professional services	$123.69	$123.69
93351-TC	Other professional services	$218.48	$218.48
93352	Other professional services	$48.29	$48.29
93355	Other professional services	$334.44	$334.44
93356	Major surgery	$71.78	$22.93
93451	Other professional services	$1,307.21	$1,307.21
93451-26	Other professional services	$190.82	$190.82
93451-TC	Other professional services	$1,116.39	$1,116.39
93452	Other professional services	$1,358.61	$1,358.61
93452-26	Other professional services	$345.78	$345.78
93452-TC	Other professional services	$1,012.83	$1,012.83
93453	Other professional services	$1,722.98	$1,722.98
93453-26	Other professional services	$460.20	$460.20
93453-TC	Other professional services	$1,262.78	$1,262.78
93454	Other professional services	$1,361.48	$1,361.48
93454-26	Other professional services	$349.62	$349.62
93454-TC	Other professional services	$1,011.87	$1,011.87
93455	Other professional services	$1,514.39	$1,514.39
93455-26	Other professional services	$406.17	$406.17
93455-TC	Other professional services	$1,108.20	$1,108.20
93456	Other professional services	$1,692.41	$1,692.41
93456-26	Other professional services	$453.17	$453.17
93456-TC	Other professional services	$1,239.24	$1,239.24
93457	Other professional services	$1,846.38	$1,846.38
93457-26	Other professional services	$510.86	$510.86
93457-TC	Other professional services	$1,335.53	$1,335.53
93458	Other professional services	$1,561.88	$1,561.88
93458-26	Other professional services	$430.11	$430.11
93458-TC	Other professional services	$1,131.75	$1,131.75
93459	Other professional services	$1,680.41	$1,680.41
93459-26	Other professional services	$487.95	$487.95
93459-TC	Other professional services	$1,192.46	$1,192.46
93460	Other professional services	$1,867.34	$1,867.34
93460-26	Other professional services	$546.27	$546.27
93460-TC	Other professional services	$1,321.07	$1,321.07
93461	Other professional services	$2,058.56	$2,058.56
93461-26	Other professional services	$603.68	$603.68
93461-TC	Other professional services	$1,454.88	$1,454.88
93462	Other professional services	$306.24	$306.24
93463	Other professional services	$145.25	$145.25
93464	Other professional services	$327.36	$327.36
93464-26	Other professional services	$130.88	$130.88
93464-TC	Other professional services	$196.49	$196.49
93503	Other professional services	$130.68	$130.68
93505	Other professional services	$970.04	$970.04
93505-26	Other professional services	$330.90	$330.90
93505-TC	Other professional services	$639.12	$639.12
93563	Other professional services	$84.96	$84.96
93564	Other professional services	$88.08	$88.08
93565	Other professional services	$67.59	$67.59
93566	Other professional services	$189.59	$67.23
93567	Other professional services	$160.86	$76.08
93568	Other professional services	$179.43	$69.60
93571	Other professional services	$375.23	$375.23
93571-26	Other professional services	$105.39	$105.39
93571-TC	Other professional services	$269.84	$269.84
93572	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93572-26	Other professional services	$77.27	$77.27
93572-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93580	Other professional services	$1,419.53	$1,419.53
93581	Other professional services	$1,931.24	$1,931.24
93582	Other professional services	$966.60	$966.60
93583	Other professional services	$1,079.81	$1,079.81
93590	Other professional services	$1,580.60	$1,580.60
93591	Other professional services	$1,305.87	$1,305.87
93592	Other professional services	$576.35	$576.35
93593	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93593-26	Other professional services	$280.62	$280.62
93593-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93594	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93594-26	Other professional services	$441.33	$441.33
93594-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93595	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93595-26	Other professional services	$398.25	$398.25
93595-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93596	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93596-26	Other professional services	$482.43	$482.43
93596-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93597	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93597-26	Other professional services	$642.71	$642.71
93597-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93598	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93598-26	Other professional services	$105.12	$105.12
93598-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93600	Other professional services	$286.58	$286.58
93600-26	Other professional services	$171.86	$171.86
93600-TC	Other professional services	$114.72	$114.72
93602	Other professional services	$232.52	$232.52
93602-26	Other professional services	$169.44	$169.44
93602-TC	Other professional services	$63.08	$63.08
93603	Other professional services	$267.15	$267.15
93603-26	Other professional services	$169.44	$169.44
93603-TC	Other professional services	$97.71	$97.71
93609	Other professional services	$557.40	$557.40
93609-26	Other professional services	$403.41	$403.41
93609-TC	Other professional services	$153.99	$153.99
93610	Other professional services	$316.28	$316.28
93610-26	Other professional services	$239.28	$239.28
93610-TC	Other professional services	$77.00	$77.00
93612	Other professional services	$330.47	$330.47
93612-26	Other professional services	$237.42	$237.42
93612-TC	Other professional services	$93.05	$93.05
93613	Other professional services	$430.89	$430.89
93615	Other professional services	$71.03	$71.03
93615-26	Other professional services	$55.16	$55.16
93615-TC	Other professional services	$15.87	$15.87
93616	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93616-26	Other professional services	$86.78	$86.78
93616-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93618	Other professional services	$549.26	$549.26
93618-26	Other professional services	$319.43	$319.43
93618-TC	Other professional services	$229.83	$229.83
93619	Other professional services	$1,023.26	$1,023.26
93619-26	Other professional services	$567.48	$567.48
93619-TC	Other professional services	$455.78	$455.78
93620	Other professional services	$1,426.68	$1,426.68
93620-26	Other professional services	$912.00	$912.00
93620-TC	Other professional services	$514.68	$514.68
93621	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93621-26	Other professional services	$137.46	$137.46
93621-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93622	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93622-26	Other professional services	$250.02	$250.02
93622-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93623	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93623-26	Other professional services	$147.53	$147.53
93623-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93624	Other professional services	$464.21	$464.21
93624-26	Other professional services	$350.09	$350.09
93624-TC	Other professional services	$114.12	$114.12
93631	Other professional services	$954.93	$954.93
93631-26	Other professional services	$577.77	$577.77
93631-TC	Other professional services	$377.16	$377.16
93640	Other professional services	$685.50	$685.50
93640-26	Other professional services	$260.13	$260.13
93640-TC	Other professional services	$425.37	$425.37
93641	Other professional services	$874.13	$874.13
93641-26	Other professional services	$453.39	$453.39
93641-TC	Other professional services	$420.74	$420.74
93642	Other professional services	$487.56	$487.56
93642-26	Other professional services	$370.61	$370.61
93642-TC	Other professional services	$116.94	$116.94
93644	Other professional services	$286.28	$286.28
93644-26	Other professional services	$212.64	$212.64
93644-TC	Other professional services	$73.65	$73.65
93650	Other professional services	$859.26	$859.26
93653	Other professional services	$1,215.56	$1,215.56
93654	Other professional services	$1,626.06	$1,626.06
93655	Other professional services	$454.08	$454.08
93656	Other professional services	$1,630.91	$1,630.91
93657	Other professional services	$453.60	$453.60
93660	Other professional services	$232.37	$232.37
93660-26	Other professional services	$136.25	$136.25
93660-TC	Other professional services	$96.12	$96.12
93662	Other professional services	$555.05	$555.05
93662-26	Other professional services	$133.73	$133.73
93662-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93668	Other professional services	$19.70	$19.70
93701	Other professional services	$38.97	$38.97
93702	Other professional services	$200.76	$200.76
93724	Other professional services	$421.32	$421.32
93724-26	Other professional services	$354.90	$354.90
93724-TC	Other professional services	$66.42	$66.42
93740	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93745	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93745-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93745-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93750	Other professional services	$73.47	$58.55
93770	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93784	Other professional services	$66.29	$66.29
93786	Other professional services	$32.22	$32.22
93788	Other professional services	$7.17	$7.17
93790	Other professional services	$26.90	$26.90
93792	Other professional services	$90.33	$90.33
93793	Other professional services	$16.52	$16.52
93797	Other professional services	$24.17	$13.56
93798	Other professional services	$37.55	$20.21
93799	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93799-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93799-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93880	Other professional services	$279.90	$279.90
93880-26	Other professional services	$57.45	$57.45
93880-TC	Other professional services	$222.44	$222.44
93882	Other professional services	$182.91	$182.91
93882-26	Other professional services	$36.11	$36.11
93882-TC	Other professional services	$146.81	$146.81
93886	Other professional services	$392.60	$392.60
93886-26	Other professional services	$68.15	$68.15
93886-TC	Other professional services	$324.45	$324.45
93888	Other professional services	$233.72	$233.72
93888-26	Other professional services	$37.29	$37.29
93888-TC	Other professional services	$196.43	$196.43
93890	Other professional services	$400.70	$400.70
93890-26	Other professional services	$74.33	$74.33
93890-TC	Other professional services	$326.39	$326.39
93892	Other professional services	$457.94	$457.94
93892-26	Other professional services	$87.24	$87.24
93892-TC	Other professional services	$370.70	$370.70
93893	Other professional services	$567.23	$567.23
93893-26	Other professional services	$88.64	$88.64
93893-TC	Other professional services	$478.61	$478.61
93895	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93895-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93895-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
93922	Other professional services	$118.67	$118.67
93922-26	Other professional services	$18.05	$18.05
93922-TC	Other professional services	$100.62	$100.62
93923	Other professional services	$186.15	$186.15
93923-26	Other professional services	$32.60	$32.60
93923-TC	Other professional services	$153.56	$153.56
93924	Other professional services	$229.58	$229.58
93924-26	Other professional services	$36.15	$36.15
93924-TC	Other professional services	$193.43	$193.43
93925	Other professional services	$353.54	$353.54
93925-26	Other professional services	$56.55	$56.55
93925-TC	Other professional services	$297.00	$297.00
93926	Other professional services	$209.10	$209.10
93926-26	Other professional services	$34.35	$34.35
93926-TC	Other professional services	$174.75	$174.75
93930	Other professional services	$286.95	$286.95
93930-26	Other professional services	$56.91	$56.91
93930-TC	Other professional services	$230.04	$230.04
93931	Other professional services	$181.64	$181.64
93931-26	Other professional services	$35.31	$35.31
93931-TC	Other professional services	$146.33	$146.33
93970	Other professional services	$274.76	$274.76
93970-26	Other professional services	$49.91	$49.91
93970-TC	Other professional services	$224.85	$224.85
93971	Other professional services	$174.29	$174.29
93971-26	Other professional services	$31.80	$31.80
93971-TC	Other professional services	$142.47	$142.47
93975	Other professional services	$388.98	$388.98
93975-26	Other professional services	$82.35	$82.35
93975-TC	Other professional services	$306.63	$306.63
93976	Other professional services	$231.47	$231.47
93976-26	Other professional services	$56.72	$56.72
93976-TC	Other professional services	$174.75	$174.75
93978	Other professional services	$264.74	$264.74
93978-26	Other professional services	$56.87	$56.87
93978-TC	Other professional services	$207.87	$207.87
93979	Other professional services	$171.53	$171.53
93979-26	Other professional services	$34.83	$34.83
93979-TC	Other professional services	$136.70	$136.70
93980	Other professional services	$169.62	$169.62
93980-26	Other professional services	$87.78	$87.78
93980-TC	Other professional services	$81.84	$81.84
93981	Other professional services	$101.19	$101.19
93981-26	Other professional services	$30.92	$30.92
93981-TC	Other professional services	$70.28	$70.28
93985	Other professional services	$365.84	$365.84
93985-26	Other professional services	$56.33	$56.33
93985-TC	Other professional services	$309.53	$309.53
93986	Other professional services	$217.59	$217.59
93986-26	Other professional services	$35.63	$35.63
93986-TC	Other professional services	$181.98	$181.98
93990	Other professional services	$215.13	$215.13
93990-26	Other professional services	$35.09	$35.09
93990-TC	Other professional services	$180.05	$180.05
93998	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94002	Other professional services	$136.55	$136.55
94003	Other professional services	$96.03	$96.03
94004	Other professional services	$71.21	$71.21
94005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94010	Other professional services	$38.58	$38.58
94010-26	Other professional services	$12.14	$12.14
94010-TC	Other professional services	$26.45	$26.45
94011	Other professional services	$126.83	$126.83
94012	Other professional services	$207.51	$207.51
94013	Other professional services	$28.77	$28.77
94014	Other professional services	$79.82	$79.82
94015	Other professional services	$43.31	$43.31
94016	Other professional services	$36.51	$36.51
94060	Other professional services	$56.10	$56.10
94060-26	Other professional services	$15.21	$15.21
94060-TC	Other professional services	$40.89	$40.89
94070	Other professional services	$89.75	$89.75
94070-26	Other professional services	$41.63	$41.63
94070-TC	Other professional services	$48.12	$48.12
94150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94150-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94150-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94200	Other professional services	$21.75	$21.75
94200-26	Other professional services	$4.47	$4.47
94200-TC	Other professional services	$17.28	$17.28
94375	Other professional services	$55.49	$55.49
94375-26	Other professional services	$21.33	$21.33
94375-TC	Other professional services	$34.14	$34.14
94450	Other professional services	$92.37	$92.37
94450-26	Other professional services	$26.49	$26.49
94450-TC	Other professional services	$65.88	$65.88
94452	Other professional services	$70.89	$70.89
94452-26	Other professional services	$21.33	$21.33
94452-TC	Other professional services	$49.56	$49.56
94453	Other professional services	$96.23	$96.23
94453-26	Other professional services	$27.87	$27.87
94453-TC	Other professional services	$68.34	$68.34
94610	Other professional services	$81.87	$81.87
94617	Neurology	$130.25	$130.25
94617-26	Other professional services	$47.84	$47.84
94617-TC	Other professional services	$79.85	$79.85
94618	Neurology	$49.82	$49.82
94618-26	Other professional services	$33.00	$33.00
94618-TC	Other professional services	$15.84	$15.84
94619	Other professional services	$99.45	$99.45
94619-26	Other professional services	$33.57	$33.57
94619-TC	Other professional services	$65.88	$65.88
94621	Other professional services	$225.20	$225.20
94621-26	Other professional services	$102.11	$102.11
94621-TC	Other professional services	$123.09	$123.09
94625	Other professional services	$93.08	$27.56
94626	Other professional services	$106.40	$39.92
94640	Other professional services	$15.84	$15.84
94642	Other professional services	$18.17	$18.17
94644	Other professional services	$87.62	$87.62
94645	Other professional services	$22.59	$22.59
94660	Other professional services	$93.00	$55.92
94662	Other professional services	$53.03	$53.03
94664	Other professional services	$24.03	$24.03
94667	Other professional services	$32.16	$32.16
94668	Other professional services	$49.98	$49.98
94669	Other professional services	$26.39	$26.39
94680	Other professional services	$75.95	$75.95
94680-26	Other professional services	$19.17	$19.17
94680-TC	Other professional services	$56.79	$56.79
94681	Other professional services	$69.53	$69.53
94681-26	Other professional services	$14.66	$14.66
94681-TC	Other professional services	$54.86	$54.86
94690	Other professional services	$61.82	$61.82
94690-26	Other professional services	$5.51	$5.51
94690-TC	Other professional services	$56.31	$56.31
94726	Other professional services	$78.36	$78.36
94726-26	Other professional services	$17.78	$17.78
94726-TC	Other professional services	$60.59	$60.59
94727	Other professional services	$63.00	$63.00
94727-26	Other professional services	$17.78	$17.78
94727-TC	Other professional services	$45.23	$45.23
94728	Other professional services	$57.23	$57.23
94728-26	Other professional services	$18.26	$18.26
94728-TC	Other professional services	$38.97	$38.97
94729	Other professional services	$83.94	$83.94
94729-26	Other professional services	$13.19	$13.19
94729-TC	Other professional services	$70.76	$70.76
94760	Other professional services	$3.32	$3.32
94761	Other professional services	$4.76	$4.76
94762	Other professional services	$37.52	$37.52
94772	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94772-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94772-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94774	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94775	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94776	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94777	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94780	Other professional services	$74.79	$35.30
94781	Other professional services	$29.48	$12.14
94799	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94799-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
94799-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95004	Other professional services	$5.76	$5.76
95012	Other professional services	$26.93	$26.93
95017	Other professional services	$12.74	$5.51
95018	Other professional services	$29.85	$10.59
95024	Other professional services	$12.03	$1.43
95027	Other professional services	$7.20	$7.20
95028	Other professional services	$18.26	$18.26
95044	Other professional services	$7.17	$7.17
95052	Other professional services	$9.09	$9.09
95056	Other professional services	$69.80	$69.80
95060	Other professional services	$51.98	$51.98
95065	Other professional services	$38.48	$38.48
95070	Other professional services	$50.46	$50.46
95076	Other professional services	$174.30	$109.26
95079	Other professional services	$123.86	$100.26
95115	Other professional services	$13.43	$13.43
95117	Other professional services	$16.32	$16.32
95120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95125	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95131	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95132	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95133	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95134	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95144	Other professional services	$24.26	$4.50
95145	Other professional services	$49.31	$4.50
95146	Other professional services	$90.26	$4.50
95147	Other professional services	$86.88	$4.50
95148	Other professional services	$128.79	$4.50
95149	Other professional services	$171.18	$4.50
95165	Other professional services	$22.32	$4.50
95170	Other professional services	$16.55	$4.50
95180	Other professional services	$199.22	$151.04
95199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95249	Other professional services	$83.12	$83.12
95250	Other professional services	$210.77	$210.77
95251	Other professional services	$51.53	$51.53
95700	Neurology	$227.68	$227.68
95705	Neurology	$113.20	$113.20
95706	Neurology	$365.79	$365.79
95707	Neurology	$502.99	$502.99
95708	Neurology	$190.88	$190.88
95709	Neurology	$650.17	$650.17
95710	Neurology	$841.88	$841.88
95711	Neurology	$183.17	$183.17
95712	Neurology	$534.78	$534.78
95713	Neurology	$797.36	$797.36
95714	Neurology	$279.03	$279.03
95715	Neurology	$878.22	$878.22
95716	Neurology	$1,154.43	$1,154.43
95717	Neurology	$152.86	$151.39
95718	Neurology	$203.93	$200.98
95719	Neurology	$236.68	$234.72
95720	Neurology	$314.12	$309.21
95721	Neurology	$313.74	$307.85
95722	Neurology	$382.33	$375.45
95723	Neurology	$385.47	$378.09
95724	Neurology	$485.59	$477.24
95725	Neurology	$442.69	$433.36
95726	Neurology	$616.53	$605.73
95782	Other professional services	$1,354.79	$1,354.79
95782-26	Other professional services	$185.04	$185.04
95782-TC	Other professional services	$1,169.76	$1,169.76
95783	Other professional services	$1,435.08	$1,435.08
95783-26	Other professional services	$201.32	$201.32
95783-TC	Other professional services	$1,233.77	$1,233.77
95800	Other professional services	$231.23	$231.23
95800-26	Other professional services	$60.75	$60.75
95800-TC	Other professional services	$170.48	$170.48
95801	Other professional services	$132.00	$132.00
95801-26	Other professional services	$60.75	$60.75
95801-TC	Other professional services	$71.24	$71.24
95803	Neurology	$216.02	$216.02
95803-26	Neurology	$64.73	$64.73
95803-TC	Neurology	$151.29	$151.29
95805	Neurology	$610.10	$610.10
95805-26	Neurology	$86.89	$86.89
95805-TC	Neurology	$523.20	$523.20
95806	Neurology	$135.86	$135.86
95806-26	Neurology	$67.20	$67.20
95806-TC	Neurology	$68.67	$68.67
95807	Neurology	$554.89	$554.89
95807-26	Neurology	$90.58	$90.58
95807-TC	Neurology	$464.29	$464.29
95808	Neurology	$978.97	$978.97
95808-26	Neurology	$132.01	$132.01
95808-TC	Neurology	$846.95	$846.95
95810	Neurology	$891.33	$891.33
95810-26	Neurology	$180.00	$180.00
95810-TC	Neurology	$711.33	$711.33
95811	Neurology	$930.48	$930.48
95811-26	Neurology	$186.77	$186.77
95811-TC	Neurology	$743.70	$743.70
95812	Neurology	$508.71	$508.71
95812-26	Neurology	$85.39	$85.39
95812-TC	Neurology	$423.32	$423.32
95813	Neurology	$630.47	$630.47
95813-26	Neurology	$130.00	$130.00
95813-TC	Neurology	$500.46	$500.46
95816	Neurology	$560.79	$560.79
95816-26	Neurology	$85.39	$85.39
95816-TC	Neurology	$475.40	$475.40
95819	Neurology	$657.53	$657.53
95819-26	Neurology	$85.88	$85.88
95819-TC	Neurology	$571.64	$571.64
95822	Neurology	$610.91	$610.91
95822-26	Neurology	$85.88	$85.88
95822-TC	Neurology	$525.02	$525.02
95824	Neurology	$84.49	$84.49
95824-26	Neurology	$58.60	$58.60
95824-TC	Neurology	$25.89	$25.89
95829	Neurology	$2,683.33	$2,683.33
95829-26	Neurology	$497.83	$497.83
95829-TC	Neurology	$2,185.51	$2,185.51
95830	Neurology	$1,060.72	$137.47
95836	Neurology	$160.25	$160.25
95851	Neurology	$30.52	$11.86
95852	Neurology	$25.41	$8.22
95857	Neurology	$93.67	$43.07
95860	Neurology	$169.94	$169.94
95860-26	Neurology	$76.64	$76.64
95860-TC	Neurology	$93.30	$93.30
95861	Neurology	$246.12	$246.12
95861-26	Neurology	$122.84	$122.84
95861-TC	Neurology	$123.27	$123.27
95863	Neurology	$321.07	$321.07
95863-26	Neurology	$149.16	$149.16
95863-TC	Neurology	$171.91	$171.91
95864	Neurology	$358.26	$358.26
95864-26	Neurology	$159.33	$159.33
95864-TC	Neurology	$198.95	$198.95
95865	Neurology	$229.58	$229.58
95865-26	Neurology	$124.50	$124.50
95865-TC	Neurology	$105.10	$105.10
95866	Neurology	$196.10	$196.10
95866-26	Neurology	$96.91	$96.91
95866-TC	Neurology	$99.19	$99.19
95867	Neurology	$161.43	$161.43
95867-26	Neurology	$62.73	$62.73
95867-TC	Neurology	$98.70	$98.70
95868	Neurology	$214.44	$214.44
95868-26	Neurology	$94.13	$94.13
95868-TC	Neurology	$120.32	$120.32
95869	Neurology	$147.17	$147.17
95869-26	Neurology	$29.79	$29.79
95869-TC	Neurology	$117.38	$117.38
95870	Neurology	$127.51	$127.51
95870-26	Neurology	$29.30	$29.30
95870-TC	Neurology	$98.21	$98.21
95872	Neurology	$318.79	$318.79
95872-26	Neurology	$228.44	$228.44
95872-TC	Neurology	$90.35	$90.35
95873	Neurology	$112.88	$112.88
95873-26	Neurology	$29.36	$29.36
95873-TC	Neurology	$83.52	$83.52
95874	Neurology	$118.79	$118.79
95874-26	Neurology	$29.36	$29.36
95874-TC	Neurology	$89.43	$89.43
95875	Neurology	$204.81	$204.81
95875-26	Neurology	$87.93	$87.93
95875-TC	Neurology	$116.88	$116.88
95885	Neurology	$95.61	$95.61
95885-26	Neurology	$27.82	$27.82
95885-TC	Neurology	$67.81	$67.81
95886	Neurology	$149.47	$149.47
95886-26	Neurology	$68.39	$68.39
95886-TC	Neurology	$81.07	$81.07
95887	Neurology	$128.75	$128.75
95887-26	Neurology	$56.52	$56.52
95887-TC	Neurology	$72.23	$72.23
95905	Neurology	$56.09	$56.09
95905-26	Neurology	$4.07	$4.07
95905-TC	Neurology	$52.02	$52.02
95907	Neurology	$137.16	$137.16
95907-26	Neurology	$79.74	$79.74
95907-TC	Neurology	$57.44	$57.44
95908	Neurology	$170.99	$170.99
95908-26	Neurology	$99.80	$99.80
95908-TC	Neurology	$71.19	$71.19
95909	Neurology	$205.23	$205.23
95909-26	Neurology	$119.80	$119.80
95909-TC	Neurology	$85.44	$85.44
95910	Neurology	$268.45	$268.45
95910-26	Neurology	$159.92	$159.92
95910-TC	Neurology	$108.54	$108.54
95911	Neurology	$323.37	$323.37
95911-26	Neurology	$198.61	$198.61
95911-TC	Neurology	$124.74	$124.74
95912	Neurology	$376.75	$376.75
95912-26	Neurology	$236.83	$236.83
95912-TC	Neurology	$139.92	$139.92
95913	Neurology	$436.19	$436.19
95913-26	Neurology	$281.05	$281.05
95913-TC	Neurology	$155.16	$155.16
95921	Neurology	$132.87	$132.87
95921-26	Neurology	$67.56	$67.56
95921-TC	Neurology	$65.29	$65.29
95922	Neurology	$151.21	$151.21
95922-26	Neurology	$70.75	$70.75
95922-TC	Neurology	$80.46	$80.46
95923	Neurology	$187.39	$187.39
95923-26	Neurology	$67.56	$67.56
95923-TC	Neurology	$119.83	$119.83
95924	Neurology	$225.11	$225.11
95924-26	Neurology	$130.39	$130.39
95924-TC	Neurology	$94.72	$94.72
95925	Neurology	$271.35	$271.35
95925-26	Neurology	$43.10	$43.10
95925-TC	Neurology	$228.25	$228.25
95926	Neurology	$235.10	$235.10
95926-26	Neurology	$41.74	$41.74
95926-TC	Neurology	$193.36	$193.36
95927	Neurology	$221.35	$221.35
95927-26	Neurology	$40.27	$40.27
95927-TC	Neurology	$181.08	$181.08
95928	Neurology	$351.55	$351.55
95928-26	Neurology	$119.25	$119.25
95928-TC	Neurology	$232.30	$232.30
95929	Neurology	$361.43	$361.43
95929-26	Neurology	$119.31	$119.31
95929-TC	Neurology	$242.12	$242.12
95930	Neurology	$96.54	$96.54
95930-26	Neurology	$27.82	$27.82
95930-TC	Neurology	$68.73	$68.73
95933	Neurology	$126.27	$126.27
95933-26	Neurology	$47.22	$47.22
95933-TC	Neurology	$79.06	$79.06
95937	Neurology	$158.94	$158.94
95937-26	Neurology	$51.87	$51.87
95937-TC	Neurology	$107.05	$107.05
95938	Neurology	$532.50	$532.50
95938-26	Neurology	$68.39	$68.39
95938-TC	Neurology	$464.09	$464.09
95939	Neurology	$808.13	$808.13
95939-26	Neurology	$178.51	$178.51
95939-TC	Neurology	$629.63	$629.63
95940	Neurology	$48.73	$48.73
95941	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95954	Neurology	$599.84	$599.84
95954-26	Neurology	$164.95	$164.95
95954-TC	Neurology	$434.87	$434.87
95955	Neurology	$301.81	$301.81
95955-26	Neurology	$80.26	$80.26
95955-TC	Neurology	$221.54	$221.54
95957	Neurology	$386.13	$386.13
95957-26	Neurology	$153.46	$153.46
95957-TC	Neurology	$232.67	$232.67
95958	Neurology	$930.26	$930.26
95958-26	Neurology	$341.10	$341.10
95958-TC	Neurology	$589.16	$589.16
95961	Neurology	$482.70	$482.70
95961-26	Neurology	$242.06	$242.06
95961-TC	Neurology	$240.65	$240.65
95962	Neurology	$399.35	$399.35
95962-26	Neurology	$259.41	$259.41
95962-TC	Neurology	$139.92	$139.92
95965	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95965-26	Neurology	$624.94	$624.94
95965-TC	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95966	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95966-26	Neurology	$317.77	$317.77
95966-TC	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95967	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95967-26	Neurology	$278.14	$278.14
95967-TC	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
95970	Neurology	$28.63	$28.12
95971	Neurology	$73.27	$60.01
95972	Neurology	$83.60	$61.00
95976	Neurology	$60.79	$59.81
95977	Neurology	$80.26	$78.80
95980	Neurology	$67.79	$67.79
95981	Neurology	$56.38	$26.41
95982	Neurology	$86.84	$54.42
95983	Neurology	$76.59	$75.12
95984	Neurology	$66.89	$65.91
95990	Neurology	$131.95	$131.95
95991	Neurology	$162.59	$60.39
95992	Neurology	$65.51	$55.20
95999	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96000	Neurology	$129.67	$129.67
96001	Neurology	$168.38	$168.38
96002	Neurology	$32.77	$32.77
96003	Neurology	$25.43	$25.43
96004	Neurology	$166.31	$166.31
96020	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96020-26	Neurology	$240.87	$240.87
96020-TC	Neurology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96105	Other professional services	$145.19	$145.19
96110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96112	Other professional services	$188.57	$186.65
96113	Other professional services	$88.73	$83.43
96116	Other professional services	$139.88	$121.58
96121	Other professional services	$117.21	$105.66
96125	Other professional services	$153.26	$153.26
96127	Other professional services	$6.69	$6.69
96130	Other professional services	$178.04	$161.18
96131	Other professional services	$132.54	$118.58
96132	Other professional services	$193.44	$157.80
96133	Other professional services	$149.94	$117.68
96136	Other professional services	$64.46	$35.55
96137	Other professional services	$57.96	$27.62
96138	Other professional services	$49.08	$49.08
96139	Other professional services	$50.04	$50.04
96146	Other professional services	$2.84	$2.84
96156	Other professional services	$143.19	$128.25
96158	Other professional services	$98.48	$87.89
96159	Major surgery	$43.62	$38.61
96160	Other professional services	$3.86	$3.86
96161	Other professional services	$3.86	$3.86
96164	Other professional services	$14.70	$13.26
96165	Major surgery	$8.62	$8.00
96167	Other professional services	$104.63	$93.56
96168	Major surgery	$48.24	$42.61
96170	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96171	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96360	Other professional services	$49.17	$49.17
96361	Other professional services	$18.59	$18.59
96365	Other professional services	$96.90	$96.90
96366	Other professional services	$30.48	$30.48
96367	Other professional services	$43.47	$43.47
96368	Other professional services	$29.48	$29.48
96369	Other professional services	$206.37	$206.37
96370	Other professional services	$22.29	$22.29
96371	Other professional services	$83.34	$83.34
96372	Other professional services	$20.81	$20.81
96373	Other professional services	$26.12	$26.12
96374	Other professional services	$56.45	$56.45
96375	Other professional services	$22.97	$22.97
96376	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96377	Other professional services	$27.56	$27.56
96379	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96401	Other professional services	$108.89	$108.89
96402	Other professional services	$47.81	$47.81
96405	Other professional services	$122.63	$42.18
96406	Other professional services	$193.83	$65.70
96409	Other professional services	$150.74	$150.74
96411	Other professional services	$82.41	$82.41
96413	Other professional services	$195.63	$195.63
96415	Other professional services	$42.03	$42.03
96416	Other professional services	$191.58	$191.58
96417	Other professional services	$95.46	$95.46
96420	Other professional services	$154.34	$154.34
96422	Other professional services	$234.66	$234.66
96423	Other professional services	$108.74	$108.74
96425	Other professional services	$252.44	$252.44
96440	Other professional services	$1,128.21	$194.64
96446	Other professional services	$283.92	$38.25
96450	Other professional services	$246.86	$112.95
96521	Other professional services	$198.26	$198.26
96522	Other professional services	$174.66	$174.66
96523	Other professional services	$38.09	$38.09
96542	Other professional services	$191.72	$62.15
96549	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96567	Other professional services	$206.60	$206.60
96570	Other professional services	$76.34	$76.34
96571	Other professional services	$37.97	$37.97
96573	Other professional services	$337.44	$337.44
96574	Other professional services	$413.49	$413.49
96900	Other professional services	$34.14	$34.14
96902	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
96904	Other professional services	$102.08	$102.08
96910	Other professional services	$168.50	$168.50
96912	Other professional services	$144.47	$144.47
96913	Other professional services	$216.66	$216.66
96920	Other professional services	$228.98	$93.62
96921	Other professional services	$250.25	$105.26
96922	Other professional services	$341.66	$170.16
96931	Other professional services	$248.87	$248.87
96932	Other professional services	$183.96	$183.96
96933	Other professional services	$64.91	$64.91
96934	Other professional services	$174.11	$174.11
96935	Other professional services	$111.77	$111.77
96936	Other professional services	$62.34	$62.34
96999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97010	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97012	Physical Medicine	$19.70	$19.70
97014	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97016	Physical Medicine	$16.31	$16.31
97018	Physical Medicine	$7.80	$7.80
97022	Physical Medicine	$23.46	$23.46
97024	Physical Medicine	$9.60	$9.60
97026	Physical Medicine	$8.69	$8.69
97028	Physical Medicine	$11.02	$11.02
97032	Physical Medicine	$20.15	$20.15
97033	Physical Medicine	$26.94	$26.94
97034	Physical Medicine	$20.01	$20.01
97035	Physical Medicine	$19.56	$19.56
97036	Physical Medicine	$46.34	$46.34
97039	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97110	Physical Medicine	$40.59	$40.59
97112	Physical Medicine	$47.05	$47.05
97113	Physical Medicine	$50.58	$50.58
97116	Physical Medicine	$40.59	$40.59
97124	Physical Medicine	$40.74	$40.74
97129	Physical Medicine	$31.77	$31.77
97130	Major surgery	$42.90	$42.26
97139	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97140	Physical Medicine	$37.37	$37.37
97150	Physical Medicine	$24.33	$24.33
97151	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97152	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97154	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97155	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97156	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97157	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97158	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97161	Physical Medicine	$138.08	$138.08
97162	Physical Medicine	$138.08	$138.08
97163	Physical Medicine	$138.08	$138.08
97164	Physical Medicine	$94.85	$94.85
97165	Physical Medicine	$138.98	$138.98
97166	Physical Medicine	$138.98	$138.98
97167	Physical Medicine	$138.98	$138.98
97168	Physical Medicine	$95.31	$95.31
97169	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97170	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97171	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97172	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97530	Physical Medicine	$50.89	$50.89
97533	Physical Medicine	$87.44	$87.44
97535	Physical Medicine	$45.08	$45.08
97537	Physical Medicine	$43.83	$43.83
97542	Physical Medicine	$43.83	$43.83
97545	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97546	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97597	Physical Medicine	$138.54	$49.98
97598	Physical Medicine	$62.08	$34.65
97602	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97605	Physical Medicine	$58.02	$34.64
97606	Physical Medicine	$68.53	$37.95
97607	Physical Medicine	$516.70	$30.69
97608	Physical Medicine	$510.08	$34.40
97610	Physical Medicine	$610.55	$25.17
97750	Physical Medicine	$45.98	$45.98
97755	Physical Medicine	$52.42	$52.42
97760	Physical Medicine	$66.39	$66.39
97761	Physical Medicine	$56.94	$56.94
97763	Physical Medicine	$73.50	$73.50
97799	Physical Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
97802	Other professional services	$53.90	$47.63
97803	Other professional services	$46.85	$40.59
97804	Other professional services	$24.96	$22.56
97810	Pain management	$62.92	$50.35
97811	Pain management	$47.32	$42.61
97813	Pain management	$73.58	$54.21
97814	Pain management	$60.62	$46.49
98925	Pain management	$50.30	$37.73
98926	Pain management	$71.21	$56.56
98927	Pain management	$93.11	$74.78
98928	Pain management	$114.41	$94.52
98929	Pain management	$135.71	$113.74
98940	Pain management	$44.21	$35.31
98941	Pain management	$63.54	$54.64
98942	Pain management	$83.34	$73.92
98943	Pain management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
98960	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
98961	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
98962	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
98966	Other professional services	$19.19	$16.77
98967	Other professional services	$35.48	$32.58
98968	Other professional services	$50.27	$47.37
98970	Other professional services	$17.25	$17.25
98971	Other professional services	$30.44	$29.96
98972	Other professional services	$47.15	$46.67
98975	Other professional services	$26.87	$26.87
98976	Other professional services	$77.51	$77.51
98977	Other professional services	$77.51	$77.51
98980	Other professional services	$71.94	$45.93
98981	Other professional services	$58.85	$45.84
99000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99024	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99026	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99051	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99053	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99056	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99058	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99060	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99070	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99071	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99072	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99075	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99078	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99080	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99082	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99091	Other professional services	$82.13	$82.13
99100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99116	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99135	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99151	Other professional services	$100.88	$36.81
99152	Other professional services	$73.46	$18.53
99153	Other professional services	$15.30	$15.30
99155	Other professional services	$122.97	$122.97
99156	Other professional services	$112.58	$112.58
99157	Other professional services	$91.73	$91.73
99170	Other professional services	$236.66	$126.83
99172	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99173	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99174	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99175	Other professional services	$40.89	$40.89
99177	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99183	Other professional services	$157.73	$157.73
99184	Other professional services	$321.44	$321.44
99188	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99191	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99192	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99195	Other professional services	$144.60	$144.60
99199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99202	Evaluation & Management	$98.98	$67.06
99203	Evaluation & Management	$152.60	$114.38
99204	Evaluation & Management	$228.10	$185.40
99205	Evaluation & Management	$301.87	$251.51
99211	Evaluation & Management	$31.15	$12.26
99212	Evaluation & Management	$76.71	$49.73
99213	Evaluation & Management	$123.61	$91.69
99214	Evaluation & Management	$174.66	$134.65
99215	Evaluation & Management	$246.50	$199.74
99217	Evaluation & Management	$97.06	$97.06
99218	Evaluation & Management	$132.99	$132.99
99219	Evaluation & Management	$180.21	$180.21
99220	Evaluation & Management	$243.54	$243.54
99221	Evaluation & Management	$136.43	$136.43
99222	Evaluation & Management	$183.74	$183.74
99223	Evaluation & Management	$269.56	$269.56
99224	Evaluation & Management	$53.09	$53.09
99225	Evaluation & Management	$96.49	$96.49
99226	Evaluation & Management	$137.63	$137.63
99231	Evaluation & Management	$52.64	$52.64
99232	Evaluation & Management	$96.94	$96.94
99233	Evaluation & Management	$139.31	$139.31
99234	Evaluation & Management	$177.27	$177.27
99235	Evaluation & Management	$224.95	$224.95
99236	Evaluation & Management	$288.18	$288.18
99238	Evaluation & Management	$97.51	$97.51
99239	Evaluation & Management	$142.67	$142.67
99241	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99242	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99243	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99244	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99245	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99251	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99252	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99253	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99254	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99255	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99281	Emergency Medicine	$36.44	$36.44
99282	Emergency Medicine	$70.57	$70.57
99283	Emergency Medicine	$120.11	$120.11
99284	Emergency Medicine	$202.97	$202.97
99285	Emergency Medicine	$294.75	$294.75
99288	Emergency Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99291	Emergency Medicine	$459.21	$359.89
99292	Emergency Medicine	$201.35	$180.73
99304	Evaluation & Management	$120.69	$120.69
99305	Evaluation & Management	$174.26	$174.26
99306	Evaluation & Management	$223.64	$223.64
99307	Evaluation & Management	$59.04	$59.04
99308	Evaluation & Management	$93.04	$93.04
99309	Evaluation & Management	$122.67	$122.67
99310	Evaluation & Management	$181.01	$181.01
99315	Evaluation & Management	$97.96	$97.96
99316	Evaluation & Management	$140.48	$140.48
99318	Evaluation & Management	$129.02	$129.02
99324	Evaluation & Management	$73.40	$73.40
99325	Evaluation & Management	$107.34	$107.34
99326	Evaluation & Management	$186.13	$186.13
99327	Evaluation & Management	$250.21	$250.21
99328	Evaluation & Management	$294.39	$294.39
99334	Evaluation & Management	$82.04	$82.04
99335	Evaluation & Management	$129.11	$129.11
99336	Evaluation & Management	$182.74	$182.74
99337	Evaluation & Management	$261.76	$261.76
99339	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99340	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99341	Evaluation & Management	$73.40	$73.40
99342	Evaluation & Management	$104.69	$104.69
99343	Evaluation & Management	$170.49	$170.49
99344	Evaluation & Management	$244.43	$244.43
99345	Evaluation & Management	$296.04	$296.04
99347	Evaluation & Management	$74.26	$74.26
99348	Evaluation & Management	$112.87	$112.87
99349	Evaluation & Management	$173.74	$173.74
99350	Evaluation & Management	$240.87	$240.87
99354	Evaluation & Management	$174.03	$163.24
99355	Evaluation & Management	$126.08	$115.75
99356	Evaluation & Management	$122.72	$122.72
99357	Evaluation & Management	$123.19	$123.19
99358	Evaluation & Management	$150.46	$150.46
99359	Evaluation & Management	$73.15	$73.15
99360	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99366	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99367	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99368	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99374	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99375	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99377	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99378	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99379	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99380	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99381	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99382	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99383	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99384	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99385	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99386	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99387	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99391	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99392	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99393	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99394	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99395	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99396	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99397	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99401	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99402	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99403	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99404	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99406	Evaluation & Management	$20.96	$16.46
99407	Evaluation & Management	$38.85	$34.80
99408	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99409	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99411	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99412	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99415	Evaluation & Management	$13.44	$13.44
99416	Evaluation & Management	$7.64	$7.64
99417	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99421	Evaluation & Management	$20.55	$17.85
99422	Evaluation & Management	$40.19	$35.25
99423	Evaluation & Management	$65.37	$56.83
99424	Evaluation & Management	$112.88	$102.55
99425	Evaluation & Management	$81.30	$71.40
99426	Evaluation & Management	$85.34	$68.71
99427	Evaluation & Management	$65.16	$48.52
99429	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99437	Evaluation & Management	$82.64	$70.95
99439	Evaluation & Management	$65.13	$49.39
99441	Evaluation & Management	$75.91	$48.93
99442	Evaluation & Management	$123.20	$91.28
99443	Evaluation & Management	$174.66	$134.65
99446	Evaluation & Management	$25.28	$25.28
99447	Evaluation & Management	$49.73	$49.73
99448	Evaluation & Management	$74.68	$74.68
99449	Evaluation & Management	$100.07	$100.07
99450	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99451	Evaluation & Management	$49.39	$49.39
99452	Evaluation & Management	$50.18	$50.18
99453	Evaluation & Management	$24.68	$24.68
99454	Evaluation & Management	$72.34	$72.34
99455	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99456	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99457	Evaluation & Management	$67.12	$42.38
99458	Major surgery	$76.56	$59.03
99460	Evaluation & Management	$129.71	$129.71
99461	Evaluation & Management	$125.31	$85.75
99462	Evaluation & Management	$57.41	$57.41
99463	Evaluation & Management	$149.32	$149.32
99464	Evaluation & Management	$101.82	$101.82
99465	Evaluation & Management	$198.45	$198.45
99466	Emergency Medicine	$390.98	$390.98
99467	Emergency Medicine	$196.82	$196.82
99468	Emergency Medicine	$1,508.07	$1,508.07
99469	Emergency Medicine	$653.27	$653.27
99471	Emergency Medicine	$1,305.58	$1,305.58
99472	Emergency Medicine	$664.83	$664.83
99473	Emergency Medicine	$18.39	$18.39
99474	Emergency Medicine	$24.57	$14.80
99475	Emergency Medicine	$936.99	$936.99
99476	Emergency Medicine	$562.01	$562.01
99477	Emergency Medicine	$570.97	$570.97
99478	Emergency Medicine	$225.29	$225.29
99479	Emergency Medicine	$205.30	$205.30
99480	Emergency Medicine	$196.82	$196.82
99483	Evaluation & Management	$379.71	$268.21
99484	Evaluation & Management	$59.92	$41.48
99485	Emergency Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99486	Emergency Medicine	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99487	Evaluation & Management	$180.18	$126.22
99489	Evaluation & Management	$94.84	$69.66
99490	Evaluation & Management	$86.30	$70.11
99491	Evaluation & Management	$116.66	$105.42
99492	Evaluation & Management	$205.60	$128.27
99493	Evaluation & Management	$199.85	$140.95
99494	Evaluation & Management	$85.33	$57.44
99495	Evaluation & Management	$280.25	$196.63
99496	Evaluation & Management	$377.93	$266.43
99497	Evaluation & Management	$115.75	$105.87
99498	Evaluation & Management	$100.62	$99.72
99499	Evaluation & Management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99500	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99501	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99502	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99503	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99504	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99505	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99506	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99507	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99509	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99511	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99512	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99601	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99602	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99605	Pain management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99606	Pain management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
99607	Pain management	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0080	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0090	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0170	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0200	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0225	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0380	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0382	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0384	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0390	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0392	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0394	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0396	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0398	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0420	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0422	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0424	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0425	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0426	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0427	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0428	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0429	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0430	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0431	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0432	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0433	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0434	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0435	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0436	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0888	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0998	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A0999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2001	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2002	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2003	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2004	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2005	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2006	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2007	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2008	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2009	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A2010	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4206	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4207	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4209	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4211	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4213	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4216	DMEPOS	$0.47	$0.47
A4217	DMEPOS	$3.26	$3.26
A4218	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4220	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4221	DMEPOS	$23.31	$23.31
A4222	DMEPOS	$45.24	$45.24
A4223	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4224	DMEPOS	$23.31	$23.31
A4225	DMEPOS	$3.00	$3.00
A4226	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4230	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4231	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4232	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4233-NU	DMEPOS	$0.51	$0.51
A4234-NU	DMEPOS	$2.36	$2.36
A4235-NU	DMEPOS	$1.00	$1.00
A4236-NU	DMEPOS	$1.16	$1.16
A4244	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4245	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4246	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4247	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4248	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4252	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4253-NU	DMEPOS	$8.32	$8.32
A4255	DMEPOS	$4.89	$4.89
A4256	DMEPOS	$3.38	$3.38
A4257	DMEPOS	$15.61	$15.61
A4258	DMEPOS	$2.12	$2.12
A4259	DMEPOS	$1.42	$1.42
A4261	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4262	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4263	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4264	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4265	DMEPOS	$4.17	$4.17
A4266	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4267	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4268	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4269	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4280	DMEPOS	$6.54	$6.54
A4281	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4282	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4283	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4284	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4285	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4286	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4290	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4301	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4305	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4306	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4310	DMEPOS	$8.03	$8.03
A4311	DMEPOS	$18.12	$18.12
A4312	DMEPOS	$22.07	$22.07
A4313	DMEPOS	$22.66	$22.66
A4314	DMEPOS	$30.93	$30.93
A4315	DMEPOS	$32.27	$32.27
A4316	DMEPOS	$34.75	$34.75
A4320	DMEPOS	$5.56	$5.56
A4321	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4322	DMEPOS	$3.60	$3.60
A4326	DMEPOS	$13.20	$13.20
A4327	DMEPOS	$54.57	$54.57
A4328	DMEPOS	$12.55	$12.55
A4330	DMEPOS	$8.73	$8.73
A4331	DMEPOS	$3.89	$3.89
A4332	DMEPOS	$0.14	$0.14
A4333	DMEPOS	$2.71	$2.71
A4334	DMEPOS	$6.02	$6.02
A4335	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4336	DMEPOS	$1.76	$1.76
A4337	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4338	DMEPOS	$13.28	$13.28
A4340	DMEPOS	$33.01	$33.01
A4344	DMEPOS	$17.56	$17.56
A4346	DMEPOS	$20.37	$20.37
A4349	DMEPOS	$2.46	$2.46
A4351	DMEPOS	$1.89	$1.89
A4352	DMEPOS	$7.25	$7.25
A4353	DMEPOS	$8.57	$8.57
A4354	DMEPOS	$14.44	$14.44
A4355	DMEPOS	$10.91	$10.91
A4356	DMEPOS	$55.49	$55.49
A4357	DMEPOS	$11.88	$11.88
A4358	DMEPOS	$8.11	$8.11
A4360	DMEPOS	$0.60	$0.60
A4361	DMEPOS	$22.47	$22.47
A4362	DMEPOS	$4.25	$4.25
A4363	DMEPOS	$2.90	$2.90
A4364	DMEPOS	$3.06	$3.06
A4366	DMEPOS	$1.58	$1.58
A4367	DMEPOS	$7.66	$7.66
A4368	DMEPOS	$0.30	$0.30
A4369	DMEPOS	$2.97	$2.97
A4371	DMEPOS	$4.46	$4.46
A4372	DMEPOS	$5.13	$5.13
A4373	DMEPOS	$7.66	$7.66
A4375	DMEPOS	$21.01	$21.01
A4376	DMEPOS	$58.21	$58.21
A4377	DMEPOS	$5.24	$5.24
A4378	DMEPOS	$37.62	$37.62
A4379	DMEPOS	$18.37	$18.37
A4380	DMEPOS	$45.68	$45.68
A4381	DMEPOS	$5.66	$5.66
A4382	DMEPOS	$30.12	$30.12
A4383	DMEPOS	$34.49	$34.49
A4384	DMEPOS	$11.76	$11.76
A4385	DMEPOS	$6.23	$6.23
A4387	DMEPOS	$2.75	$2.75
A4388	DMEPOS	$5.34	$5.34
A4389	DMEPOS	$7.60	$7.60
A4390	DMEPOS	$11.75	$11.75
A4391	DMEPOS	$8.65	$8.65
A4392	DMEPOS	$10.00	$10.00
A4393	DMEPOS	$11.06	$11.06
A4394	DMEPOS	$3.17	$3.17
A4395	DMEPOS	$0.05	$0.05
A4396	DMEPOS	$49.52	$49.52
A4398	DMEPOS	$16.91	$16.91
A4399	DMEPOS	$14.87	$14.87
A4400	DMEPOS	$50.82	$50.82
A4402	DMEPOS	$1.66	$1.66
A4404	DMEPOS	$1.74	$1.74
A4405	DMEPOS	$4.18	$4.18
A4406	DMEPOS	$7.00	$7.00
A4407	DMEPOS	$10.72	$10.72
A4408	DMEPOS	$12.08	$12.08
A4409	DMEPOS	$7.60	$7.60
A4410	DMEPOS	$11.06	$11.06
A4411	DMEPOS	$6.23	$6.23
A4412	DMEPOS	$3.31	$3.31
A4413	DMEPOS	$6.74	$6.74
A4414	DMEPOS	$6.02	$6.02
A4415	DMEPOS	$7.33	$7.33
A4416	DMEPOS	$3.37	$3.37
A4417	DMEPOS	$4.56	$4.56
A4418	DMEPOS	$2.22	$2.22
A4419	DMEPOS	$2.11	$2.11
A4420	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4421	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4422	DMEPOS	$0.14	$0.14
A4423	DMEPOS	$2.27	$2.27
A4424	DMEPOS	$5.82	$5.82
A4425	DMEPOS	$4.38	$4.38
A4426	DMEPOS	$3.34	$3.34
A4427	DMEPOS	$3.41	$3.41
A4428	DMEPOS	$7.98	$7.98
A4429	DMEPOS	$10.09	$10.09
A4430	DMEPOS	$10.42	$10.42
A4431	DMEPOS	$7.60	$7.60
A4432	DMEPOS	$4.39	$4.39
A4433	DMEPOS	$4.10	$4.10
A4434	DMEPOS	$4.60	$4.60
A4435	DMEPOS	$7.05	$7.05
A4436	DMEPOS	$19.94	$19.94
A4437	DMEPOS	$19.94	$19.94
A4450	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4452	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4453	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4455	DMEPOS	$1.48	$1.48
A4456	DMEPOS	$0.29	$0.29
A4458	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4459	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4461	DMEPOS	$4.04	$4.04
A4463	DMEPOS	$16.28	$16.28
A4465	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4467	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4470	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4480	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4481	DMEPOS	$0.45	$0.45
A4483	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4490	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4495	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4500	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4520	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4550	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4553	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4554	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4555	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4556	DMEPOS	$12.63	$12.63
A4557	DMEPOS	$14.96	$14.96
A4558	DMEPOS	$6.67	$6.67
A4559	DMEPOS	$0.12	$0.12
A4561	DMEPOS	$25.19	$25.19
A4562	DMEPOS	$62.63	$62.63
A4563	DMEPOS	$1,450.57	$1,450.57
A4565	DMEPOS	$9.42	$9.42
A4566	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4570	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4575	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4580	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4590	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4595	DMEPOS	$17.17	$17.17
A4600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4601	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4602-NU	DMEPOS	$4.56	$4.56
A4604-NU	DMEPOS	$48.83	$48.83
A4605-NU	DMEPOS	$20.06	$20.06
A4606	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4608	DMEPOS	$61.33	$61.33
A4611	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4612	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4613	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4614	DMEPOS	$29.10	$29.10
A4615	DMEPOS	$0.89	$0.89
A4616	DMEPOS	$0.07	$0.07
A4617	DMEPOS	$3.79	$3.79
A4618-NU	DMEPOS	$9.25	$9.25
A4618-RR	DMEPOS	$1.07	$1.07
A4618-UE	DMEPOS	$6.94	$6.94
A4619-NU	DMEPOS	$2.19	$2.19
A4620	DMEPOS	$0.78	$0.78
A4623	DMEPOS	$6.82	$6.82
A4624-NU	DMEPOS	$2.75	$2.75
A4625	DMEPOS	$7.20	$7.20
A4626	DMEPOS	$3.32	$3.32
A4627	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4628-NU	DMEPOS	$4.58	$4.58
A4629	DMEPOS	$5.69	$5.69
A4630-NU	DMEPOS	$7.63	$7.63
A4633-NU	DMEPOS	$50.21	$50.21
A4634	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4635-NU	DMEPOS	$5.31	$5.31
A4635-RR	DMEPOS	$0.73	$0.73
A4635-UE	DMEPOS	$3.54	$3.54
A4636-NU	DMEPOS	$3.46	$3.46
A4636-RR	DMEPOS	$0.35	$0.35
A4636-UE	DMEPOS	$2.60	$2.60
A4637-NU	DMEPOS	$1.95	$1.95
A4637-RR	DMEPOS	$0.22	$0.22
A4637-UE	DMEPOS	$1.47	$1.47
A4638-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4638-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4638-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4639	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4639-RR	DMEPOS	$35.15	$35.15
A4640-NU	DMEPOS	$57.41	$57.41
A4640-RR	DMEPOS	$5.78	$5.78
A4640-UE	DMEPOS	$42.13	$42.13
A4641	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4642	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4648	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4649	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4650	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4651	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4652	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4653	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4657	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4660	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4663	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4670	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4671	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4672	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4673	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4674	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4680	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4690	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4706	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4707	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4708	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4709	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4714	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4719	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4720	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4721	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4722	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4723	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4724	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4725	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4726	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4728	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4730	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4736	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4737	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4740	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4750	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4755	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4760	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4765	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4766	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4770	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4771	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4772	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4773	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4774	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4802	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4860	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4870	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4890	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4911	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4913	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4918	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4927	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4928	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4929	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4930	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4931	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A4932	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A5051	DMEPOS	$2.52	$2.52
A5052	DMEPOS	$1.82	$1.82
A5053	DMEPOS	$1.79	$1.79
A5054	DMEPOS	$2.20	$2.20
A5055	DMEPOS	$1.52	$1.52
A5056	DMEPOS	$5.72	$5.72
A5057	DMEPOS	$11.75	$11.75
A5061	DMEPOS	$4.32	$4.32
A5062	DMEPOS	$2.73	$2.73
A5063	DMEPOS	$3.31	$3.31
A5071	DMEPOS	$7.35	$7.35
A5072	DMEPOS	$4.18	$4.18
A5073	DMEPOS	$3.89	$3.89
A5081	DMEPOS	$3.56	$3.56
A5082	DMEPOS	$13.75	$13.75
A5083	DMEPOS	$0.79	$0.79
A5093	DMEPOS	$2.03	$2.03
A5102	DMEPOS	$27.61	$27.61
A5105	DMEPOS	$49.88	$49.88
A5112	DMEPOS	$42.36	$42.36
A5113	DMEPOS	$4.90	$4.90
A5114	DMEPOS	$9.31	$9.31
A5120	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A5121	DMEPOS	$9.12	$9.12
A5122	DMEPOS	$15.36	$15.36
A5126	DMEPOS	$1.36	$1.36
A5131	DMEPOS	$17.69	$17.69
A5200	DMEPOS	$13.84	$13.84
A5500	DMEPOS	$77.80	$77.80
A5501	DMEPOS	$233.33	$233.33
A5503	DMEPOS	$39.57	$39.57
A5504	DMEPOS	$39.57	$39.57
A5505	DMEPOS	$39.57	$39.57
A5506	DMEPOS	$39.57	$39.57
A5507	DMEPOS	$39.57	$39.57
A5508	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A5510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A5512	DMEPOS	$31.73	$31.73
A5513	DMEPOS	$47.35	$47.35
A5514	DMEPOS	$47.35	$47.35
A6000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6010	DMEPOS	$37.89	$37.89
A6011	DMEPOS	$2.80	$2.80
A6021	DMEPOS	$25.72	$25.72
A6022	DMEPOS	$25.72	$25.72
A6023	DMEPOS	$232.83	$232.83
A6024	DMEPOS	$7.57	$7.57
A6025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6154	DMEPOS	$17.57	$17.57
A6196	DMEPOS	$9.01	$9.01
A6197	DMEPOS	$20.12	$20.12
A6198	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6199	DMEPOS	$6.46	$6.46
A6203	DMEPOS	$4.12	$4.12
A6204	DMEPOS	$7.61	$7.61
A6205	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6206	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6207	DMEPOS	$8.99	$8.99
A6208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6209	DMEPOS	$9.14	$9.14
A6210	DMEPOS	$24.38	$24.38
A6211	DMEPOS	$35.93	$35.93
A6212	DMEPOS	$11.88	$11.88
A6213	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6214	DMEPOS	$12.59	$12.59
A6215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6216	DMEPOS	$0.05	$0.05
A6217	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6218	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6219	DMEPOS	$1.17	$1.17
A6220	DMEPOS	$3.17	$3.17
A6221	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6222	DMEPOS	$2.61	$2.61
A6223	DMEPOS	$2.97	$2.97
A6224	DMEPOS	$4.41	$4.41
A6228	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6229	DMEPOS	$4.41	$4.41
A6230	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6231	DMEPOS	$5.74	$5.74
A6232	DMEPOS	$8.40	$8.40
A6233	DMEPOS	$23.46	$23.46
A6234	DMEPOS	$8.01	$8.01
A6235	DMEPOS	$20.58	$20.58
A6236	DMEPOS	$33.34	$33.34
A6237	DMEPOS	$9.68	$9.68
A6238	DMEPOS	$27.89	$27.89
A6239	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6240	DMEPOS	$14.99	$14.99
A6241	DMEPOS	$3.15	$3.15
A6242	DMEPOS	$7.41	$7.41
A6243	DMEPOS	$15.08	$15.08
A6244	DMEPOS	$48.06	$48.06
A6245	DMEPOS	$8.90	$8.90
A6246	DMEPOS	$12.15	$12.15
A6247	DMEPOS	$29.10	$29.10
A6248	DMEPOS	$19.88	$19.88
A6250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6251	DMEPOS	$2.43	$2.43
A6252	DMEPOS	$3.98	$3.98
A6253	DMEPOS	$7.75	$7.75
A6254	DMEPOS	$1.46	$1.46
A6255	DMEPOS	$3.72	$3.72
A6256	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6257	DMEPOS	$1.88	$1.88
A6258	DMEPOS	$5.27	$5.27
A6259	DMEPOS	$13.38	$13.38
A6260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6261	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6262	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6266	DMEPOS	$2.34	$2.34
A6402	DMEPOS	$0.14	$0.14
A6403	DMEPOS	$0.51	$0.51
A6404	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6407	DMEPOS	$2.29	$2.29
A6410	DMEPOS	$0.46	$0.46
A6411	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6412	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6413	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6441	DMEPOS	$0.84	$0.84
A6442	DMEPOS	$0.19	$0.19
A6443	DMEPOS	$0.34	$0.34
A6444	DMEPOS	$0.68	$0.68
A6445	DMEPOS	$0.39	$0.39
A6446	DMEPOS	$0.48	$0.48
A6447	DMEPOS	$0.84	$0.84
A6448	DMEPOS	$1.41	$1.41
A6449	DMEPOS	$2.14	$2.14
A6450	DMEPOS	$2.14	$2.14
A6451	DMEPOS	$2.14	$2.14
A6452	DMEPOS	$7.22	$7.22
A6453	DMEPOS	$0.77	$0.77
A6454	DMEPOS	$0.96	$0.96
A6455	DMEPOS	$1.70	$1.70
A6456	DMEPOS	$1.54	$1.54
A6457	DMEPOS	$1.39	$1.39
A6460	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6461	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6501	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6502	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6503	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6504	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6505	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6506	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6507	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6508	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6509	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6510	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6511	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6512	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6513	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6530	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6531	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6532	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6533	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6534	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6535	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6536	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6537	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6538	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6539	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6540	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6541	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6544	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6545	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6549	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A6550	DMEPOS	$27.01	$27.01
A7000-NU	DMEPOS	$9.09	$9.09
A7001-NU	DMEPOS	$35.09	$35.09
A7002-NU	DMEPOS	$3.99	$3.99
A7003-NU	DMEPOS	$2.00	$2.00
A7004-NU	DMEPOS	$1.47	$1.47
A7005-NU	DMEPOS	$17.49	$17.49
A7006-NU	DMEPOS	$8.95	$8.95
A7007-NU	DMEPOS	$3.94	$3.94
A7008-NU	DMEPOS	$11.43	$11.43
A7009-NU	DMEPOS	$49.21	$49.21
A7010-NU	DMEPOS	$18.87	$18.87
A7012-NU	DMEPOS	$3.48	$3.48
A7013-NU	DMEPOS	$0.68	$0.68
A7014-NU	DMEPOS	$3.95	$3.95
A7015-NU	DMEPOS	$1.61	$1.61
A7016-NU	DMEPOS	$8.20	$8.20
A7017-NU	DMEPOS	$139.62	$139.62
A7017-RR	DMEPOS	$13.97	$13.97
A7017-UE	DMEPOS	$104.72	$104.72
A7018	DMEPOS	$0.36	$0.36
A7020-NU	DMEPOS	$17.57	$17.57
A7025-RR	DMEPOS	$53.22	$53.22
A7026-NU	DMEPOS	$35.17	$35.17
A7027-NU	DMEPOS	$153.69	$153.69
A7028-NU	DMEPOS	$42.33	$42.33
A7029-NU	DMEPOS	$18.33	$18.33
A7030-NU	DMEPOS	$119.68	$119.68
A7031-NU	DMEPOS	$45.52	$45.52
A7032-NU	DMEPOS	$25.90	$25.90
A7033-NU	DMEPOS	$19.73	$19.73
A7034-NU	DMEPOS	$75.14	$75.14
A7035-NU	DMEPOS	$23.91	$23.91
A7036-NU	DMEPOS	$12.49	$12.49
A7037-NU	DMEPOS	$19.77	$19.77
A7038-NU	DMEPOS	$3.03	$3.03
A7039-NU	DMEPOS	$8.22	$8.22
A7040	DMEPOS	$49.75	$49.75
A7041	DMEPOS	$93.51	$93.51
A7044-NU	DMEPOS	$99.02	$99.02
A7045-NU	DMEPOS	$14.38	$14.38
A7045-RR	DMEPOS	$1.44	$1.44
A7045-UE	DMEPOS	$10.79	$10.79
A7046-NU	DMEPOS	$15.90	$15.90
A7047-NU	DMEPOS	$147.92	$147.92
A7048	DMEPOS	$52.05	$52.05
A7501	DMEPOS	$128.48	$128.48
A7502	DMEPOS	$61.08	$61.08
A7503	DMEPOS	$13.88	$13.88
A7504	DMEPOS	$0.84	$0.84
A7505	DMEPOS	$5.74	$5.74
A7506	DMEPOS	$0.40	$0.40
A7507	DMEPOS	$3.05	$3.05
A7508	DMEPOS	$3.51	$3.51
A7509	DMEPOS	$1.72	$1.72
A7520	DMEPOS	$58.09	$58.09
A7521	DMEPOS	$57.55	$57.55
A7522	DMEPOS	$55.25	$55.25
A7523	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A7524	DMEPOS	$94.71	$94.71
A7525	DMEPOS	$2.52	$2.52
A7526	DMEPOS	$4.15	$4.15
A7527	DMEPOS	$4.38	$4.38
A8000-NU	DMEPOS	$187.64	$187.64
A8000-RR	DMEPOS	$18.77	$18.77
A8000-UE	DMEPOS	$140.75	$140.75
A8001-NU	DMEPOS	$187.64	$187.64
A8001-RR	DMEPOS	$18.77	$18.77
A8001-UE	DMEPOS	$140.75	$140.75
A8002	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8002-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8002-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8002-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8003	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8003-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8003-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8003-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8004	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8004-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8004-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A8004-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9152	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9155	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9272	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9273	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9274	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9275	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9276	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9277	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9278	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9279	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9280	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9281	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9282	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9283	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9284	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9285	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9286	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9500	Other professional services	$150.11	$150.11
A9501	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9502	Other professional services	$173.60	$173.60
A9503	Other professional services	$42.75	$42.75
A9504	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9505	Other professional services	$52.65	$52.65
A9507	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9508	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9509	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9512	Other professional services	$7.61	$7.61
A9513	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9515	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9516	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9517	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9520	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9521	Other professional services	$2,614.20	$2,614.20
A9524	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9526	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9527	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9528	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9529	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9530	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9531	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9532	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9536	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9537	Other professional services	$94.59	$94.59
A9538	Other professional services	$15.20	$15.20
A9539	Other professional services	$34.53	$34.53
A9540	Other professional services	$75.00	$75.00
A9541	Other professional services	$82.95	$82.95
A9542	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9543	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9546	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9547	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9548	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9550	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9551	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9552	Other professional services	$375.00	$375.00
A9553	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9554	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9555	Other professional services	$437.82	$437.82
A9556	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9557	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9558	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9559	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9560	Other professional services	$159.72	$159.72
A9561	Other professional services	$73.82	$73.82
A9562	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9563	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9564	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9566	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9567	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9568	Other professional services	$1,852.50	$1,852.50
A9569	Other professional services	$2,614.20	$2,614.20
A9570	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9571	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9572	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9575	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9576	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9577	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9578	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9579	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9580	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9581	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9582	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9583	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9584	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9585	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9586	Other professional services	$4,886.16	$4,886.16
A9587	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9588	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9589	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9590	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9591	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9592	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9593	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9594	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9595	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9597	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9598	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9604	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9606	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9698	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9699	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9700	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9900	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9901	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
A9999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4081	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4082	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4083	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4087	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4088	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4102	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4103	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4104	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4105	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4149	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4152	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4154	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4155	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4157	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4158	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4159	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4161	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4162	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4164	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4168	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4172	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4176	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4178	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4185	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4187	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4189	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4193	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4197	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4216	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4220	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4222	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B4224	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B5000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B5100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B5200	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B9002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B9004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B9006	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B9998	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
B9999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1052	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1062	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1713	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1714	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1715	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1716	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1717	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1719	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1721	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1722	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1724	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1725	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1726	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1727	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1728	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1729	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1730	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1731	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1732	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1733	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1734	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1748	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1749	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1750	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1751	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1752	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1753	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1754	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1755	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1756	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1757	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1758	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1759	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1760	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1761	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1762	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1763	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1764	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1765	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1766	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1767	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1768	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1769	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1770	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1771	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1772	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1773	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1776	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1777	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1778	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1779	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1780	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1781	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1782	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1783	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1784	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1785	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1786	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1787	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1788	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1789	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1813	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1814	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1815	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1816	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1817	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1818	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1819	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1820	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1821	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1822	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1823	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1824	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1825	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1830	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1831	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1832	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1833	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1839	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1840	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1841	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1842	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1849	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1874	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1875	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1876	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1877	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1878	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1880	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1881	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1882	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1883	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1884	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1885	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1886	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1887	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1888	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1889	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1890	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1891	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1892	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1893	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1894	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1895	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1896	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1897	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1898	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1899	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1900	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C1982	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2596	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2613	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2614	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2615	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2616	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2617	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2618	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2619	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2620	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2621	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2622	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2623	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2624	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2625	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2626	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2627	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2628	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2629	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2630	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2631	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2634	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2635	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2636	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2637	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2638	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2639	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2640	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2641	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2642	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2643	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2644	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2645	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2698	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C2699	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C5271	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C5272	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C5273	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C5274	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C5275	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C5276	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C5277	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C5278	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8900	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8901	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8902	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8903	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8905	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8906	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8908	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8909	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8910	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8911	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8912	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8913	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8914	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8918	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8919	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8920	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8921	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8922	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8923	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8924	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8925	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8926	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8927	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8928	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8929	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8930	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8931	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8932	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8933	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8934	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8935	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8936	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8937	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C8957	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9046	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9047	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9067	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9084	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9085	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9086	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9087	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9088	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9089	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9113	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9248	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9254	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9257	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9285	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9290	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9293	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9352	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9353	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9354	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9355	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9356	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9358	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9359	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9360	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9361	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9362	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9363	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9364	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9399	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9460	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9462	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9482	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9488	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9507	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9601	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9602	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9603	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9604	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9605	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9606	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9607	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9608	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9725	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9726	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9727	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9728	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9733	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9734	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9738	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9739	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9740	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9751	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9756	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9757	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9758	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9759	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9760	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9761	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9762	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9763	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9764	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9765	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9766	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9767	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9768	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9769	Radiology	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9770	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9771	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9772	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9773	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9774	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9775	Major surgery	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9776	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9777	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9778	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9779	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9780	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9803	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9898	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
C9899	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0100-NU	DMEPOS	$21.92	$21.92
E0100-RR	DMEPOS	$6.16	$6.16
E0100-UE	DMEPOS	$17.47	$17.47
E0105-NU	DMEPOS	$58.21	$58.21
E0105-RR	DMEPOS	$9.22	$9.22
E0105-UE	DMEPOS	$43.66	$43.66
E0110-NU	DMEPOS	$91.55	$91.55
E0110-RR	DMEPOS	$16.63	$16.63
E0110-UE	DMEPOS	$68.67	$68.67
E0111-NU	DMEPOS	$55.37	$55.37
E0111-RR	DMEPOS	$8.76	$8.76
E0111-UE	DMEPOS	$42.75	$42.75
E0112-NU	DMEPOS	$41.13	$41.13
E0112-RR	DMEPOS	$10.34	$10.34
E0112-UE	DMEPOS	$30.82	$30.82
E0113-NU	DMEPOS	$21.99	$21.99
E0113-RR	DMEPOS	$5.34	$5.34
E0113-UE	DMEPOS	$16.48	$16.48
E0114-NU	DMEPOS	$49.08	$49.08
E0114-RR	DMEPOS	$8.91	$8.91
E0114-UE	DMEPOS	$37.10	$37.10
E0116-NU	DMEPOS	$28.86	$28.86
E0116-RR	DMEPOS	$5.63	$5.63
E0116-UE	DMEPOS	$21.73	$21.73
E0117-RR	DMEPOS	$23.56	$23.56
E0118	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0130-NU	DMEPOS	$53.62	$53.62
E0130-RR	DMEPOS	$7.49	$7.49
E0130-UE	DMEPOS	$40.22	$40.22
E0135-NU	DMEPOS	$58.46	$58.46
E0135-RR	DMEPOS	$7.51	$7.51
E0135-UE	DMEPOS	$44.22	$44.22
E0140-RR	DMEPOS	$32.24	$32.24
E0141-NU	DMEPOS	$68.81	$68.81
E0141-RR	DMEPOS	$9.07	$9.07
E0141-UE	DMEPOS	$51.61	$51.61
E0143-NU	DMEPOS	$66.38	$66.38
E0143-RR	DMEPOS	$9.53	$9.53
E0143-UE	DMEPOS	$48.97	$48.97
E0144-RR	DMEPOS	$30.08	$30.08
E0147-NU	DMEPOS	$471.57	$471.57
E0147-RR	DMEPOS	$47.16	$47.16
E0147-UE	DMEPOS	$353.68	$353.68
E0148-NU	DMEPOS	$99.93	$99.93
E0148-RR	DMEPOS	$10.00	$10.00
E0148-UE	DMEPOS	$74.95	$74.95
E0149-RR	DMEPOS	$15.79	$15.79
E0153-NU	DMEPOS	$84.90	$84.90
E0153-RR	DMEPOS	$9.60	$9.60
E0153-UE	DMEPOS	$63.66	$63.66
E0154-NU	DMEPOS	$56.14	$56.14
E0154-RR	DMEPOS	$5.67	$5.67
E0154-UE	DMEPOS	$42.29	$42.29
E0155-NU	DMEPOS	$23.09	$23.09
E0155-RR	DMEPOS	$2.46	$2.46
E0155-UE	DMEPOS	$17.41	$17.41
E0156-NU	DMEPOS	$18.90	$18.90
E0156-RR	DMEPOS	$2.02	$2.02
E0156-UE	DMEPOS	$14.18	$14.18
E0157-NU	DMEPOS	$66.91	$66.91
E0157-RR	DMEPOS	$6.87	$6.87
E0157-UE	DMEPOS	$50.18	$50.18
E0158-NU	DMEPOS	$25.01	$25.01
E0158-RR	DMEPOS	$2.50	$2.50
E0158-UE	DMEPOS	$18.75	$18.75
E0159-NU	DMEPOS	$16.52	$16.52
E0159-RR	DMEPOS	$1.67	$1.67
E0159-UE	DMEPOS	$12.39	$12.39
E0160-NU	DMEPOS	$29.66	$29.66
E0160-RR	DMEPOS	$3.24	$3.24
E0160-UE	DMEPOS	$22.24	$22.24
E0161-NU	DMEPOS	$27.76	$27.76
E0161-RR	DMEPOS	$2.90	$2.90
E0161-UE	DMEPOS	$20.81	$20.81
E0162-NU	DMEPOS	$151.52	$151.52
E0162-RR	DMEPOS	$15.90	$15.90
E0162-UE	DMEPOS	$117.49	$117.49
E0163-NU	DMEPOS	$71.86	$71.86
E0163-RR	DMEPOS	$10.65	$10.65
E0163-UE	DMEPOS	$54.41	$54.41
E0165-RR	DMEPOS	$14.75	$14.75
E0167-NU	DMEPOS	$11.51	$11.51
E0167-RR	DMEPOS	$1.15	$1.15
E0167-UE	DMEPOS	$8.63	$8.63
E0168-NU	DMEPOS	$141.12	$141.12
E0168-RR	DMEPOS	$14.13	$14.13
E0168-UE	DMEPOS	$105.84	$105.84
E0170-RR	DMEPOS	$176.61	$176.61
E0171-RR	DMEPOS	$32.27	$32.27
E0172	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0175-NU	DMEPOS	$81.03	$81.03
E0175-RR	DMEPOS	$8.10	$8.10
E0175-UE	DMEPOS	$59.64	$59.64
E0181-RR	DMEPOS	$20.44	$20.44
E0182-RR	DMEPOS	$22.28	$22.28
E0184-NU	DMEPOS	$187.10	$187.10
E0184-RR	DMEPOS	$20.27	$20.27
E0184-UE	DMEPOS	$141.33	$141.33
E0185-NU	DMEPOS	$234.02	$234.02
E0185-RR	DMEPOS	$26.48	$26.48
E0185-UE	DMEPOS	$177.23	$177.23
E0186-RR	DMEPOS	$19.49	$19.49
E0187-RR	DMEPOS	$21.53	$21.53
E0188-NU	DMEPOS	$27.05	$27.05
E0188-RR	DMEPOS	$2.85	$2.85
E0188-UE	DMEPOS	$20.29	$20.29
E0189-NU	DMEPOS	$55.27	$55.27
E0189-RR	DMEPOS	$5.66	$5.66
E0189-UE	DMEPOS	$41.45	$41.45
E0190	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0191-NU	DMEPOS	$10.39	$10.39
E0191-RR	DMEPOS	$1.07	$1.07
E0191-UE	DMEPOS	$7.75	$7.75
E0193-RR	DMEPOS	$783.82	$783.82
E0194-RR	DMEPOS	$3,480.69	$3,480.69
E0196-RR	DMEPOS	$33.73	$33.73
E0197-RR	DMEPOS	$21.27	$21.27
E0198-RR	DMEPOS	$26.76	$26.76
E0199-NU	DMEPOS	$31.65	$31.65
E0199-RR	DMEPOS	$3.16	$3.16
E0199-UE	DMEPOS	$23.74	$23.74
E0200-NU	DMEPOS	$96.99	$96.99
E0200-RR	DMEPOS	$13.17	$13.17
E0200-UE	DMEPOS	$72.79	$72.79
E0202-RR	DMEPOS	$76.61	$76.61
E0203	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0205-NU	DMEPOS	$237.42	$237.42
E0205-RR	DMEPOS	$26.12	$26.12
E0205-UE	DMEPOS	$178.07	$178.07
E0210-NU	DMEPOS	$33.96	$33.96
E0210-RR	DMEPOS	$3.20	$3.20
E0210-UE	DMEPOS	$25.45	$25.45
E0215-NU	DMEPOS	$86.67	$86.67
E0215-RR	DMEPOS	$8.66	$8.66
E0215-UE	DMEPOS	$65.01	$65.01
E0217-NU	DMEPOS	$607.39	$607.39
E0217-RR	DMEPOS	$67.62	$67.62
E0217-UE	DMEPOS	$455.52	$455.52
E0218	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0221	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0225-NU	DMEPOS	$475.48	$475.48
E0225-RR	DMEPOS	$46.87	$46.87
E0225-UE	DMEPOS	$356.61	$356.61
E0231	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0232	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0235-RR	DMEPOS	$20.16	$20.16
E0236-RR	DMEPOS	$54.13	$54.13
E0239-NU	DMEPOS	$467.79	$467.79
E0239-RR	DMEPOS	$46.78	$46.78
E0239-UE	DMEPOS	$350.85	$350.85
E0240	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0241	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0242	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0243	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0244	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0245	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0246	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0247	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0248	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0249-NU	DMEPOS	$121.86	$121.86
E0249-RR	DMEPOS	$13.39	$13.39
E0249-UE	DMEPOS	$91.38	$91.38
E0250-RR	DMEPOS	$72.62	$72.62
E0251-RR	DMEPOS	$64.40	$64.40
E0255-RR	DMEPOS	$76.96	$76.96
E0256-RR	DMEPOS	$67.77	$67.77
E0260-RR	DMEPOS	$86.34	$86.34
E0261-RR	DMEPOS	$79.81	$79.81
E0265-RR	DMEPOS	$168.80	$168.80
E0266-RR	DMEPOS	$147.35	$147.35
E0270	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0271-NU	DMEPOS	$158.63	$158.63
E0271-RR	DMEPOS	$16.09	$16.09
E0271-UE	DMEPOS	$120.80	$120.80
E0272-NU	DMEPOS	$165.76	$165.76
E0272-RR	DMEPOS	$16.81	$16.81
E0272-UE	DMEPOS	$124.13	$124.13
E0273	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0274	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0275-NU	DMEPOS	$15.23	$15.23
E0275-RR	DMEPOS	$1.52	$1.52
E0275-UE	DMEPOS	$11.43	$11.43
E0276-NU	DMEPOS	$12.42	$12.42
E0276-RR	DMEPOS	$1.31	$1.31
E0276-UE	DMEPOS	$9.46	$9.46
E0277-RR	DMEPOS	$344.16	$344.16
E0280-NU	DMEPOS	$32.65	$32.65
E0280-RR	DMEPOS	$3.33	$3.33
E0280-UE	DMEPOS	$24.48	$24.48
E0290-RR	DMEPOS	$61.89	$61.89
E0291-RR	DMEPOS	$46.77	$46.77
E0292-RR	DMEPOS	$66.02	$66.02
E0293-RR	DMEPOS	$59.05	$59.05
E0294-RR	DMEPOS	$78.50	$78.50
E0295-RR	DMEPOS	$77.66	$77.66
E0296-RR	DMEPOS	$133.87	$133.87
E0297-RR	DMEPOS	$117.02	$117.02
E0300-RR	DMEPOS	$276.68	$276.68
E0301-RR	DMEPOS	$203.82	$203.82
E0302-RR	DMEPOS	$569.50	$569.50
E0303-RR	DMEPOS	$215.10	$215.10
E0304-RR	DMEPOS	$598.83	$598.83
E0305-RR	DMEPOS	$12.66	$12.66
E0310-NU	DMEPOS	$138.54	$138.54
E0310-RR	DMEPOS	$14.26	$14.26
E0310-UE	DMEPOS	$104.51	$104.51
E0315	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0316-RR	DMEPOS	$222.56	$222.56
E0325-NU	DMEPOS	$9.58	$9.58
E0325-RR	DMEPOS	$1.09	$1.09
E0325-UE	DMEPOS	$6.95	$6.95
E0326-NU	DMEPOS	$10.17	$10.17
E0326-RR	DMEPOS	$1.05	$1.05
E0326-UE	DMEPOS	$7.63	$7.63
E0328	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0329	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0350	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0352	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0370	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0371-RR	DMEPOS	$275.88	$275.88
E0372-RR	DMEPOS	$300.89	$300.89
E0373-RR	DMEPOS	$320.70	$320.70
E0424-RR	DMEPOS	$115.89	$115.89
E0425	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0430	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0431-RR	DMEPOS	$22.32	$22.32
E0433-RR	DMEPOS	$43.16	$43.16
E0434-RR	DMEPOS	$43.16	$43.16
E0435	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0439-RR	DMEPOS	$115.89	$115.89
E0440	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0441	DMEPOS	$62.44	$62.44
E0442	DMEPOS	$62.44	$62.44
E0443	DMEPOS	$58.39	$58.39
E0444	DMEPOS	$58.39	$58.39
E0445	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0446	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0447	DMEPOS	$88.23	$88.23
E0455	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0457	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0459	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0462-RR	DMEPOS	$338.54	$338.54
E0465-RR	DMEPOS	$1,167.80	$1,167.80
E0466-RR	DMEPOS	$1,167.80	$1,167.80
E0467-RR	DMEPOS	$1,350.40	$1,350.40
E0470-RR	DMEPOS	$152.43	$152.43
E0471-RR	DMEPOS	$378.10	$378.10
E0472-RR	DMEPOS	$484.60	$484.60
E0480-RR	DMEPOS	$48.05	$48.05
E0481	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0482-RR	DMEPOS	$526.12	$526.12
E0483-RR	DMEPOS	$1,300.68	$1,300.68
E0484-NU	DMEPOS	$45.19	$45.19
E0484-RR	DMEPOS	$4.52	$4.52
E0484-UE	DMEPOS	$33.89	$33.89
E0485-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0485-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0485-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0486-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0486-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0486-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0487	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0500-RR	DMEPOS	$125.23	$125.23
E0550-RR	DMEPOS	$61.34	$61.34
E0555	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0560-NU	DMEPOS	$172.28	$172.28
E0560-RR	DMEPOS	$18.01	$18.01
E0560-UE	DMEPOS	$129.20	$129.20
E0561-NU	DMEPOS	$86.51	$86.51
E0561-RR	DMEPOS	$8.65	$8.65
E0561-UE	DMEPOS	$64.88	$64.88
E0562-NU	DMEPOS	$189.40	$189.40
E0562-RR	DMEPOS	$18.94	$18.94
E0562-UE	DMEPOS	$142.05	$142.05
E0565-RR	DMEPOS	$51.46	$51.46
E0570-RR	DMEPOS	$9.57	$9.57
E0572-RR	DMEPOS	$36.54	$36.54
E0574-RR	DMEPOS	$49.25	$49.25
E0575-RR	DMEPOS	$106.89	$106.89
E0580-NU	DMEPOS	$140.69	$140.69
E0580-RR	DMEPOS	$14.07	$14.07
E0580-UE	DMEPOS	$105.51	$105.51
E0585-RR	DMEPOS	$32.59	$32.59
E0600-RR	DMEPOS	$56.02	$56.02
E0601-RR	DMEPOS	$62.34	$62.34
E0602-NU	DMEPOS	$36.11	$36.11
E0602-RR	DMEPOS	$3.64	$3.64
E0602-UE	DMEPOS	$27.08	$27.08
E0603	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0604	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0605-NU	DMEPOS	$27.47	$27.47
E0605-RR	DMEPOS	$3.20	$3.20
E0605-UE	DMEPOS	$22.65	$22.65
E0606-RR	DMEPOS	$28.08	$28.08
E0607-NU	DMEPOS	$81.75	$81.75
E0607-RR	DMEPOS	$8.17	$8.17
E0607-UE	DMEPOS	$61.30	$61.30
E0610-NU	DMEPOS	$257.43	$257.43
E0610-RR	DMEPOS	$26.09	$26.09
E0610-UE	DMEPOS	$193.05	$193.05
E0615-NU	DMEPOS	$585.77	$585.77
E0615-RR	DMEPOS	$71.57	$71.57
E0615-UE	DMEPOS	$439.37	$439.37
E0616	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0617-RR	DMEPOS	$371.97	$371.97
E0618-RR	DMEPOS	$343.01	$343.01
E0619-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0620-RR	DMEPOS	$106.96	$106.96
E0621-NU	DMEPOS	$88.68	$88.68
E0621-RR	DMEPOS	$8.87	$8.87
E0621-UE	DMEPOS	$66.52	$66.52
E0625	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0627-NU	DMEPOS	$307.69	$307.69
E0627-RR	DMEPOS	$30.77	$30.77
E0627-UE	DMEPOS	$230.77	$230.77
E0629-NU	DMEPOS	$304.75	$304.75
E0629-RR	DMEPOS	$30.48	$30.48
E0629-UE	DMEPOS	$228.55	$228.55
E0630-RR	DMEPOS	$77.89	$77.89
E0635-RR	DMEPOS	$128.85	$128.85
E0636-RR	DMEPOS	$1,095.16	$1,095.16
E0637	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0638	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0639-RR	DMEPOS	$136.48	$136.48
E0640-RR	DMEPOS	$136.48	$136.48
E0641	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0642	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0650-NU	DMEPOS	$776.62	$776.62
E0650-RR	DMEPOS	$92.43	$92.43
E0650-UE	DMEPOS	$582.51	$582.51
E0651-NU	DMEPOS	$1,123.61	$1,123.61
E0651-RR	DMEPOS	$114.79	$114.79
E0651-UE	DMEPOS	$842.73	$842.73
E0652-NU	DMEPOS	$6,485.97	$6,485.97
E0652-RR	DMEPOS	$641.00	$641.00
E0652-UE	DMEPOS	$4,860.13	$4,860.13
E0655-NU	DMEPOS	$118.17	$118.17
E0655-RR	DMEPOS	$13.19	$13.19
E0655-UE	DMEPOS	$88.63	$88.63
E0656-RR	DMEPOS	$70.70	$70.70
E0657-RR	DMEPOS	$66.41	$66.41
E0660-NU	DMEPOS	$195.45	$195.45
E0660-RR	DMEPOS	$19.83	$19.83
E0660-UE	DMEPOS	$146.58	$146.58
E0665-NU	DMEPOS	$160.87	$160.87
E0665-RR	DMEPOS	$16.09	$16.09
E0665-UE	DMEPOS	$120.65	$120.65
E0666-NU	DMEPOS	$158.51	$158.51
E0666-RR	DMEPOS	$15.85	$15.85
E0666-UE	DMEPOS	$118.93	$118.93
E0667-NU	DMEPOS	$396.11	$396.11
E0667-RR	DMEPOS	$44.73	$44.73
E0667-UE	DMEPOS	$297.09	$297.09
E0668-NU	DMEPOS	$540.61	$540.61
E0668-RR	DMEPOS	$53.35	$53.35
E0668-UE	DMEPOS	$405.47	$405.47
E0669-NU	DMEPOS	$219.36	$219.36
E0669-RR	DMEPOS	$21.92	$21.92
E0669-UE	DMEPOS	$164.50	$164.50
E0670-NU	DMEPOS	$1,537.92	$1,537.92
E0670-RR	DMEPOS	$164.63	$164.63
E0670-UE	DMEPOS	$1,153.38	$1,153.38
E0671-NU	DMEPOS	$508.16	$508.16
E0671-RR	DMEPOS	$50.85	$50.85
E0671-UE	DMEPOS	$381.09	$381.09
E0672-NU	DMEPOS	$394.82	$394.82
E0672-RR	DMEPOS	$39.51	$39.51
E0672-UE	DMEPOS	$296.14	$296.14
E0673-NU	DMEPOS	$328.08	$328.08
E0673-RR	DMEPOS	$32.81	$32.81
E0673-UE	DMEPOS	$246.10	$246.10
E0675-RR	DMEPOS	$470.46	$470.46
E0676	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0691-NU	DMEPOS	$1,099.36	$1,099.36
E0691-RR	DMEPOS	$109.93	$109.93
E0691-UE	DMEPOS	$824.53	$824.53
E0692-NU	DMEPOS	$1,380.50	$1,380.50
E0692-RR	DMEPOS	$138.03	$138.03
E0692-UE	DMEPOS	$1,035.37	$1,035.37
E0693-NU	DMEPOS	$1,701.76	$1,701.76
E0693-RR	DMEPOS	$170.18	$170.18
E0693-UE	DMEPOS	$1,276.32	$1,276.32
E0694-NU	DMEPOS	$5,416.56	$5,416.56
E0694-RR	DMEPOS	$541.65	$541.65
E0694-UE	DMEPOS	$4,062.45	$4,062.45
E0700	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0705-NU	DMEPOS	$55.64	$55.64
E0705-RR	DMEPOS	$5.59	$5.59
E0705-UE	DMEPOS	$41.43	$41.43
E0710	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0720-NU	DMEPOS	$170.09	$170.09
E0730-NU	DMEPOS	$171.60	$171.60
E0731-NU	DMEPOS	$181.32	$181.32
E0740-RR	DMEPOS	$63.97	$63.97
E0744-RR	DMEPOS	$95.58	$95.58
E0745-RR	DMEPOS	$95.58	$95.58
E0746	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0747-NU	DMEPOS	$4,791.05	$4,791.05
E0747-RR	DMEPOS	$476.08	$476.08
E0747-UE	DMEPOS	$3,559.66	$3,559.66
E0748-NU	DMEPOS	$4,760.02	$4,760.02
E0748-RR	DMEPOS	$475.97	$475.97
E0748-UE	DMEPOS	$3,570.02	$3,570.02
E0749-RR	DMEPOS	$295.72	$295.72
E0755	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0760-NU	DMEPOS	$3,955.48	$3,955.48
E0760-RR	DMEPOS	$395.55	$395.55
E0760-UE	DMEPOS	$2,966.58	$2,966.58
E0761	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0762-RR	DMEPOS	$134.53	$134.53
E0764-RR	DMEPOS	$1,353.93	$1,353.93
E0765-NU	DMEPOS	$102.93	$102.93
E0765-RR	DMEPOS	$10.31	$10.31
E0765-UE	DMEPOS	$77.22	$77.22
E0766	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0766-RR	DMEPOS	$14,065.72	$14,065.72
E0769	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0770	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0776-NU	DMEPOS	$160.15	$160.15
E0776-RR	DMEPOS	$16.49	$16.49
E0776-UE	DMEPOS	$119.50	$119.50
E0779-RR	DMEPOS	$20.21	$20.21
E0780-NU	DMEPOS	$12.69	$12.69
E0781-RR	DMEPOS	$276.94	$276.94
E0782-NU	DMEPOS	$5,252.71	$5,252.71
E0782-RR	DMEPOS	$525.29	$525.29
E0782-UE	DMEPOS	$3,939.53	$3,939.53
E0783-NU	DMEPOS	$8,513.69	$8,513.69
E0783-RR	DMEPOS	$851.39	$851.39
E0783-UE	DMEPOS	$6,385.30	$6,385.30
E0784-RR	DMEPOS	$481.00	$481.00
E0785	DMEPOS	$491.38	$491.38
E0786-NU	DMEPOS	$9,770.10	$9,770.10
E0786-RR	DMEPOS	$977.00	$977.00
E0786-UE	DMEPOS	$7,327.58	$7,327.58
E0787	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0791-RR	DMEPOS	$329.48	$329.48
E0830	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0840-NU	DMEPOS	$76.19	$76.19
E0840-RR	DMEPOS	$16.98	$16.98
E0840-UE	DMEPOS	$57.12	$57.12
E0849-RR	DMEPOS	$63.05	$63.05
E0850-NU	DMEPOS	$114.78	$114.78
E0850-RR	DMEPOS	$15.00	$15.00
E0850-UE	DMEPOS	$86.06	$86.06
E0855-RR	DMEPOS	$61.49	$61.49
E0856-RR	DMEPOS	$18.83	$18.83
E0860-NU	DMEPOS	$41.57	$41.57
E0860-RR	DMEPOS	$6.78	$6.78
E0860-UE	DMEPOS	$31.17	$31.17
E0870-NU	DMEPOS	$120.96	$120.96
E0870-RR	DMEPOS	$13.95	$13.95
E0870-UE	DMEPOS	$91.12	$91.12
E0880-NU	DMEPOS	$130.55	$130.55
E0880-RR	DMEPOS	$20.49	$20.49
E0880-UE	DMEPOS	$98.81	$98.81
E0890-NU	DMEPOS	$125.21	$125.21
E0890-RR	DMEPOS	$34.14	$34.14
E0890-UE	DMEPOS	$100.87	$100.87
E0900-NU	DMEPOS	$133.25	$133.25
E0900-RR	DMEPOS	$28.73	$28.73
E0900-UE	DMEPOS	$99.97	$99.97
E0910-RR	DMEPOS	$13.28	$13.28
E0911-RR	DMEPOS	$46.59	$46.59
E0912-RR	DMEPOS	$97.32	$97.32
E0920-RR	DMEPOS	$56.47	$56.47
E0930-RR	DMEPOS	$55.88	$55.88
E0935-RR	DMEPOS	$25.70	$25.70
E0936	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0940-RR	DMEPOS	$24.40	$24.40
E0941-RR	DMEPOS	$53.10	$53.10
E0942-NU	DMEPOS	$20.64	$20.64
E0942-RR	DMEPOS	$2.45	$2.45
E0942-UE	DMEPOS	$15.44	$15.44
E0944-NU	DMEPOS	$50.96	$50.96
E0944-RR	DMEPOS	$5.12	$5.12
E0944-UE	DMEPOS	$38.19	$38.19
E0945-NU	DMEPOS	$52.41	$52.41
E0945-RR	DMEPOS	$5.24	$5.24
E0945-UE	DMEPOS	$39.32	$39.32
E0946-RR	DMEPOS	$65.80	$65.80
E0947-NU	DMEPOS	$646.29	$646.29
E0947-RR	DMEPOS	$65.39	$65.39
E0947-UE	DMEPOS	$484.70	$484.70
E0948-NU	DMEPOS	$646.29	$646.29
E0948-RR	DMEPOS	$63.05	$63.05
E0948-UE	DMEPOS	$484.70	$484.70
E0950-NU	DMEPOS	$87.03	$87.03
E0950-RR	DMEPOS	$8.71	$8.71
E0950-UE	DMEPOS	$65.27	$65.27
E0951-NU	DMEPOS	$15.00	$15.00
E0951-RR	DMEPOS	$1.51	$1.51
E0951-UE	DMEPOS	$11.25	$11.25
E0952-NU	DMEPOS	$18.05	$18.05
E0952-RR	DMEPOS	$1.82	$1.82
E0952-UE	DMEPOS	$13.54	$13.54
E0953-NU	DMEPOS	$84.89	$84.89
E0953-RR	DMEPOS	$8.49	$8.49
E0953-UE	DMEPOS	$63.67	$63.67
E0954-NU	DMEPOS	$58.05	$58.05
E0954-RR	DMEPOS	$5.83	$5.83
E0954-UE	DMEPOS	$43.54	$43.54
E0955-RR	DMEPOS	$16.51	$16.51
E0956-NU	DMEPOS	$84.89	$84.89
E0956-RR	DMEPOS	$8.49	$8.49
E0956-UE	DMEPOS	$63.67	$63.67
E0957-NU	DMEPOS	$129.81	$129.81
E0957-RR	DMEPOS	$12.98	$12.98
E0957-UE	DMEPOS	$97.36	$97.36
E0958-RR	DMEPOS	$45.22	$45.22
E0959-NU	DMEPOS	$46.46	$46.46
E0959-RR	DMEPOS	$4.65	$4.65
E0959-UE	DMEPOS	$34.85	$34.85
E0960-NU	DMEPOS	$80.60	$80.60
E0960-RR	DMEPOS	$8.06	$8.06
E0960-UE	DMEPOS	$60.46	$60.46
E0961-NU	DMEPOS	$23.27	$23.27
E0961-RR	DMEPOS	$2.36	$2.36
E0961-UE	DMEPOS	$15.48	$15.48
E0966-NU	DMEPOS	$75.01	$75.01
E0966-RR	DMEPOS	$7.51	$7.51
E0966-UE	DMEPOS	$56.26	$56.26
E0967-NU	DMEPOS	$76.00	$76.00
E0967-RR	DMEPOS	$7.60	$7.60
E0967-UE	DMEPOS	$57.00	$57.00
E0968-RR	DMEPOS	$21.92	$21.92
E0969-NU	DMEPOS	$191.62	$191.62
E0969-RR	DMEPOS	$18.97	$18.97
E0969-UE	DMEPOS	$143.73	$143.73
E0970	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E0971-NU	DMEPOS	$37.46	$37.46
E0971-RR	DMEPOS	$3.75	$3.75
E0971-UE	DMEPOS	$28.11	$28.11
E0973-NU	DMEPOS	$74.84	$74.84
E0973-RR	DMEPOS	$7.34	$7.34
E0973-UE	DMEPOS	$56.13	$56.13
E0974-NU	DMEPOS	$76.92	$76.92
E0974-RR	DMEPOS	$7.82	$7.82
E0974-UE	DMEPOS	$57.80	$57.80
E0978-NU	DMEPOS	$30.46	$30.46
E0978-RR	DMEPOS	$3.05	$3.05
E0978-UE	DMEPOS	$22.85	$22.85
E0980-NU	DMEPOS	$34.37	$34.37
E0980-RR	DMEPOS	$3.45	$3.45
E0980-UE	DMEPOS	$25.64	$25.64
E0981-NU	DMEPOS	$44.51	$44.51
E0981-RR	DMEPOS	$4.45	$4.45
E0981-UE	DMEPOS	$33.38	$33.38
E0982-NU	DMEPOS	$46.18	$46.18
E0982-RR	DMEPOS	$4.62	$4.62
E0982-UE	DMEPOS	$34.64	$34.64
E0983-RR	DMEPOS	$305.78	$305.78
E0984-RR	DMEPOS	$233.73	$233.73
E0985-RR	DMEPOS	$22.59	$22.59
E0986-RR	DMEPOS	$595.12	$595.12
E0988-RR	DMEPOS	$362.68	$362.68
E0990-NU	DMEPOS	$87.80	$87.80
E0990-RR	DMEPOS	$8.84	$8.84
E0990-UE	DMEPOS	$65.85	$65.85
E0992-NU	DMEPOS	$92.58	$92.58
E0992-RR	DMEPOS	$9.18	$9.18
E0992-UE	DMEPOS	$69.44	$69.44
E0994-NU	DMEPOS	$20.48	$20.48
E0994-RR	DMEPOS	$2.04	$2.04
E0994-UE	DMEPOS	$15.40	$15.40
E0995-NU	DMEPOS	$28.67	$28.67
E0995-RR	DMEPOS	$2.87	$2.87
E0995-UE	DMEPOS	$21.51	$21.51
E1002-RR	DMEPOS	$399.25	$399.25
E1003-RR	DMEPOS	$458.02	$458.02
E1004-RR	DMEPOS	$504.53	$504.53
E1005-RR	DMEPOS	$550.45	$550.45
E1006-RR	DMEPOS	$677.56	$677.56
E1007-RR	DMEPOS	$860.25	$860.25
E1008-RR	DMEPOS	$876.47	$876.47
E1009-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1009-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1009-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1010-RR	DMEPOS	$117.94	$117.94
E1011-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1011-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1011-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1012-RR	DMEPOS	$117.94	$117.94
E1014-RR	DMEPOS	$44.69	$44.69
E1015-NU	DMEPOS	$127.43	$127.43
E1015-RR	DMEPOS	$12.74	$12.74
E1015-UE	DMEPOS	$95.57	$95.57
E1016-NU	DMEPOS	$118.86	$118.86
E1016-RR	DMEPOS	$11.89	$11.89
E1016-UE	DMEPOS	$89.14	$89.14
E1017-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1017-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1017-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1018-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1018-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1018-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1020-RR	DMEPOS	$20.56	$20.56
E1028-RR	DMEPOS	$16.29	$16.29
E1029-RR	DMEPOS	$38.95	$38.95
E1030-RR	DMEPOS	$122.88	$122.88
E1031-RR	DMEPOS	$46.35	$46.35
E1035-RR	DMEPOS	$650.30	$650.30
E1036-RR	DMEPOS	$921.67	$921.67
E1037-RR	DMEPOS	$114.99	$114.99
E1038-RR	DMEPOS	$17.53	$17.53
E1039-RR	DMEPOS	$35.99	$35.99
E1050-RR	DMEPOS	$116.61	$116.61
E1060-RR	DMEPOS	$136.13	$136.13
E1070-RR	DMEPOS	$123.52	$123.52
E1083-RR	DMEPOS	$85.17	$85.17
E1084-RR	DMEPOS	$110.92	$110.92
E1085	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1086	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1087-RR	DMEPOS	$153.18	$153.18
E1088-RR	DMEPOS	$162.45	$162.45
E1089	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1090	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1092-RR	DMEPOS	$157.23	$157.23
E1093-RR	DMEPOS	$135.22	$135.22
E1100-RR	DMEPOS	$107.94	$107.94
E1110-RR	DMEPOS	$124.36	$124.36
E1130	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1140	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1150-RR	DMEPOS	$88.83	$88.83
E1160-RR	DMEPOS	$65.01	$65.01
E1161-RR	DMEPOS	$289.47	$289.47
E1170-RR	DMEPOS	$92.89	$92.89
E1171-RR	DMEPOS	$83.35	$83.35
E1172-RR	DMEPOS	$103.16	$103.16
E1180-RR	DMEPOS	$107.91	$107.91
E1190-RR	DMEPOS	$121.75	$121.75
E1195-RR	DMEPOS	$130.64	$130.64
E1200-RR	DMEPOS	$91.61	$91.61
E1220	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1221-RR	DMEPOS	$49.41	$49.41
E1222-RR	DMEPOS	$70.48	$70.48
E1223-RR	DMEPOS	$76.97	$76.97
E1224-RR	DMEPOS	$84.39	$84.39
E1225-RR	DMEPOS	$41.29	$41.29
E1226-NU	DMEPOS	$453.55	$453.55
E1226-RR	DMEPOS	$45.77	$45.77
E1226-UE	DMEPOS	$340.15	$340.15
E1227-NU	DMEPOS	$339.50	$339.50
E1227-RR	DMEPOS	$33.96	$33.96
E1227-UE	DMEPOS	$254.66	$254.66
E1228-RR	DMEPOS	$29.15	$29.15
E1229	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1230-NU	DMEPOS	$2,352.09	$2,352.09
E1230-RR	DMEPOS	$231.34	$231.34
E1230-UE	DMEPOS	$1,860.23	$1,860.23
E1231-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1231-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1231-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1232-RR	DMEPOS	$261.65	$261.65
E1233-RR	DMEPOS	$271.07	$271.07
E1234-RR	DMEPOS	$236.00	$236.00
E1235-RR	DMEPOS	$227.26	$227.26
E1236-RR	DMEPOS	$200.49	$200.49
E1237-RR	DMEPOS	$202.23	$202.23
E1238-RR	DMEPOS	$200.49	$200.49
E1239	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1240-RR	DMEPOS	$110.32	$110.32
E1250	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1260	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1270-RR	DMEPOS	$87.76	$87.76
E1280-RR	DMEPOS	$153.39	$153.39
E1285	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1290	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1295-RR	DMEPOS	$135.09	$135.09
E1296-NU	DMEPOS	$561.82	$561.82
E1296-RR	DMEPOS	$56.21	$56.21
E1296-UE	DMEPOS	$421.41	$421.41
E1297-NU	DMEPOS	$114.83	$114.83
E1297-RR	DMEPOS	$12.09	$12.09
E1297-UE	DMEPOS	$86.11	$86.11
E1298-NU	DMEPOS	$518.32	$518.32
E1298-RR	DMEPOS	$53.03	$53.03
E1298-UE	DMEPOS	$388.73	$388.73
E1300	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1310-NU	DMEPOS	$2,627.21	$2,627.21
E1310-RR	DMEPOS	$224.69	$224.69
E1310-UE	DMEPOS	$1,970.40	$1,970.40
E1352	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1353	DMEPOS	$34.65	$34.65
E1354	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1355	DMEPOS	$26.11	$26.11
E1356	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1357	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1358	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1372-NU	DMEPOS	$147.19	$147.19
E1372-RR	DMEPOS	$16.45	$16.45
E1372-UE	DMEPOS	$110.39	$110.39
E1390-RR	DMEPOS	$115.89	$115.89
E1391-RR	DMEPOS	$115.89	$115.89
E1392-RR	DMEPOS	$43.16	$43.16
E1399	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1405-RR	DMEPOS	$148.48	$148.48
E1406-RR	DMEPOS	$125.46	$125.46
E1500	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1510	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1520	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1530	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1540	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1550	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1560	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1570	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1575	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1580	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1590	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1592	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1594	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1600	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1610	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1615	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1620	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1625	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1629	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1630	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1632	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1634	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1635	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1636	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1637	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1639	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1699	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E1700-RR	DMEPOS	$42.20	$42.20
E1701	DMEPOS	$12.96	$12.96
E1702	DMEPOS	$27.60	$27.60
E1800-RR	DMEPOS	$127.39	$127.39
E1801-RR	DMEPOS	$157.84	$157.84
E1802-RR	DMEPOS	$399.83	$399.83
E1805-RR	DMEPOS	$131.39	$131.39
E1806-RR	DMEPOS	$129.60	$129.60
E1810-RR	DMEPOS	$129.57	$129.57
E1811-RR	DMEPOS	$164.08	$164.08
E1812-RR	DMEPOS	$105.21	$105.21
E1815-RR	DMEPOS	$131.39	$131.39
E1816-RR	DMEPOS	$166.69	$166.69
E1818-RR	DMEPOS	$170.16	$170.16
E1820-NU	DMEPOS	$100.01	$100.01
E1820-RR	DMEPOS	$9.98	$9.98
E1820-UE	DMEPOS	$75.02	$75.02
E1821-NU	DMEPOS	$128.75	$128.75
E1821-RR	DMEPOS	$12.84	$12.84
E1821-UE	DMEPOS	$96.60	$96.60
E1825-RR	DMEPOS	$131.39	$131.39
E1830-RR	DMEPOS	$131.39	$131.39
E1831-RR	DMEPOS	$80.04	$80.04
E1840-RR	DMEPOS	$468.23	$468.23
E1841-RR	DMEPOS	$554.20	$554.20
E1902	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2000-RR	DMEPOS	$63.41	$63.41
E2100-NU	DMEPOS	$776.03	$776.03
E2100-RR	DMEPOS	$77.62	$77.62
E2100-UE	DMEPOS	$582.06	$582.06
E2101-NU	DMEPOS	$230.68	$230.68
E2101-RR	DMEPOS	$23.07	$23.07
E2101-UE	DMEPOS	$173.02	$173.02
E2120-RR	DMEPOS	$346.87	$346.87
E2201-NU	DMEPOS	$362.14	$362.14
E2201-RR	DMEPOS	$36.21	$36.21
E2201-UE	DMEPOS	$271.60	$271.60
E2202-NU	DMEPOS	$493.56	$493.56
E2202-RR	DMEPOS	$49.36	$49.36
E2202-UE	DMEPOS	$370.18	$370.18
E2203-NU	DMEPOS	$483.24	$483.24
E2203-RR	DMEPOS	$48.32	$48.32
E2203-UE	DMEPOS	$362.43	$362.43
E2204-NU	DMEPOS	$830.10	$830.10
E2204-RR	DMEPOS	$83.01	$83.01
E2204-UE	DMEPOS	$622.58	$622.58
E2205-NU	DMEPOS	$36.99	$36.99
E2205-RR	DMEPOS	$3.69	$3.69
E2205-UE	DMEPOS	$27.75	$27.75
E2206-NU	DMEPOS	$42.03	$42.03
E2206-RR	DMEPOS	$4.20	$4.20
E2206-UE	DMEPOS	$31.53	$31.53
E2207-NU	DMEPOS	$47.46	$47.46
E2207-RR	DMEPOS	$4.75	$4.75
E2207-UE	DMEPOS	$35.60	$35.60
E2208-NU	DMEPOS	$93.73	$93.73
E2208-RR	DMEPOS	$9.37	$9.37
E2208-UE	DMEPOS	$70.30	$70.30
E2209-NU	DMEPOS	$91.82	$91.82
E2209-RR	DMEPOS	$9.19	$9.19
E2209-UE	DMEPOS	$68.87	$68.87
E2210-NU	DMEPOS	$5.80	$5.80
E2210-RR	DMEPOS	$0.58	$0.58
E2210-UE	DMEPOS	$4.36	$4.36
E2211-NU	DMEPOS	$39.06	$39.06
E2211-RR	DMEPOS	$3.88	$3.88
E2211-UE	DMEPOS	$28.88	$28.88
E2212-NU	DMEPOS	$6.53	$6.53
E2212-RR	DMEPOS	$0.66	$0.66
E2212-UE	DMEPOS	$4.90	$4.90
E2213-NU	DMEPOS	$31.87	$31.87
E2213-RR	DMEPOS	$3.19	$3.19
E2213-UE	DMEPOS	$23.89	$23.89
E2214-NU	DMEPOS	$33.39	$33.39
E2214-RR	DMEPOS	$3.43	$3.43
E2214-UE	DMEPOS	$25.05	$25.05
E2215-NU	DMEPOS	$10.72	$10.72
E2215-RR	DMEPOS	$1.07	$1.07
E2215-UE	DMEPOS	$8.04	$8.04
E2216-NU	DMEPOS	$49.21	$49.21
E2216-RR	DMEPOS	$5.11	$5.11
E2216-UE	DMEPOS	$36.91	$36.91
E2217-NU	DMEPOS	$43.55	$43.55
E2217-RR	DMEPOS	$4.52	$4.52
E2217-UE	DMEPOS	$32.66	$32.66
E2218-NU	DMEPOS	$49.21	$49.21
E2218-RR	DMEPOS	$5.11	$5.11
E2218-UE	DMEPOS	$36.91	$36.91
E2219-NU	DMEPOS	$43.55	$43.55
E2219-RR	DMEPOS	$4.52	$4.52
E2219-UE	DMEPOS	$32.66	$32.66
E2220-NU	DMEPOS	$31.58	$31.58
E2220-RR	DMEPOS	$3.13	$3.13
E2220-UE	DMEPOS	$23.81	$23.81
E2221-NU	DMEPOS	$28.11	$28.11
E2221-RR	DMEPOS	$2.82	$2.82
E2221-UE	DMEPOS	$21.09	$21.09
E2222-NU	DMEPOS	$23.61	$23.61
E2222-RR	DMEPOS	$2.35	$2.35
E2222-UE	DMEPOS	$17.72	$17.72
E2224-NU	DMEPOS	$102.04	$102.04
E2224-RR	DMEPOS	$10.21	$10.21
E2224-UE	DMEPOS	$76.53	$76.53
E2225-NU	DMEPOS	$19.41	$19.41
E2225-RR	DMEPOS	$1.94	$1.94
E2225-UE	DMEPOS	$14.55	$14.55
E2226-NU	DMEPOS	$41.60	$41.60
E2226-RR	DMEPOS	$4.16	$4.16
E2226-UE	DMEPOS	$31.20	$31.20
E2227-RR	DMEPOS	$226.67	$226.67
E2228-RR	DMEPOS	$101.29	$101.29
E2230	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2231-NU	DMEPOS	$157.03	$157.03
E2231-RR	DMEPOS	$15.70	$15.70
E2231-UE	DMEPOS	$117.78	$117.78
E2291	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2292	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2293	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2294	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2295	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2300	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2301	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2310-RR	DMEPOS	$116.47	$116.47
E2311-RR	DMEPOS	$235.24	$235.24
E2312-RR	DMEPOS	$244.37	$244.37
E2313-RR	DMEPOS	$38.81	$38.81
E2321-RR	DMEPOS	$158.23	$158.23
E2322-RR	DMEPOS	$147.08	$147.08
E2323-NU	DMEPOS	$71.81	$71.81
E2323-RR	DMEPOS	$7.18	$7.18
E2323-UE	DMEPOS	$53.85	$53.85
E2324-NU	DMEPOS	$46.21	$46.21
E2324-RR	DMEPOS	$4.60	$4.60
E2324-UE	DMEPOS	$34.65	$34.65
E2325-RR	DMEPOS	$140.56	$140.56
E2326-RR	DMEPOS	$36.62	$36.62
E2327-RR	DMEPOS	$274.35	$274.35
E2328-RR	DMEPOS	$518.47	$518.47
E2329-RR	DMEPOS	$186.23	$186.23
E2330-RR	DMEPOS	$359.12	$359.12
E2331	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2340-NU	DMEPOS	$438.42	$438.42
E2340-RR	DMEPOS	$43.86	$43.86
E2340-UE	DMEPOS	$328.86	$328.86
E2341-NU	DMEPOS	$657.69	$657.69
E2341-RR	DMEPOS	$65.76	$65.76
E2341-UE	DMEPOS	$493.29	$493.29
E2342-NU	DMEPOS	$548.09	$548.09
E2342-RR	DMEPOS	$54.80	$54.80
E2342-UE	DMEPOS	$411.07	$411.07
E2343-NU	DMEPOS	$876.95	$876.95
E2343-RR	DMEPOS	$87.68	$87.68
E2343-UE	DMEPOS	$657.69	$657.69
E2351-NU	DMEPOS	$736.95	$736.95
E2351-RR	DMEPOS	$73.70	$73.70
E2351-UE	DMEPOS	$552.72	$552.72
E2358	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2359-NU	DMEPOS	$181.88	$181.88
E2359-RR	DMEPOS	$18.19	$18.19
E2359-UE	DMEPOS	$136.41	$136.41
E2360-NU	DMEPOS	$128.05	$128.05
E2360-RR	DMEPOS	$12.82	$12.82
E2360-UE	DMEPOS	$96.03	$96.03
E2361-NU	DMEPOS	$124.73	$124.73
E2361-RR	DMEPOS	$12.47	$12.47
E2361-UE	DMEPOS	$93.56	$93.56
E2362-NU	DMEPOS	$113.12	$113.12
E2362-RR	DMEPOS	$11.31	$11.31
E2362-UE	DMEPOS	$84.83	$84.83
E2363-NU	DMEPOS	$162.78	$162.78
E2363-RR	DMEPOS	$16.28	$16.28
E2363-UE	DMEPOS	$122.08	$122.08
E2364-NU	DMEPOS	$124.79	$124.79
E2364-RR	DMEPOS	$12.50	$12.50
E2364-UE	DMEPOS	$93.59	$93.59
E2365-NU	DMEPOS	$89.79	$89.79
E2365-RR	DMEPOS	$8.98	$8.98
E2365-UE	DMEPOS	$67.35	$67.35
E2366-NU	DMEPOS	$187.64	$187.64
E2366-RR	DMEPOS	$18.78	$18.78
E2366-UE	DMEPOS	$140.73	$140.73
E2367-NU	DMEPOS	$400.10	$400.10
E2367-RR	DMEPOS	$40.01	$40.01
E2367-UE	DMEPOS	$300.08	$300.08
E2368-RR	DMEPOS	$45.17	$45.17
E2369-RR	DMEPOS	$41.34	$41.34
E2370-RR	DMEPOS	$62.99	$62.99
E2371-NU	DMEPOS	$146.56	$146.56
E2371-RR	DMEPOS	$14.66	$14.66
E2371-UE	DMEPOS	$109.92	$109.92
E2372-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2372-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2372-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2373-RR	DMEPOS	$83.67	$83.67
E2374-RR	DMEPOS	$53.53	$53.53
E2375-RR	DMEPOS	$75.61	$75.61
E2376-RR	DMEPOS	$133.40	$133.40
E2377-RR	DMEPOS	$49.11	$49.11
E2378-RR	DMEPOS	$59.84	$59.84
E2381-NU	DMEPOS	$66.49	$66.49
E2381-RR	DMEPOS	$6.66	$6.66
E2381-UE	DMEPOS	$49.87	$49.87
E2382-NU	DMEPOS	$19.85	$19.85
E2382-RR	DMEPOS	$1.98	$1.98
E2382-UE	DMEPOS	$14.90	$14.90
E2383-NU	DMEPOS	$134.73	$134.73
E2383-RR	DMEPOS	$13.47	$13.47
E2383-UE	DMEPOS	$101.04	$101.04
E2384-NU	DMEPOS	$69.25	$69.25
E2384-RR	DMEPOS	$6.93	$6.93
E2384-UE	DMEPOS	$51.94	$51.94
E2385-NU	DMEPOS	$47.56	$47.56
E2385-RR	DMEPOS	$4.76	$4.76
E2385-UE	DMEPOS	$35.67	$35.67
E2386-NU	DMEPOS	$123.04	$123.04
E2386-RR	DMEPOS	$12.30	$12.30
E2386-UE	DMEPOS	$92.28	$92.28
E2387-NU	DMEPOS	$56.54	$56.54
E2387-RR	DMEPOS	$5.65	$5.65
E2387-UE	DMEPOS	$42.40	$42.40
E2388-NU	DMEPOS	$50.83	$50.83
E2388-RR	DMEPOS	$5.09	$5.09
E2388-UE	DMEPOS	$38.13	$38.13
E2389-NU	DMEPOS	$28.20	$28.20
E2389-RR	DMEPOS	$2.82	$2.82
E2389-UE	DMEPOS	$21.15	$21.15
E2390-NU	DMEPOS	$43.78	$43.78
E2390-RR	DMEPOS	$4.38	$4.38
E2390-UE	DMEPOS	$32.83	$32.83
E2391-NU	DMEPOS	$18.78	$18.78
E2391-RR	DMEPOS	$1.88	$1.88
E2391-UE	DMEPOS	$14.09	$14.09
E2392-NU	DMEPOS	$46.52	$46.52
E2392-RR	DMEPOS	$4.66	$4.66
E2392-UE	DMEPOS	$34.89	$34.89
E2394-NU	DMEPOS	$65.06	$65.06
E2394-RR	DMEPOS	$6.51	$6.51
E2394-UE	DMEPOS	$48.80	$48.80
E2395-NU	DMEPOS	$48.11	$48.11
E2395-RR	DMEPOS	$4.81	$4.81
E2395-UE	DMEPOS	$36.08	$36.08
E2396-NU	DMEPOS	$58.09	$58.09
E2396-RR	DMEPOS	$5.93	$5.93
E2396-UE	DMEPOS	$43.58	$43.58
E2397-NU	DMEPOS	$460.21	$460.21
E2397-RR	DMEPOS	$46.02	$46.02
E2397-UE	DMEPOS	$345.15	$345.15
E2398	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2402-RR	DMEPOS	$1,008.95	$1,008.95
E2500-NU	DMEPOS	$478.42	$478.42
E2500-RR	DMEPOS	$47.85	$47.85
E2500-UE	DMEPOS	$358.81	$358.81
E2502-NU	DMEPOS	$1,462.96	$1,462.96
E2502-RR	DMEPOS	$146.31	$146.31
E2502-UE	DMEPOS	$1,097.24	$1,097.24
E2504-NU	DMEPOS	$1,929.87	$1,929.87
E2504-RR	DMEPOS	$193.01	$193.01
E2504-UE	DMEPOS	$1,447.41	$1,447.41
E2506-NU	DMEPOS	$2,829.74	$2,829.74
E2506-RR	DMEPOS	$282.96	$282.96
E2506-UE	DMEPOS	$2,122.26	$2,122.26
E2508-NU	DMEPOS	$4,375.73	$4,375.73
E2508-RR	DMEPOS	$437.57	$437.57
E2508-UE	DMEPOS	$3,281.81	$3,281.81
E2510-NU	DMEPOS	$8,280.50	$8,280.50
E2510-RR	DMEPOS	$828.05	$828.05
E2510-UE	DMEPOS	$6,210.35	$6,210.35
E2511-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2511-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2511-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2512-NU	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2512-RR	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2512-UE	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2599	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2601-NU	DMEPOS	$47.19	$47.19
E2601-RR	DMEPOS	$4.73	$4.73
E2601-UE	DMEPOS	$35.40	$35.40
E2602-NU	DMEPOS	$98.21	$98.21
E2602-RR	DMEPOS	$9.82	$9.82
E2602-UE	DMEPOS	$73.66	$73.66
E2603-NU	DMEPOS	$123.09	$123.09
E2603-RR	DMEPOS	$12.31	$12.31
E2603-UE	DMEPOS	$92.32	$92.32
E2604-NU	DMEPOS	$163.46	$163.46
E2604-RR	DMEPOS	$16.34	$16.34
E2604-UE	DMEPOS	$122.60	$122.60
E2605-NU	DMEPOS	$233.01	$233.01
E2605-RR	DMEPOS	$23.30	$23.30
E2605-UE	DMEPOS	$174.77	$174.77
E2606-NU	DMEPOS	$371.16	$371.16
E2606-RR	DMEPOS	$37.12	$37.12
E2606-UE	DMEPOS	$278.36	$278.36
E2607-NU	DMEPOS	$239.53	$239.53
E2607-RR	DMEPOS	$23.95	$23.95
E2607-UE	DMEPOS	$179.65	$179.65
E2608-NU	DMEPOS	$293.63	$293.63
E2608-RR	DMEPOS	$29.36	$29.36
E2608-UE	DMEPOS	$220.22	$220.22
E2609	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2610	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2611-NU	DMEPOS	$210.82	$210.82
E2611-RR	DMEPOS	$21.08	$21.08
E2611-UE	DMEPOS	$158.12	$158.12
E2612-NU	DMEPOS	$356.53	$356.53
E2612-RR	DMEPOS	$35.65	$35.65
E2612-UE	DMEPOS	$267.40	$267.40
E2613-NU	DMEPOS	$345.11	$345.11
E2613-RR	DMEPOS	$34.51	$34.51
E2613-UE	DMEPOS	$258.84	$258.84
E2614-NU	DMEPOS	$490.58	$490.58
E2614-RR	DMEPOS	$49.06	$49.06
E2614-UE	DMEPOS	$367.94	$367.94
E2615-NU	DMEPOS	$392.36	$392.36
E2615-RR	DMEPOS	$39.24	$39.24
E2615-UE	DMEPOS	$294.27	$294.27
E2616-NU	DMEPOS	$527.47	$527.47
E2616-RR	DMEPOS	$52.75	$52.75
E2616-UE	DMEPOS	$395.61	$395.61
E2617	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E2619-NU	DMEPOS	$52.19	$52.19
E2619-RR	DMEPOS	$5.22	$5.22
E2619-UE	DMEPOS	$39.15	$39.15
E2620-NU	DMEPOS	$445.98	$445.98
E2620-RR	DMEPOS	$44.60	$44.60
E2620-UE	DMEPOS	$334.49	$334.49
E2621-NU	DMEPOS	$503.82	$503.82
E2621-RR	DMEPOS	$50.38	$50.38
E2621-UE	DMEPOS	$377.87	$377.87
E2622-NU	DMEPOS	$332.66	$332.66
E2622-RR	DMEPOS	$33.27	$33.27
E2622-UE	DMEPOS	$249.49	$249.49
E2623-NU	DMEPOS	$421.36	$421.36
E2623-RR	DMEPOS	$42.14	$42.14
E2623-UE	DMEPOS	$316.02	$316.02
E2624-NU	DMEPOS	$337.34	$337.34
E2624-RR	DMEPOS	$33.74	$33.74
E2624-UE	DMEPOS	$253.01	$253.01
E2625-NU	DMEPOS	$419.99	$419.99
E2625-RR	DMEPOS	$42.00	$42.00
E2625-UE	DMEPOS	$314.99	$314.99
E2626-NU	DMEPOS	$674.96	$674.96
E2626-RR	DMEPOS	$67.49	$67.49
E2626-UE	DMEPOS	$506.21	$506.21
E2627-NU	DMEPOS	$1,053.56	$1,053.56
E2627-RR	DMEPOS	$105.36	$105.36
E2627-UE	DMEPOS	$790.17	$790.17
E2628-NU	DMEPOS	$812.98	$812.98
E2628-RR	DMEPOS	$81.31	$81.31
E2628-UE	DMEPOS	$609.74	$609.74
E2629-NU	DMEPOS	$1,029.09	$1,029.09
E2629-RR	DMEPOS	$102.91	$102.91
E2629-UE	DMEPOS	$771.82	$771.82
E2630-NU	DMEPOS	$670.72	$670.72
E2630-RR	DMEPOS	$67.07	$67.07
E2630-UE	DMEPOS	$503.04	$503.04
E2631-NU	DMEPOS	$298.45	$298.45
E2631-RR	DMEPOS	$29.85	$29.85
E2631-UE	DMEPOS	$223.84	$223.84
E2632-NU	DMEPOS	$179.77	$179.77
E2632-RR	DMEPOS	$17.97	$17.97
E2632-UE	DMEPOS	$134.83	$134.83
E2633-NU	DMEPOS	$143.09	$143.09
E2633-RR	DMEPOS	$14.31	$14.31
E2633-UE	DMEPOS	$107.32	$107.32
E8000	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E8001	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
E8002	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0008	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0009	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0027	Clinical Laboratory	$9.75	$9.75
G0028	Other professional services	$0.00	$0.00
G0029	Other professional services	$0.00	$0.00
G0030	Other professional services	$0.00	$0.00
G0031	Other professional services	$0.00	$0.00
G0032	Other professional services	$0.00	$0.00
G0033	Other professional services	$0.00	$0.00
G0034	Other professional services	$0.00	$0.00
G0035	Other professional services	$0.00	$0.00
G0036	Other professional services	$0.00	$0.00
G0037	Other professional services	$0.00	$0.00
G0038	Other professional services	$0.00	$0.00
G0039	Other professional services	$0.00	$0.00
G0040	Other professional services	$0.00	$0.00
G0041	Other professional services	$0.00	$0.00
G0042	Other professional services	$0.00	$0.00
G0043	Other professional services	$0.00	$0.00
G0044	Other professional services	$0.00	$0.00
G0045	Other professional services	$0.00	$0.00
G0046	Other professional services	$0.00	$0.00
G0047	Other professional services	$0.00	$0.00
G0048	Other professional services	$0.00	$0.00
G0049	Other professional services	$0.00	$0.00
G0050	Other professional services	$0.00	$0.00
G0051	Other professional services	$0.00	$0.00
G0052	Other professional services	$0.00	$0.00
G0053	Other professional services	$0.00	$0.00
G0054	Other professional services	$0.00	$0.00
G0055	Other professional services	$0.00	$0.00
G0056	Other professional services	$0.00	$0.00
G0057	Other professional services	$0.00	$0.00
G0058	Other professional services	$0.00	$0.00
G0059	Other professional services	$0.00	$0.00
G0060	Other professional services	$0.00	$0.00
G0061	Other professional services	$0.00	$0.00
G0062	Other professional services	$0.00	$0.00
G0063	Other professional services	$0.00	$0.00
G0064	Other professional services	$0.00	$0.00
G0065	Other professional services	$0.00	$0.00
G0066	Other professional services	$0.00	$0.00
G0067	Other professional services	$0.00	$0.00
G0068	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0069	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0070	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0071	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0076	Other professional services	$78.65	$78.65
G0077	Other professional services	$112.17	$112.17
G0078	Other professional services	$182.67	$182.67
G0079	Other professional services	$261.89	$261.89
G0080	Other professional services	$317.19	$317.19
G0081	Other professional services	$79.56	$79.56
G0082	Other professional services	$120.93	$120.93
G0083	Other professional services	$186.15	$186.15
G0084	Other professional services	$258.08	$258.08
G0085	Other professional services	$317.19	$317.19
G0086	Other professional services	$111.05	$111.05
G0087	Other professional services	$155.75	$155.75
G0088	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0089	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0090	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0101	Other professional services	$57.11	$40.73
G0102	Other professional services	$33.38	$13.14
G0103	Clinical Laboratory	$28.97	$28.97
G0104	Other professional services	$275.66	$81.53
G0105	Other professional services	$507.06	$270.05
G0105-53	Other professional services	$253.53	$135.03
G0106	Other professional services	$332.79	$332.79
G0106-26	Other professional services	$90.06	$90.06
G0106-TC	Other professional services	$242.73	$242.73
G0108	Other professional services	$81.12	$81.12
G0109	Other professional services	$23.04	$23.04
G0117	Other professional services	$90.69	$90.69
G0118	Other professional services	$60.32	$60.32
G0120	Other professional services	$332.79	$332.79
G0120-26	Other professional services	$90.06	$90.06
G0120-TC	Other professional services	$242.73	$242.73
G0121	Other professional services	$507.48	$270.48
G0121-53	Other professional services	$253.95	$135.45
G0122	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0122-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0122-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0123	Clinical Laboratory	$30.39	$30.39
G0124	Other professional services	$32.22	$32.22
G0127	Other professional services	$33.81	$11.18
G0128	Other professional services	$12.47	$12.47
G0129	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0130	Other professional services	$52.26	$52.26
G0130-26	Other professional services	$16.19	$16.19
G0130-TC	Other professional services	$36.08	$36.08
G0141	Other professional services	$32.22	$32.22
G0143	Clinical Laboratory	$40.58	$40.58
G0144	Clinical Laboratory	$65.96	$65.96
G0145	Clinical Laboratory	$39.74	$39.74
G0147	Clinical Laboratory	$23.88	$23.88
G0148	Clinical Laboratory	$47.91	$47.91
G0151	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0152	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0155	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0156	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0157	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0158	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0159	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0161	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0162	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0166	Other professional services	$154.41	$154.41
G0168	Other professional services	$182.37	$22.44
G0175	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0176	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0177	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0179	Other professional services	$59.27	$59.27
G0180	Other professional services	$76.89	$76.89
G0181	Other professional services	$153.26	$153.26
G0182	Other professional services	$155.18	$155.18
G0186	Other professional services	$868.28	$836.13
G0219	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0219-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0219-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0235	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0235-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0235-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0237	Other professional services	$14.40	$14.40
G0238	Other professional services	$14.40	$14.40
G0239	Other professional services	$18.26	$18.26
G0245	Other professional services	$95.49	$60.81
G0246	Other professional services	$56.01	$29.99
G0247	Other professional services	$121.71	$32.10
G0248	Other professional services	$91.79	$91.79
G0249	Other professional services	$67.38	$67.38
G0250	Other professional services	$12.18	$12.18
G0252	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0252-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0252-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0255	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0255-26	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0255-TC	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0257	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0259	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0268	Other professional services	$75.96	$48.98
G0269	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0270	Other professional services	$46.85	$40.59
G0271	Other professional services	$24.96	$22.56
G0276	Other professional services	$551.31	$551.31
G0277	Other professional services	$251.34	$251.34
G0278	Other professional services	$20.30	$20.30
G0279	Other professional services	$77.16	$77.16
G0279-26	Other professional services	$43.44	$43.44
G0279-TC	Other professional services	$33.72	$33.72
G0281	Other professional services	$17.96	$17.96
G0282	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0283	Other professional services	$17.96	$17.96
G0288	Other professional services	$51.95	$51.95
G0289	Other professional services	$124.80	$124.80
G0293	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0294	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0295	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0296	Other professional services	$42.18	$38.33
G0299	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0302	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0303	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0304	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0305	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0306	Clinical Laboratory	$11.66	$11.66
G0307	Clinical Laboratory	$9.71	$9.71
G0327	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0328	Clinical Laboratory	$27.08	$27.08
G0329	Other professional services	$15.59	$15.59
G0333	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0337	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0339	Other professional services	$4,935.09	$4,935.09
G0340	Other professional services	$3,626.27	$3,626.27
G0341	Other professional services	$2,481.66	$454.59
G0342	Major surgery	$1,446.69	$1,446.69
G0343	Major surgery	$2,377.15	$2,377.15
G0372	Other professional services	$13.11	$13.11
G0378	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0379	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0380	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0381	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0382	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0383	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0384	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0390	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0396	Other professional services	$52.25	$47.91
G0397	Other professional services	$100.58	$96.24
G0398	Other professional services	$239.70	$239.70
G0398-26	Other professional services	$61.20	$61.20
G0398-TC	Other professional services	$178.50	$178.50
G0399	Other professional services	$145.82	$145.82
G0399-26	Other professional services	$66.36	$66.36
G0399-TC	Other professional services	$79.47	$79.47
G0400	Other professional services	$130.04	$130.04
G0400-26	Other professional services	$61.20	$61.20
G0400-TC	Other professional services	$68.84	$68.84
G0402	Other professional services	$244.80	$196.62
G0403	Other professional services	$20.76	$20.76
G0404	Other professional services	$8.61	$8.61
G0405	Other professional services	$12.14	$12.14
G0406	Other professional services	$56.40	$56.40
G0407	Other professional services	$103.86	$103.86
G0408	Other professional services	$149.27	$149.27
G0409	Other professional services	$15.84	$15.84
G0410	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0411	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0412	Major surgery	$1,384.34	$1,384.34
G0413	Major surgery	$2,029.70	$2,029.70
G0414	Major surgery	$1,914.04	$1,914.04
G0415	Major surgery	$2,615.89	$2,615.89
G0416	Other professional services	$511.89	$511.89
G0416-26	Other professional services	$260.18	$260.18
G0416-TC	Other professional services	$251.72	$251.72
G0420	Other professional services	$165.26	$165.26
G0421	Other professional services	$39.71	$39.71
G0422	Other professional services	$170.43	$170.43
G0423	Other professional services	$170.43	$170.43
G0425	Other professional services	$146.18	$146.18
G0426	Other professional services	$196.86	$196.86
G0427	Other professional services	$288.81	$288.81
G0428	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0429	Other professional services	$141.60	$99.21
G0432	Clinical Laboratory	$29.36	$29.36
G0433	Clinical Laboratory	$27.44	$27.44
G0435	Clinical Laboratory	$17.97	$17.97
G0438	Other professional services	$244.80	$244.80
G0439	Other professional services	$191.06	$191.06
G0442	Other professional services	$27.11	$13.62
G0443	Other professional services	$38.55	$34.70
G0444	Other professional services	$26.63	$13.62
G0445	Other professional services	$39.99	$33.74
G0446	Other professional services	$38.55	$34.70
G0447	Other professional services	$38.55	$34.22
G0448	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0451	Other professional services	$14.88	$14.88
G0452	Other professional services	$71.60	$71.60
G0452-26	Other professional services	$67.32	$67.32
G0452-TC	Other professional services	$4.28	$4.28
G0453	Other professional services	$47.73	$47.73
G0454	Other professional services	$13.14	$13.14
G0455	Other professional services	$189.32	$104.04
G0458	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0459	Other professional services	$62.04	$62.04
G0460	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0463	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0465	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0466	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0467	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0468	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0469	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0470	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0471	Clinical Laboratory	$7.50	$7.50
G0472	Other professional services	$69.53	$69.53
G0473	Other professional services	$18.63	$17.18
G0475	Other professional services	$36.12	$36.12
G0476	Other professional services	$52.64	$52.64
G0480	Other professional services	$171.65	$171.65
G0481	Other professional services	$234.89	$234.89
G0482	Other professional services	$298.11	$298.11
G0483	Other professional services	$370.38	$370.38
G0490	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0491	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0492	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0493	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0494	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0495	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0496	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0498	Other professional services	$351.26	$335.54
G0499	Other professional services	$42.41	$42.41
G0500	Other professional services	$80.72	$7.97
G0501	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0506	Other professional services	$90.05	$65.96
G0508	Other professional services	$305.91	$305.91
G0509	Other professional services	$281.58	$281.58
G0511	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0512	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G0513	Other professional services	$95.39	$89.61
G0514	Other professional services	$95.39	$89.61
G0516	Other professional services	$293.76	$142.50
G0517	Other professional services	$324.62	$162.77
G0518	Other professional services	$572.15	$269.15
G0659	Other professional services	$93.21	$93.21
G0913	Other professional services	$0.00	$0.00
G0914	Other professional services	$0.00	$0.00
G0915	Other professional services	$0.00	$0.00
G0916	Other professional services	$0.00	$0.00
G0917	Other professional services	$0.00	$0.00
G0918	Other professional services	$0.00	$0.00
G1001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1007	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1008	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1009	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1018	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1019	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1024	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G1025	Other professional services	$0.00	$0.00
G1026	Other professional services	$0.00	$0.00
G1027	Other professional services	$0.00	$0.00
G1028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2001	Other professional services	$78.65	$78.65
G2002	Other professional services	$112.17	$112.17
G2003	Other professional services	$182.67	$182.67
G2004	Other professional services	$261.89	$261.89
G2005	Other professional services	$317.19	$317.19
G2006	Other professional services	$79.56	$79.56
G2007	Other professional services	$120.93	$120.93
G2008	Other professional services	$186.15	$186.15
G2009	Other professional services	$258.08	$258.08
G2010	Other professional services	$17.48	$13.62
G2011	Other professional services	$24.62	$24.62
G2012	Other professional services	$21.06	$18.65
G2013	Other professional services	$317.19	$317.19
G2014	Other professional services	$111.05	$111.05
G2015	Other professional services	$155.75	$155.75
G2020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2023	Clinical Laboratory	$35.19	$35.19
G2024	Clinical Laboratory	$38.19	$38.19
G2025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2066	Other professional services	$24.15	$24.15
G2067	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2068	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2069	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2070	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2071	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2072	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2073	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2074	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2075	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2076	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2077	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2078	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2079	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2080	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2081	Other professional services	$0.00	$0.00
G2082	Other professional services	$1,123.07	$53.18
G2083	Other professional services	$1,595.63	$53.18
G2086	Other professional services	$578.45	$470.54
G2087	Other professional services	$506.43	$423.09
G2088	Major surgery	$115.79	$74.45
G2090	Other professional services	$0.00	$0.00
G2091	Other professional services	$0.00	$0.00
G2092	Other professional services	$0.00	$0.00
G2093	Other professional services	$0.00	$0.00
G2094	Other professional services	$0.00	$0.00
G2095	Other professional services	$0.00	$0.00
G2096	Other professional services	$0.00	$0.00
G2097	Other professional services	$0.00	$0.00
G2098	Other professional services	$0.00	$0.00
G2099	Other professional services	$0.00	$0.00
G2100	Other professional services	$0.00	$0.00
G2101	Other professional services	$0.00	$0.00
G2105	Other professional services	$0.00	$0.00
G2106	Other professional services	$0.00	$0.00
G2107	Other professional services	$0.00	$0.00
G2108	Other professional services	$0.00	$0.00
G2109	Other professional services	$0.00	$0.00
G2110	Other professional services	$0.00	$0.00
G2112	Other professional services	$0.00	$0.00
G2113	Other professional services	$0.00	$0.00
G2115	Other professional services	$0.00	$0.00
G2116	Other professional services	$0.00	$0.00
G2118	Other professional services	$0.00	$0.00
G2121	Other professional services	$0.00	$0.00
G2122	Other professional services	$0.00	$0.00
G2125	Other professional services	$0.00	$0.00
G2126	Other professional services	$0.00	$0.00
G2127	Other professional services	$0.00	$0.00
G2128	Other professional services	$0.00	$0.00
G2129	Other professional services	$0.00	$0.00
G2136	Other professional services	$0.00	$0.00
G2137	Other professional services	$0.00	$0.00
G2138	Other professional services	$0.00	$0.00
G2139	Other professional services	$0.00	$0.00
G2140	Other professional services	$0.00	$0.00
G2141	Other professional services	$0.00	$0.00
G2142	Other professional services	$0.00	$0.00
G2143	Other professional services	$0.00	$0.00
G2144	Other professional services	$0.00	$0.00
G2145	Other professional services	$0.00	$0.00
G2146	Other professional services	$0.00	$0.00
G2147	Other professional services	$0.00	$0.00
G2148	Other professional services	$0.00	$0.00
G2149	Other professional services	$0.00	$0.00
G2150	Other professional services	$0.00	$0.00
G2151	Other professional services	$0.00	$0.00
G2152	Other professional services	$0.00	$0.00
G2167	Other professional services	$0.00	$0.00
G2168	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2169	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2170	Radiology	$24,350.63	$24,350.63
G2171	Radiology	$24,350.63	$24,350.63
G2172	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2173	Other professional services	$0.00	$0.00
G2174	Other professional services	$0.00	$0.00
G2175	Other professional services	$0.00	$0.00
G2176	Other professional services	$0.00	$0.00
G2177	Other professional services	$0.00	$0.00
G2178	Other professional services	$0.00	$0.00
G2179	Other professional services	$0.00	$0.00
G2180	Other professional services	$0.00	$0.00
G2181	Other professional services	$0.00	$0.00
G2182	Other professional services	$0.00	$0.00
G2183	Other professional services	$0.00	$0.00
G2184	Other professional services	$0.00	$0.00
G2185	Other professional services	$0.00	$0.00
G2186	Other professional services	$0.00	$0.00
G2187	Other professional services	$0.00	$0.00
G2188	Other professional services	$0.00	$0.00
G2189	Other professional services	$0.00	$0.00
G2190	Other professional services	$0.00	$0.00
G2191	Other professional services	$0.00	$0.00
G2192	Other professional services	$0.00	$0.00
G2193	Other professional services	$0.00	$0.00
G2194	Other professional services	$0.00	$0.00
G2195	Other professional services	$0.00	$0.00
G2196	Other professional services	$0.00	$0.00
G2197	Other professional services	$0.00	$0.00
G2198	Other professional services	$0.00	$0.00
G2199	Other professional services	$0.00	$0.00
G2200	Other professional services	$0.00	$0.00
G2201	Other professional services	$0.00	$0.00
G2202	Other professional services	$0.00	$0.00
G2203	Other professional services	$0.00	$0.00
G2204	Other professional services	$0.00	$0.00
G2205	Other professional services	$0.00	$0.00
G2206	Other professional services	$0.00	$0.00
G2207	Other professional services	$0.00	$0.00
G2208	Other professional services	$0.00	$0.00
G2209	Other professional services	$0.00	$0.00
G2210	Other professional services	$0.00	$0.00
G2211	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2212	Other professional services	$48.24	$46.80
G2213	Other professional services	$100.58	$95.76
G2214	Other professional services	$88.83	$57.03
G2215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2216	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G2250	Other professional services	$17.48	$13.62
G2251	Other professional services	$21.06	$18.65
G2252	Other professional services	$40.67	$38.73
G4000	Other professional services	$0.00	$0.00
G4001	Other professional services	$0.00	$0.00
G4002	Other professional services	$0.00	$0.00
G4003	Other professional services	$0.00	$0.00
G4004	Other professional services	$0.00	$0.00
G4005	Other professional services	$0.00	$0.00
G4006	Other professional services	$0.00	$0.00
G4007	Other professional services	$0.00	$0.00
G4008	Other professional services	$0.00	$0.00
G4009	Other professional services	$0.00	$0.00
G4010	Other professional services	$0.00	$0.00
G4011	Other professional services	$0.00	$0.00
G4012	Other professional services	$0.00	$0.00
G4013	Other professional services	$0.00	$0.00
G4014	Other professional services	$0.00	$0.00
G4015	Other professional services	$0.00	$0.00
G4016	Other professional services	$0.00	$0.00
G4017	Other professional services	$0.00	$0.00
G4018	Other professional services	$0.00	$0.00
G4019	Other professional services	$0.00	$0.00
G4020	Other professional services	$0.00	$0.00
G4021	Other professional services	$0.00	$0.00
G4022	Other professional services	$0.00	$0.00
G4023	Other professional services	$0.00	$0.00
G4024	Other professional services	$0.00	$0.00
G4025	Other professional services	$0.00	$0.00
G4026	Other professional services	$0.00	$0.00
G4027	Other professional services	$0.00	$0.00
G4028	Other professional services	$0.00	$0.00
G4029	Other professional services	$0.00	$0.00
G4030	Other professional services	$0.00	$0.00
G4031	Other professional services	$0.00	$0.00
G4032	Other professional services	$0.00	$0.00
G4033	Other professional services	$0.00	$0.00
G4034	Other professional services	$0.00	$0.00
G4035	Other professional services	$0.00	$0.00
G4036	Other professional services	$0.00	$0.00
G4037	Other professional services	$0.00	$0.00
G4038	Other professional services	$0.00	$0.00
G6001	Other professional services	$257.31	$257.31
G6001-26	Other professional services	$46.38	$46.38
G6001-TC	Other professional services	$210.93	$210.93
G6002	Other professional services	$105.87	$105.87
G6002-26	Other professional services	$29.82	$29.82
G6002-TC	Other professional services	$76.05	$76.05
G6003	Other professional services	$209.49	$209.49
G6004	Other professional services	$188.30	$188.30
G6005	Other professional services	$188.30	$188.30
G6006	Other professional services	$188.30	$188.30
G6007	Other professional services	$346.79	$346.79
G6008	Other professional services	$259.11	$259.11
G6009	Other professional services	$258.63	$258.63
G6010	Other professional services	$257.18	$257.18
G6011	Other professional services	$343.35	$343.35
G6012	Other professional services	$342.87	$342.87
G6013	Other professional services	$343.83	$343.83
G6014	Other professional services	$341.91	$341.91
G6015	Other professional services	$521.90	$521.90
G6016	Other professional services	$520.20	$520.20
G6017	Other professional services	$168.99	$168.99
G8395	Other professional services	$0.00	$0.00
G8396	Other professional services	$0.00	$0.00
G8397	Other professional services	$0.00	$0.00
G8399	Other professional services	$0.00	$0.00
G8400	Other professional services	$0.00	$0.00
G8404	Other professional services	$0.00	$0.00
G8405	Other professional services	$0.00	$0.00
G8410	Other professional services	$0.00	$0.00
G8415	Other professional services	$0.00	$0.00
G8416	Other professional services	$0.00	$0.00
G8417	Other professional services	$0.00	$0.00
G8418	Other professional services	$0.00	$0.00
G8419	Other professional services	$0.00	$0.00
G8420	Other professional services	$0.00	$0.00
G8421	Other professional services	$0.00	$0.00
G8427	Other professional services	$0.00	$0.00
G8428	Other professional services	$0.00	$0.00
G8430	Other professional services	$0.00	$0.00
G8431	Other professional services	$0.00	$0.00
G8432	Other professional services	$0.00	$0.00
G8433	Other professional services	$0.00	$0.00
G8450	Other professional services	$0.00	$0.00
G8451	Other professional services	$0.00	$0.00
G8452	Other professional services	$0.00	$0.00
G8465	Other professional services	$0.00	$0.00
G8473	Other professional services	$0.00	$0.00
G8474	Other professional services	$0.00	$0.00
G8475	Other professional services	$0.00	$0.00
G8476	Other professional services	$0.00	$0.00
G8477	Other professional services	$0.00	$0.00
G8478	Other professional services	$0.00	$0.00
G8482	Other professional services	$0.00	$0.00
G8483	Other professional services	$0.00	$0.00
G8484	Other professional services	$0.00	$0.00
G8506	Other professional services	$0.00	$0.00
G8510	Other professional services	$0.00	$0.00
G8511	Other professional services	$0.00	$0.00
G8535	Other professional services	$0.00	$0.00
G8536	Other professional services	$0.00	$0.00
G8539	Other professional services	$0.00	$0.00
G8540	Other professional services	$0.00	$0.00
G8541	Other professional services	$0.00	$0.00
G8542	Other professional services	$0.00	$0.00
G8543	Other professional services	$0.00	$0.00
G8559	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8560	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8561	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8562	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8563	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8564	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8565	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8566	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8567	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8568	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8569	Other professional services	$0.00	$0.00
G8570	Other professional services	$0.00	$0.00
G8575	Other professional services	$0.00	$0.00
G8576	Other professional services	$0.00	$0.00
G8577	Other professional services	$0.00	$0.00
G8578	Other professional services	$0.00	$0.00
G8598	Other professional services	$0.00	$0.00
G8599	Other professional services	$0.00	$0.00
G8600	Other professional services	$0.00	$0.00
G8601	Other professional services	$0.00	$0.00
G8602	Other professional services	$0.00	$0.00
G8633	Other professional services	$0.00	$0.00
G8635	Other professional services	$0.00	$0.00
G8647	Other professional services	$0.00	$0.00
G8648	Other professional services	$0.00	$0.00
G8650	Other professional services	$0.00	$0.00
G8651	Other professional services	$0.00	$0.00
G8652	Other professional services	$0.00	$0.00
G8654	Other professional services	$0.00	$0.00
G8655	Other professional services	$0.00	$0.00
G8656	Other professional services	$0.00	$0.00
G8658	Other professional services	$0.00	$0.00
G8659	Other professional services	$0.00	$0.00
G8660	Other professional services	$0.00	$0.00
G8661	Other professional services	$0.00	$0.00
G8662	Other professional services	$0.00	$0.00
G8663	Other professional services	$0.00	$0.00
G8664	Other professional services	$0.00	$0.00
G8666	Other professional services	$0.00	$0.00
G8667	Other professional services	$0.00	$0.00
G8668	Other professional services	$0.00	$0.00
G8670	Other professional services	$0.00	$0.00
G8694	Other professional services	$0.00	$0.00
G8708	Other professional services	$0.00	$0.00
G8709	Other professional services	$0.00	$0.00
G8710	Other professional services	$0.00	$0.00
G8711	Other professional services	$0.00	$0.00
G8712	Other professional services	$0.00	$0.00
G8721	Other professional services	$0.00	$0.00
G8722	Other professional services	$0.00	$0.00
G8723	Other professional services	$0.00	$0.00
G8724	Other professional services	$0.00	$0.00
G8733	Other professional services	$0.00	$0.00
G8734	Other professional services	$0.00	$0.00
G8735	Other professional services	$0.00	$0.00
G8749	Other professional services	$0.00	$0.00
G8752	Other professional services	$0.00	$0.00
G8753	Other professional services	$0.00	$0.00
G8754	Other professional services	$0.00	$0.00
G8755	Other professional services	$0.00	$0.00
G8756	Other professional services	$0.00	$0.00
G8783	Other professional services	$0.00	$0.00
G8785	Other professional services	$0.00	$0.00
G8797	Other professional services	$0.00	$0.00
G8798	Other professional services	$0.00	$0.00
G8806	Other professional services	$0.00	$0.00
G8807	Other professional services	$0.00	$0.00
G8808	Other professional services	$0.00	$0.00
G8815	Other professional services	$0.00	$0.00
G8816	Other professional services	$0.00	$0.00
G8817	Other professional services	$0.00	$0.00
G8818	Other professional services	$0.00	$0.00
G8825	Other professional services	$0.00	$0.00
G8826	Other professional services	$0.00	$0.00
G8833	Other professional services	$0.00	$0.00
G8834	Other professional services	$0.00	$0.00
G8838	Other professional services	$0.00	$0.00
G8839	Other professional services	$0.00	$0.00
G8840	Other professional services	$0.00	$0.00
G8841	Other professional services	$0.00	$0.00
G8842	Other professional services	$0.00	$0.00
G8843	Other professional services	$0.00	$0.00
G8844	Other professional services	$0.00	$0.00
G8845	Other professional services	$0.00	$0.00
G8846	Other professional services	$0.00	$0.00
G8849	Other professional services	$0.00	$0.00
G8850	Other professional services	$0.00	$0.00
G8851	Other professional services	$0.00	$0.00
G8852	Other professional services	$0.00	$0.00
G8854	Other professional services	$0.00	$0.00
G8855	Other professional services	$0.00	$0.00
G8856	Other professional services	$0.00	$0.00
G8857	Other professional services	$0.00	$0.00
G8858	Other professional services	$0.00	$0.00
G8863	Other professional services	$0.00	$0.00
G8864	Other professional services	$0.00	$0.00
G8865	Other professional services	$0.00	$0.00
G8866	Other professional services	$0.00	$0.00
G8867	Other professional services	$0.00	$0.00
G8869	Other professional services	$0.00	$0.00
G8875	Other professional services	$0.00	$0.00
G8876	Other professional services	$0.00	$0.00
G8877	Other professional services	$0.00	$0.00
G8878	Other professional services	$0.00	$0.00
G8880	Other professional services	$0.00	$0.00
G8881	Other professional services	$0.00	$0.00
G8882	Other professional services	$0.00	$0.00
G8883	Other professional services	$0.00	$0.00
G8884	Other professional services	$0.00	$0.00
G8885	Other professional services	$0.00	$0.00
G8907	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8908	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8909	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8910	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8911	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8912	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8913	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8914	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8915	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8916	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8917	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8918	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G8923	Other professional services	$0.00	$0.00
G8924	Other professional services	$0.00	$0.00
G8934	Other professional services	$0.00	$0.00
G8935	Other professional services	$0.00	$0.00
G8936	Other professional services	$0.00	$0.00
G8937	Other professional services	$0.00	$0.00
G8941	Other professional services	$0.00	$0.00
G8942	Other professional services	$0.00	$0.00
G8944	Other professional services	$0.00	$0.00
G8946	Other professional services	$0.00	$0.00
G8950	Other professional services	$0.00	$0.00
G8952	Other professional services	$0.00	$0.00
G8955	Other professional services	$0.00	$0.00
G8956	Other professional services	$0.00	$0.00
G8958	Other professional services	$0.00	$0.00
G8961	Other professional services	$0.00	$0.00
G8962	Other professional services	$0.00	$0.00
G8963	Other professional services	$0.00	$0.00
G8964	Other professional services	$0.00	$0.00
G8965	Other professional services	$0.00	$0.00
G8966	Other professional services	$0.00	$0.00
G8967	Other professional services	$0.00	$0.00
G8968	Other professional services	$0.00	$0.00
G8969	Other professional services	$0.00	$0.00
G8970	Other professional services	$0.00	$0.00
G9001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9006	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9007	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9008	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9009	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9051	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9052	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9053	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9054	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9055	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9056	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9057	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9058	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9059	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9060	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9061	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9062	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9063	Other professional services	$0.00	$0.00
G9064	Other professional services	$0.00	$0.00
G9065	Other professional services	$0.00	$0.00
G9066	Other professional services	$0.00	$0.00
G9067	Other professional services	$0.00	$0.00
G9068	Other professional services	$0.00	$0.00
G9069	Other professional services	$0.00	$0.00
G9070	Other professional services	$0.00	$0.00
G9071	Other professional services	$0.00	$0.00
G9072	Other professional services	$0.00	$0.00
G9073	Other professional services	$0.00	$0.00
G9074	Other professional services	$0.00	$0.00
G9075	Other professional services	$0.00	$0.00
G9077	Other professional services	$0.00	$0.00
G9078	Other professional services	$0.00	$0.00
G9079	Other professional services	$0.00	$0.00
G9080	Other professional services	$0.00	$0.00
G9083	Other professional services	$0.00	$0.00
G9084	Other professional services	$0.00	$0.00
G9085	Other professional services	$0.00	$0.00
G9086	Other professional services	$0.00	$0.00
G9087	Other professional services	$0.00	$0.00
G9088	Other professional services	$0.00	$0.00
G9089	Other professional services	$0.00	$0.00
G9090	Other professional services	$0.00	$0.00
G9091	Other professional services	$0.00	$0.00
G9092	Other professional services	$0.00	$0.00
G9093	Other professional services	$0.00	$0.00
G9094	Other professional services	$0.00	$0.00
G9095	Other professional services	$0.00	$0.00
G9096	Other professional services	$0.00	$0.00
G9097	Other professional services	$0.00	$0.00
G9098	Other professional services	$0.00	$0.00
G9099	Other professional services	$0.00	$0.00
G9100	Other professional services	$0.00	$0.00
G9101	Other professional services	$0.00	$0.00
G9102	Other professional services	$0.00	$0.00
G9103	Other professional services	$0.00	$0.00
G9104	Other professional services	$0.00	$0.00
G9105	Other professional services	$0.00	$0.00
G9106	Other professional services	$0.00	$0.00
G9107	Other professional services	$0.00	$0.00
G9108	Other professional services	$0.00	$0.00
G9109	Other professional services	$0.00	$0.00
G9110	Other professional services	$0.00	$0.00
G9111	Other professional services	$0.00	$0.00
G9112	Other professional services	$0.00	$0.00
G9113	Other professional services	$0.00	$0.00
G9114	Other professional services	$0.00	$0.00
G9115	Other professional services	$0.00	$0.00
G9116	Other professional services	$0.00	$0.00
G9117	Other professional services	$0.00	$0.00
G9123	Other professional services	$0.00	$0.00
G9124	Other professional services	$0.00	$0.00
G9125	Other professional services	$0.00	$0.00
G9126	Other professional services	$0.00	$0.00
G9128	Other professional services	$0.00	$0.00
G9129	Other professional services	$0.00	$0.00
G9130	Other professional services	$0.00	$0.00
G9131	Other professional services	$0.00	$0.00
G9132	Other professional services	$0.00	$0.00
G9133	Other professional services	$0.00	$0.00
G9134	Other professional services	$0.00	$0.00
G9135	Other professional services	$0.00	$0.00
G9136	Other professional services	$0.00	$0.00
G9137	Other professional services	$0.00	$0.00
G9138	Other professional services	$0.00	$0.00
G9139	Other professional services	$0.00	$0.00
G9140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9143	Clinical Laboratory	$181.08	$181.08
G9147	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9148	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9149	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9151	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9152	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9156	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9157	Other professional services	$141.06	$141.06
G9187	Other professional services	$65.48	$65.48
G9188	Other professional services	$0.00	$0.00
G9189	Other professional services	$0.00	$0.00
G9190	Other professional services	$0.00	$0.00
G9191	Other professional services	$0.00	$0.00
G9192	Other professional services	$0.00	$0.00
G9196	Other professional services	$0.00	$0.00
G9197	Other professional services	$0.00	$0.00
G9198	Other professional services	$0.00	$0.00
G9212	Other professional services	$0.00	$0.00
G9213	Other professional services	$0.00	$0.00
G9223	Other professional services	$0.00	$0.00
G9225	Other professional services	$0.00	$0.00
G9226	Other professional services	$0.00	$0.00
G9227	Other professional services	$0.00	$0.00
G9228	Other professional services	$0.00	$0.00
G9229	Other professional services	$0.00	$0.00
G9230	Other professional services	$0.00	$0.00
G9231	Other professional services	$0.00	$0.00
G9242	Other professional services	$0.00	$0.00
G9243	Other professional services	$0.00	$0.00
G9246	Other professional services	$0.00	$0.00
G9247	Other professional services	$0.00	$0.00
G9250	Other professional services	$0.00	$0.00
G9251	Other professional services	$0.00	$0.00
G9254	Other professional services	$0.00	$0.00
G9255	Other professional services	$0.00	$0.00
G9273	Other professional services	$0.00	$0.00
G9274	Other professional services	$0.00	$0.00
G9275	Other professional services	$0.00	$0.00
G9276	Other professional services	$0.00	$0.00
G9277	Other professional services	$0.00	$0.00
G9278	Other professional services	$0.00	$0.00
G9279	Other professional services	$0.00	$0.00
G9280	Other professional services	$0.00	$0.00
G9281	Other professional services	$0.00	$0.00
G9282	Other professional services	$0.00	$0.00
G9283	Other professional services	$0.00	$0.00
G9284	Other professional services	$0.00	$0.00
G9285	Other professional services	$0.00	$0.00
G9286	Other professional services	$0.00	$0.00
G9287	Other professional services	$0.00	$0.00
G9288	Other professional services	$0.00	$0.00
G9289	Other professional services	$0.00	$0.00
G9290	Other professional services	$0.00	$0.00
G9291	Other professional services	$0.00	$0.00
G9292	Other professional services	$0.00	$0.00
G9293	Other professional services	$0.00	$0.00
G9294	Other professional services	$0.00	$0.00
G9295	Other professional services	$0.00	$0.00
G9296	Other professional services	$0.00	$0.00
G9297	Other professional services	$0.00	$0.00
G9298	Other professional services	$0.00	$0.00
G9299	Other professional services	$0.00	$0.00
G9305	Other professional services	$0.00	$0.00
G9306	Other professional services	$0.00	$0.00
G9307	Other professional services	$0.00	$0.00
G9308	Other professional services	$0.00	$0.00
G9309	Other professional services	$0.00	$0.00
G9310	Other professional services	$0.00	$0.00
G9311	Other professional services	$0.00	$0.00
G9312	Other professional services	$0.00	$0.00
G9313	Other professional services	$0.00	$0.00
G9314	Other professional services	$0.00	$0.00
G9315	Other professional services	$0.00	$0.00
G9316	Other professional services	$0.00	$0.00
G9317	Other professional services	$0.00	$0.00
G9318	Other professional services	$0.00	$0.00
G9319	Other professional services	$0.00	$0.00
G9321	Other professional services	$0.00	$0.00
G9322	Other professional services	$0.00	$0.00
G9341	Other professional services	$0.00	$0.00
G9342	Other professional services	$0.00	$0.00
G9344	Other professional services	$0.00	$0.00
G9345	Other professional services	$0.00	$0.00
G9347	Other professional services	$0.00	$0.00
G9351	Other professional services	$0.00	$0.00
G9352	Other professional services	$0.00	$0.00
G9353	Other professional services	$0.00	$0.00
G9354	Other professional services	$0.00	$0.00
G9355	Other professional services	$0.00	$0.00
G9356	Other professional services	$0.00	$0.00
G9357	Other professional services	$0.00	$0.00
G9358	Other professional services	$0.00	$0.00
G9359	Other professional services	$0.00	$0.00
G9360	Other professional services	$0.00	$0.00
G9361	Other professional services	$0.00	$0.00
G9364	Other professional services	$0.00	$0.00
G9367	Other professional services	$0.00	$0.00
G9368	Other professional services	$0.00	$0.00
G9380	Other professional services	$0.00	$0.00
G9382	Other professional services	$0.00	$0.00
G9383	Other professional services	$0.00	$0.00
G9384	Other professional services	$0.00	$0.00
G9385	Other professional services	$0.00	$0.00
G9386	Other professional services	$0.00	$0.00
G9393	Other professional services	$0.00	$0.00
G9394	Other professional services	$0.00	$0.00
G9395	Other professional services	$0.00	$0.00
G9396	Other professional services	$0.00	$0.00
G9402	Other professional services	$0.00	$0.00
G9403	Other professional services	$0.00	$0.00
G9404	Other professional services	$0.00	$0.00
G9405	Other professional services	$0.00	$0.00
G9406	Other professional services	$0.00	$0.00
G9407	Other professional services	$0.00	$0.00
G9408	Other professional services	$0.00	$0.00
G9409	Other professional services	$0.00	$0.00
G9410	Other professional services	$0.00	$0.00
G9411	Other professional services	$0.00	$0.00
G9412	Other professional services	$0.00	$0.00
G9413	Other professional services	$0.00	$0.00
G9414	Other professional services	$0.00	$0.00
G9415	Other professional services	$0.00	$0.00
G9416	Other professional services	$0.00	$0.00
G9417	Other professional services	$0.00	$0.00
G9418	Other professional services	$0.00	$0.00
G9419	Other professional services	$0.00	$0.00
G9420	Other professional services	$0.00	$0.00
G9421	Other professional services	$0.00	$0.00
G9422	Other professional services	$0.00	$0.00
G9423	Other professional services	$0.00	$0.00
G9424	Other professional services	$0.00	$0.00
G9425	Other professional services	$0.00	$0.00
G9426	Other professional services	$0.00	$0.00
G9427	Other professional services	$0.00	$0.00
G9428	Other professional services	$0.00	$0.00
G9429	Other professional services	$0.00	$0.00
G9430	Other professional services	$0.00	$0.00
G9431	Other professional services	$0.00	$0.00
G9432	Other professional services	$0.00	$0.00
G9434	Other professional services	$0.00	$0.00
G9451	Other professional services	$0.00	$0.00
G9452	Other professional services	$0.00	$0.00
G9453	Other professional services	$0.00	$0.00
G9454	Other professional services	$0.00	$0.00
G9455	Other professional services	$0.00	$0.00
G9456	Other professional services	$0.00	$0.00
G9457	Other professional services	$0.00	$0.00
G9458	Other professional services	$0.00	$0.00
G9459	Other professional services	$0.00	$0.00
G9460	Other professional services	$0.00	$0.00
G9468	Other professional services	$0.00	$0.00
G9470	Other professional services	$0.00	$0.00
G9471	Other professional services	$0.00	$0.00
G9473	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9474	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9475	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9476	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9477	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9478	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9479	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9480	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9481	Other professional services	$27.89	$27.89
G9482	Other professional services	$52.10	$52.10
G9483	Other professional services	$80.94	$80.94
G9484	Other professional services	$136.35	$136.35
G9485	Other professional services	$178.16	$178.16
G9486	Other professional services	$27.89	$27.89
G9487	Other professional services	$54.60	$54.60
G9488	Other professional services	$82.97	$82.97
G9489	Other professional services	$118.46	$118.46
G9490	Other professional services	$65.06	$65.06
G9497	Other professional services	$0.00	$0.00
G9498	Other professional services	$0.00	$0.00
G9500	Other professional services	$0.00	$0.00
G9501	Other professional services	$0.00	$0.00
G9502	Other professional services	$0.00	$0.00
G9504	Other professional services	$0.00	$0.00
G9505	Other professional services	$0.00	$0.00
G9506	Other professional services	$0.00	$0.00
G9507	Other professional services	$0.00	$0.00
G9508	Other professional services	$0.00	$0.00
G9509	Other professional services	$0.00	$0.00
G9510	Other professional services	$0.00	$0.00
G9511	Other professional services	$0.00	$0.00
G9512	Other professional services	$0.00	$0.00
G9513	Other professional services	$0.00	$0.00
G9514	Other professional services	$0.00	$0.00
G9515	Other professional services	$0.00	$0.00
G9516	Other professional services	$0.00	$0.00
G9517	Other professional services	$0.00	$0.00
G9518	Other professional services	$0.00	$0.00
G9519	Other professional services	$0.00	$0.00
G9520	Other professional services	$0.00	$0.00
G9521	Other professional services	$0.00	$0.00
G9522	Other professional services	$0.00	$0.00
G9529	Other professional services	$0.00	$0.00
G9530	Other professional services	$0.00	$0.00
G9531	Other professional services	$0.00	$0.00
G9533	Other professional services	$0.00	$0.00
G9537	Other professional services	$0.00	$0.00
G9539	Other professional services	$0.00	$0.00
G9540	Other professional services	$0.00	$0.00
G9541	Other professional services	$0.00	$0.00
G9542	Other professional services	$0.00	$0.00
G9543	Other professional services	$0.00	$0.00
G9544	Other professional services	$0.00	$0.00
G9547	Other professional services	$0.00	$0.00
G9548	Other professional services	$0.00	$0.00
G9549	Other professional services	$0.00	$0.00
G9550	Other professional services	$0.00	$0.00
G9551	Other professional services	$0.00	$0.00
G9552	Other professional services	$0.00	$0.00
G9553	Other professional services	$0.00	$0.00
G9554	Other professional services	$0.00	$0.00
G9555	Other professional services	$0.00	$0.00
G9556	Other professional services	$0.00	$0.00
G9557	Other professional services	$0.00	$0.00
G9580	Other professional services	$0.00	$0.00
G9582	Other professional services	$0.00	$0.00
G9593	Other professional services	$0.00	$0.00
G9594	Other professional services	$0.00	$0.00
G9595	Other professional services	$0.00	$0.00
G9596	Other professional services	$0.00	$0.00
G9597	Other professional services	$0.00	$0.00
G9598	Other professional services	$0.00	$0.00
G9599	Other professional services	$0.00	$0.00
G9603	Other professional services	$0.00	$0.00
G9604	Other professional services	$0.00	$0.00
G9605	Other professional services	$0.00	$0.00
G9606	Other professional services	$0.00	$0.00
G9607	Other professional services	$0.00	$0.00
G9608	Other professional services	$0.00	$0.00
G9609	Other professional services	$0.00	$0.00
G9610	Other professional services	$0.00	$0.00
G9611	Other professional services	$0.00	$0.00
G9612	Other professional services	$0.00	$0.00
G9613	Other professional services	$0.00	$0.00
G9614	Other professional services	$0.00	$0.00
G9618	Other professional services	$0.00	$0.00
G9620	Other professional services	$0.00	$0.00
G9621	Other professional services	$0.00	$0.00
G9622	Other professional services	$0.00	$0.00
G9623	Other professional services	$0.00	$0.00
G9624	Other professional services	$0.00	$0.00
G9625	Other professional services	$0.00	$0.00
G9626	Other professional services	$0.00	$0.00
G9627	Other professional services	$0.00	$0.00
G9628	Other professional services	$0.00	$0.00
G9629	Other professional services	$0.00	$0.00
G9630	Other professional services	$0.00	$0.00
G9631	Other professional services	$0.00	$0.00
G9632	Other professional services	$0.00	$0.00
G9633	Other professional services	$0.00	$0.00
G9637	Other professional services	$0.00	$0.00
G9638	Other professional services	$0.00	$0.00
G9642	Other professional services	$0.00	$0.00
G9643	Other professional services	$0.00	$0.00
G9644	Other professional services	$0.00	$0.00
G9645	Other professional services	$0.00	$0.00
G9646	Other professional services	$0.00	$0.00
G9648	Other professional services	$0.00	$0.00
G9649	Other professional services	$0.00	$0.00
G9651	Other professional services	$0.00	$0.00
G9654	Other professional services	$0.00	$0.00
G9655	Other professional services	$0.00	$0.00
G9656	Other professional services	$0.00	$0.00
G9658	Other professional services	$0.00	$0.00
G9659	Other professional services	$0.00	$0.00
G9660	Other professional services	$0.00	$0.00
G9661	Other professional services	$0.00	$0.00
G9662	Other professional services	$0.00	$0.00
G9663	Other professional services	$0.00	$0.00
G9664	Other professional services	$0.00	$0.00
G9665	Other professional services	$0.00	$0.00
G9674	Other professional services	$0.00	$0.00
G9675	Other professional services	$0.00	$0.00
G9676	Other professional services	$0.00	$0.00
G9678	Other professional services	$240.00	$240.00
G9679	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9680	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9681	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9682	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9683	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9684	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9685	Other professional services	$288.81	$288.81
G9687	Other professional services	$0.00	$0.00
G9688	Other professional services	$0.00	$0.00
G9689	Other professional services	$0.00	$0.00
G9690	Other professional services	$0.00	$0.00
G9691	Other professional services	$0.00	$0.00
G9692	Other professional services	$0.00	$0.00
G9693	Other professional services	$0.00	$0.00
G9694	Other professional services	$0.00	$0.00
G9695	Other professional services	$0.00	$0.00
G9696	Other professional services	$0.00	$0.00
G9697	Other professional services	$0.00	$0.00
G9698	Other professional services	$0.00	$0.00
G9699	Other professional services	$0.00	$0.00
G9700	Other professional services	$0.00	$0.00
G9702	Other professional services	$0.00	$0.00
G9703	Other professional services	$0.00	$0.00
G9704	Other professional services	$0.00	$0.00
G9705	Other professional services	$0.00	$0.00
G9706	Other professional services	$0.00	$0.00
G9707	Other professional services	$0.00	$0.00
G9708	Other professional services	$0.00	$0.00
G9709	Other professional services	$0.00	$0.00
G9710	Other professional services	$0.00	$0.00
G9711	Other professional services	$0.00	$0.00
G9712	Other professional services	$0.00	$0.00
G9713	Other professional services	$0.00	$0.00
G9714	Other professional services	$0.00	$0.00
G9715	Other professional services	$0.00	$0.00
G9716	Other professional services	$0.00	$0.00
G9717	Other professional services	$0.00	$0.00
G9718	Other professional services	$0.00	$0.00
G9719	Other professional services	$0.00	$0.00
G9720	Other professional services	$0.00	$0.00
G9721	Other professional services	$0.00	$0.00
G9722	Other professional services	$0.00	$0.00
G9723	Other professional services	$0.00	$0.00
G9724	Other professional services	$0.00	$0.00
G9725	Other professional services	$0.00	$0.00
G9726	Other professional services	$0.00	$0.00
G9727	Other professional services	$0.00	$0.00
G9728	Other professional services	$0.00	$0.00
G9729	Other professional services	$0.00	$0.00
G9730	Other professional services	$0.00	$0.00
G9731	Other professional services	$0.00	$0.00
G9732	Other professional services	$0.00	$0.00
G9733	Other professional services	$0.00	$0.00
G9734	Other professional services	$0.00	$0.00
G9735	Other professional services	$0.00	$0.00
G9736	Other professional services	$0.00	$0.00
G9737	Other professional services	$0.00	$0.00
G9740	Other professional services	$0.00	$0.00
G9741	Other professional services	$0.00	$0.00
G9744	Other professional services	$0.00	$0.00
G9745	Other professional services	$0.00	$0.00
G9746	Other professional services	$0.00	$0.00
G9751	Other professional services	$0.00	$0.00
G9752	Other professional services	$0.00	$0.00
G9753	Other professional services	$0.00	$0.00
G9754	Other professional services	$0.00	$0.00
G9755	Other professional services	$0.00	$0.00
G9756	Other professional services	$0.00	$0.00
G9757	Other professional services	$0.00	$0.00
G9758	Other professional services	$0.00	$0.00
G9760	Other professional services	$0.00	$0.00
G9761	Other professional services	$0.00	$0.00
G9762	Other professional services	$0.00	$0.00
G9763	Other professional services	$0.00	$0.00
G9764	Other professional services	$0.00	$0.00
G9765	Other professional services	$0.00	$0.00
G9766	Other professional services	$0.00	$0.00
G9767	Other professional services	$0.00	$0.00
G9768	Other professional services	$0.00	$0.00
G9769	Other professional services	$0.00	$0.00
G9770	Other professional services	$0.00	$0.00
G9771	Other professional services	$0.00	$0.00
G9772	Other professional services	$0.00	$0.00
G9773	Other professional services	$0.00	$0.00
G9774	Other professional services	$0.00	$0.00
G9775	Other professional services	$0.00	$0.00
G9776	Other professional services	$0.00	$0.00
G9777	Other professional services	$0.00	$0.00
G9778	Other professional services	$0.00	$0.00
G9779	Other professional services	$0.00	$0.00
G9780	Other professional services	$0.00	$0.00
G9781	Other professional services	$0.00	$0.00
G9782	Other professional services	$0.00	$0.00
G9784	Other professional services	$0.00	$0.00
G9785	Other professional services	$0.00	$0.00
G9786	Other professional services	$0.00	$0.00
G9787	Other professional services	$0.00	$0.00
G9788	Other professional services	$0.00	$0.00
G9789	Other professional services	$0.00	$0.00
G9790	Other professional services	$0.00	$0.00
G9791	Other professional services	$0.00	$0.00
G9792	Other professional services	$0.00	$0.00
G9793	Other professional services	$0.00	$0.00
G9794	Other professional services	$0.00	$0.00
G9795	Other professional services	$0.00	$0.00
G9796	Other professional services	$0.00	$0.00
G9797	Other professional services	$0.00	$0.00
G9805	Other professional services	$0.00	$0.00
G9806	Other professional services	$0.00	$0.00
G9807	Other professional services	$0.00	$0.00
G9808	Other professional services	$0.00	$0.00
G9809	Other professional services	$0.00	$0.00
G9810	Other professional services	$0.00	$0.00
G9811	Other professional services	$0.00	$0.00
G9812	Other professional services	$0.00	$0.00
G9813	Other professional services	$0.00	$0.00
G9818	Other professional services	$0.00	$0.00
G9819	Other professional services	$0.00	$0.00
G9820	Other professional services	$0.00	$0.00
G9821	Other professional services	$0.00	$0.00
G9822	Other professional services	$0.00	$0.00
G9823	Other professional services	$0.00	$0.00
G9824	Other professional services	$0.00	$0.00
G9830	Other professional services	$0.00	$0.00
G9831	Other professional services	$0.00	$0.00
G9832	Other professional services	$0.00	$0.00
G9838	Other professional services	$0.00	$0.00
G9839	Other professional services	$0.00	$0.00
G9840	Other professional services	$0.00	$0.00
G9841	Other professional services	$0.00	$0.00
G9842	Other professional services	$0.00	$0.00
G9843	Other professional services	$0.00	$0.00
G9844	Other professional services	$0.00	$0.00
G9845	Other professional services	$0.00	$0.00
G9846	Other professional services	$0.00	$0.00
G9847	Other professional services	$0.00	$0.00
G9848	Other professional services	$0.00	$0.00
G9852	Other professional services	$0.00	$0.00
G9853	Other professional services	$0.00	$0.00
G9854	Other professional services	$0.00	$0.00
G9858	Other professional services	$0.00	$0.00
G9859	Other professional services	$0.00	$0.00
G9860	Other professional services	$0.00	$0.00
G9861	Other professional services	$0.00	$0.00
G9862	Other professional services	$0.00	$0.00
G9868	Other professional services	$41.52	$41.52
G9869	Other professional services	$55.55	$55.55
G9870	Other professional services	$69.56	$69.56
G9873	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9874	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9875	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9876	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9877	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9878	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9879	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9880	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9881	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9882	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9883	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9884	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9885	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9890	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9891	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
G9892	Other professional services	$0.00	$0.00
G9893	Other professional services	$0.00	$0.00
G9894	Other professional services	$0.00	$0.00
G9895	Other professional services	$0.00	$0.00
G9896	Other professional services	$0.00	$0.00
G9897	Other professional services	$0.00	$0.00
G9898	Other professional services	$0.00	$0.00
G9899	Other professional services	$0.00	$0.00
G9900	Other professional services	$0.00	$0.00
G9901	Other professional services	$0.00	$0.00
G9902	Other professional services	$0.00	$0.00
G9903	Other professional services	$0.00	$0.00
G9904	Other professional services	$0.00	$0.00
G9905	Other professional services	$0.00	$0.00
G9906	Other professional services	$0.00	$0.00
G9907	Other professional services	$0.00	$0.00
G9908	Other professional services	$0.00	$0.00
G9909	Other professional services	$0.00	$0.00
G9910	Other professional services	$0.00	$0.00
G9911	Other professional services	$0.00	$0.00
G9912	Other professional services	$0.00	$0.00
G9913	Other professional services	$0.00	$0.00
G9914	Other professional services	$0.00	$0.00
G9915	Other professional services	$0.00	$0.00
G9916	Other professional services	$0.00	$0.00
G9917	Other professional services	$0.00	$0.00
G9918	Other professional services	$0.00	$0.00
G9919	Other professional services	$0.00	$0.00
G9920	Other professional services	$0.00	$0.00
G9921	Other professional services	$0.00	$0.00
G9922	Other professional services	$0.00	$0.00
G9923	Other professional services	$0.00	$0.00
G9925	Other professional services	$0.00	$0.00
G9926	Other professional services	$0.00	$0.00
G9927	Other professional services	$0.00	$0.00
G9928	Other professional services	$0.00	$0.00
G9929	Other professional services	$0.00	$0.00
G9930	Other professional services	$0.00	$0.00
G9931	Other professional services	$0.00	$0.00
G9932	Other professional services	$0.00	$0.00
G9938	Other professional services	$0.00	$0.00
G9939	Other professional services	$0.00	$0.00
G9940	Other professional services	$0.00	$0.00
G9942	Other professional services	$0.00	$0.00
G9943	Other professional services	$0.00	$0.00
G9945	Other professional services	$0.00	$0.00
G9946	Other professional services	$0.00	$0.00
G9948	Other professional services	$0.00	$0.00
G9949	Other professional services	$0.00	$0.00
G9954	Other professional services	$0.00	$0.00
G9955	Other professional services	$0.00	$0.00
G9956	Other professional services	$0.00	$0.00
G9957	Other professional services	$0.00	$0.00
G9958	Other professional services	$0.00	$0.00
G9959	Other professional services	$0.00	$0.00
G9960	Other professional services	$0.00	$0.00
G9961	Other professional services	$0.00	$0.00
G9962	Other professional services	$0.00	$0.00
G9963	Other professional services	$0.00	$0.00
G9964	Other professional services	$0.00	$0.00
G9965	Other professional services	$0.00	$0.00
G9968	Other professional services	$0.00	$0.00
G9969	Other professional services	$0.00	$0.00
G9970	Other professional services	$0.00	$0.00
G9974	Other professional services	$0.00	$0.00
G9975	Other professional services	$0.00	$0.00
G9978	Other professional services	$41.87	$41.87
G9979	Other professional services	$71.85	$71.85
G9980	Other professional services	$113.22	$113.22
G9981	Other professional services	$189.81	$189.81
G9982	Other professional services	$252.35	$252.35
G9983	Other professional services	$41.87	$41.87
G9984	Other professional services	$81.11	$81.11
G9985	Other professional services	$122.46	$122.46
G9986	Other professional services	$178.19	$178.19
G9987	Other professional services	$65.48	$65.48
G9988	Other professional services	$0.00	$0.00
G9989	Other professional services	$0.00	$0.00
G9990	Other professional services	$0.00	$0.00
G9991	Other professional services	$0.00	$0.00
G9992	Other professional services	$0.00	$0.00
G9993	Other professional services	$0.00	$0.00
G9994	Other professional services	$0.00	$0.00
G9995	Other professional services	$0.00	$0.00
G9996	Other professional services	$0.00	$0.00
G9997	Other professional services	$0.00	$0.00
G9998	Other professional services	$0.00	$0.00
G9999	Other professional services	$0.00	$0.00
H0001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0006	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0007	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0008	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0009	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0018	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0019	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0024	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0026	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0029	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0031	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0032	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0033	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0038	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0039	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0041	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0042	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0043	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0044	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0045	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0046	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0047	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0048	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0049	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H0050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H1000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H1001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H1002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H1003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H1004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H1005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H1010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H1011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2018	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2019	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2024	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2026	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2029	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2031	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2032	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2033	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
H2037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0121	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0122	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0129	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0131	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0132	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0133	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0135	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0171	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0172	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0178	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0179	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0185	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0200	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0202	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0205	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0207	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0220	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0221	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0222	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0223	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0224	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0248	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0256	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0257	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0275	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0278	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0280	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0282	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0285	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0287	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0288	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0289	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0290	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0291	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0295	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0330	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0348	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0350	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0360	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0364	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0365	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0380	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0390	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0395	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0400	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0401	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0456	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0461	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0470	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0475	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0476	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0480	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0485	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0490	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0500	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0515	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0517	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0520	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0558	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0561	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0565	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0567	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0570	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0571	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0572	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0573	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0574	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0575	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0583	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0584	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0585	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0586	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0587	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0588	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0591	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0592	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0593	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0594	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0595	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0596	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0597	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0598	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0599	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0604	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0606	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0610	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0620	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0630	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0636	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0637	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0638	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0640	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0641	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0642	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0670	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0690	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0691	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0692	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0694	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0695	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0696	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0697	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0698	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0699	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0702	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0706	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0710	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0712	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0713	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0714	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0715	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0716	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0717	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0720	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0725	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0735	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0740	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0741	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0742	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0743	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0744	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0745	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0770	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0775	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0780	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0791	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0795	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0800	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0834	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0840	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0841	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0850	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0875	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0878	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0881	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0882	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0883	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0884	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0885	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0887	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0888	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0890	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0894	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0895	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0896	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0897	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J0945	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1071	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1094	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1095	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1096	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1097	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1162	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1165	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1170	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1200	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1201	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1205	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1230	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1240	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1245	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1265	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1267	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1290	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1301	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1303	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1305	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1320	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1322	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1324	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1325	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1327	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1330	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1335	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1364	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1380	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1410	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1426	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1427	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1428	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1429	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1430	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1435	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1436	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1437	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1438	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1439	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1442	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1443	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1444	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1445	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1447	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1448	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1450	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1451	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1452	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1453	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1454	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1455	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1457	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1458	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1459	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1460	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1554	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1555	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1556	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1557	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1558	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1559	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1560	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1561	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1562	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1566	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1568	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1569	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1570	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1571	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1572	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1573	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1575	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1580	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1595	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1599	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1602	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1610	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1620	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1626	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1627	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1628	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1630	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1631	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1632	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1640	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1642	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1644	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1645	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1650	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1652	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1655	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1670	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1675	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1700	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1710	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1720	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1726	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1729	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1730	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1738	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1740	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1741	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1742	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1743	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1744	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1745	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1746	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1750	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1756	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1786	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1790	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1800	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1810	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1815	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1817	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1823	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1826	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1830	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1833	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1835	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1840	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1850	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1885	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1890	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1930	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1931	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1940	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1943	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1944	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1945	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1950	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1951	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1952	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1953	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1955	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1956	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1960	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1980	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J1990	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2060	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2062	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2170	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2175	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2182	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2185	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2186	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2248	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2265	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2274	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2278	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2280	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2310	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2315	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2320	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2323	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2325	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2326	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2350	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2353	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2354	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2355	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2357	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2358	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2360	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2370	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2400	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2405	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2406	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2407	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2410	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2425	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2426	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2430	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2440	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2460	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2469	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2501	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2502	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2503	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2504	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2506	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2507	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2513	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2515	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2540	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2543	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2545	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2547	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2550	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2560	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2562	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2590	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2597	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2650	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2670	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2675	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2680	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2690	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2700	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2704	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2710	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2720	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2724	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2725	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2730	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2760	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2765	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2770	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2778	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2780	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2783	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2785	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2786	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2787	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2788	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2790	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2791	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2792	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2793	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2794	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2795	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2796	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2797	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2798	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2800	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2805	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2810	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2820	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2840	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2850	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2860	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2910	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2916	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2920	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2930	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2940	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2941	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2950	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2993	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2995	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J2997	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3031	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3032	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3060	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3070	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3090	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3095	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3101	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3105	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3111	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3121	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3145	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3230	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3240	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3241	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3243	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3245	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3246	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3262	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3265	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3280	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3285	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3301	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3302	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3303	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3304	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3305	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3310	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3315	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3316	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3320	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3350	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3355	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3357	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3358	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3360	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3364	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3365	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3370	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3380	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3385	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3396	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3397	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3398	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3399	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3400	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3410	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3411	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3415	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3420	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3430	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3465	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3470	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3471	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3472	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3473	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3475	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3480	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3485	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3486	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3489	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3490	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3520	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3530	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3535	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3570	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3590	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J3591	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7042	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7060	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7070	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7121	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7131	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7168	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7169	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7170	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7175	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7177	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7178	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7179	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7181	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7182	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7183	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7185	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7186	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7187	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7188	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7189	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7191	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7192	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7193	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7194	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7195	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7196	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7197	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7198	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7200	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7201	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7202	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7203	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7204	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7205	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7207	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7209	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7211	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7294	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7295	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7296	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7297	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7298	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7301	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7304	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7306	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7307	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7308	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7309	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7310	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7311	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7312	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7313	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7314	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7315	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7316	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7318	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7320	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7321	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7322	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7323	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7324	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7325	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7326	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7327	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7328	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7329	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7330	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7331	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7332	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7336	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7340	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7342	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7345	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7351	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7352	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7402	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7500	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7501	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7502	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7503	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7504	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7505	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7507	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7508	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7509	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7511	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7512	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7513	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7515	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7516	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7517	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7518	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7520	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7525	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7527	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7599	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7604	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7605	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7606	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7607	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7608	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7609	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7610	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7611	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7612	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7613	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7614	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7615	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7620	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7622	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7624	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7626	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7627	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7628	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7629	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7631	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7632	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7633	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7634	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7635	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7636	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7637	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7638	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7639	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7640	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7641	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7642	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7643	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7644	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7645	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7647	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7648	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7649	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7650	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7657	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7658	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7659	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7660	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7665	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7667	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7668	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7669	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7670	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7674	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7676	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7677	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7680	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7681	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7682	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7683	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7684	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7685	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7686	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7699	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7799	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J7999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8498	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8499	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8501	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8515	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8520	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8521	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8530	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8540	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8560	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8562	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8565	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8597	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8610	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8650	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8655	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8670	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8700	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8705	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J8999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9019	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9032	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9033	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9039	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9041	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9042	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9043	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9044	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9045	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9047	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9055	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9057	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9060	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9061	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9065	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9070	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9098	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9118	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9119	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9144	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9145	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9151	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9155	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9165	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9171	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9173	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9175	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9176	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9177	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9178	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9179	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9181	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9185	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9198	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9200	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9201	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9202	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9203	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9204	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9205	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9206	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9207	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9209	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9211	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9213	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9214	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9216	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9217	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9218	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9219	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9223	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9225	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9226	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9227	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9228	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9229	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9230	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9245	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9246	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9247	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9261	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9262	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9263	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9264	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9266	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9267	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9268	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9269	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9271	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9272	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9280	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9281	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9285	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9293	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9295	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9299	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9301	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9302	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9303	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9304	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9305	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9306	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9307	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9308	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9309	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9311	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9312	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9313	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9316	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9317	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9318	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9319	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9320	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9325	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9328	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9330	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9340	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9348	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9349	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9351	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9352	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9353	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9354	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9355	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9356	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9357	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9358	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9360	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9370	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9371	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9390	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9395	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9400	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
J9999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0001-RR	DMEPOS	$33.80	$33.80
K0002-RR	DMEPOS	$56.47	$56.47
K0003-RR	DMEPOS	$52.94	$52.94
K0004-RR	DMEPOS	$74.63	$74.63
K0005-NU	DMEPOS	$2,261.86	$2,261.86
K0005-RR	DMEPOS	$226.16	$226.16
K0005-UE	DMEPOS	$1,696.34	$1,696.34
K0006-RR	DMEPOS	$89.94	$89.94
K0007-RR	DMEPOS	$130.80	$130.80
K0008	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0009-RR	DMEPOS	$90.07	$90.07
K0010-RR	DMEPOS	$442.99	$442.99
K0011-RR	DMEPOS	$626.73	$626.73
K0012-RR	DMEPOS	$397.52	$397.52
K0013	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0014	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0015-RR	DMEPOS	$15.86	$15.86
K0017-NU	DMEPOS	$50.70	$50.70
K0017-RR	DMEPOS	$5.07	$5.07
K0017-UE	DMEPOS	$38.02	$38.02
K0018-NU	DMEPOS	$28.57	$28.57
K0018-RR	DMEPOS	$2.85	$2.85
K0018-UE	DMEPOS	$21.43	$21.43
K0019-NU	DMEPOS	$14.39	$14.39
K0019-RR	DMEPOS	$1.44	$1.44
K0019-UE	DMEPOS	$10.79	$10.79
K0020-NU	DMEPOS	$48.72	$48.72
K0020-RR	DMEPOS	$4.87	$4.87
K0020-UE	DMEPOS	$36.54	$36.54
K0037-NU	DMEPOS	$43.16	$43.16
K0037-RR	DMEPOS	$3.85	$3.85
K0037-UE	DMEPOS	$32.38	$32.38
K0038-NU	DMEPOS	$25.00	$25.00
K0038-RR	DMEPOS	$2.50	$2.50
K0038-UE	DMEPOS	$18.75	$18.75
K0039-NU	DMEPOS	$54.15	$54.15
K0039-RR	DMEPOS	$5.42	$5.42
K0039-UE	DMEPOS	$40.62	$40.62
K0040-NU	DMEPOS	$60.99	$60.99
K0040-RR	DMEPOS	$6.10	$6.10
K0040-UE	DMEPOS	$45.74	$45.74
K0041-NU	DMEPOS	$52.13	$52.13
K0041-RR	DMEPOS	$5.22	$5.22
K0041-UE	DMEPOS	$39.09	$39.09
K0042-NU	DMEPOS	$32.66	$32.66
K0042-RR	DMEPOS	$3.26	$3.26
K0042-UE	DMEPOS	$24.48	$24.48
K0043-NU	DMEPOS	$20.28	$20.28
K0043-RR	DMEPOS	$2.03	$2.03
K0043-UE	DMEPOS	$15.22	$15.22
K0044-NU	DMEPOS	$17.55	$17.55
K0044-RR	DMEPOS	$1.76	$1.76
K0044-UE	DMEPOS	$13.16	$13.16
K0045-NU	DMEPOS	$58.25	$58.25
K0045-RR	DMEPOS	$5.87	$5.87
K0045-UE	DMEPOS	$43.69	$43.69
K0046-NU	DMEPOS	$20.38	$20.38
K0046-RR	DMEPOS	$2.04	$2.04
K0046-UE	DMEPOS	$15.30	$15.30
K0047-NU	DMEPOS	$74.00	$74.00
K0047-RR	DMEPOS	$7.41	$7.41
K0047-UE	DMEPOS	$55.49	$55.49
K0050-NU	DMEPOS	$33.55	$33.55
K0050-RR	DMEPOS	$3.35	$3.35
K0050-UE	DMEPOS	$25.16	$25.16
K0051-NU	DMEPOS	$53.38	$53.38
K0051-RR	DMEPOS	$5.35	$5.35
K0051-UE	DMEPOS	$40.04	$40.04
K0052-NU	DMEPOS	$80.01	$80.01
K0052-RR	DMEPOS	$8.00	$8.00
K0052-UE	DMEPOS	$60.00	$60.00
K0053-NU	DMEPOS	$91.48	$91.48
K0053-RR	DMEPOS	$9.15	$9.15
K0053-UE	DMEPOS	$68.61	$68.61
K0056-NU	DMEPOS	$102.93	$102.93
K0056-RR	DMEPOS	$10.29	$10.29
K0056-UE	DMEPOS	$77.20	$77.20
K0065-NU	DMEPOS	$48.75	$48.75
K0065-RR	DMEPOS	$4.88	$4.88
K0065-UE	DMEPOS	$36.56	$36.56
K0069-NU	DMEPOS	$103.58	$103.58
K0069-RR	DMEPOS	$10.45	$10.45
K0069-UE	DMEPOS	$77.68	$77.68
K0070-RR	DMEPOS	$18.46	$18.46
K0071-NU	DMEPOS	$116.41	$116.41
K0071-RR	DMEPOS	$11.65	$11.65
K0071-UE	DMEPOS	$87.30	$87.30
K0072-NU	DMEPOS	$72.14	$72.14
K0072-RR	DMEPOS	$7.21	$7.21
K0072-UE	DMEPOS	$54.11	$54.11
K0073-NU	DMEPOS	$37.64	$37.64
K0073-RR	DMEPOS	$3.77	$3.77
K0073-UE	DMEPOS	$28.22	$28.22
K0077-NU	DMEPOS	$60.32	$60.32
K0077-RR	DMEPOS	$6.03	$6.03
K0077-UE	DMEPOS	$45.24	$45.24
K0098-NU	DMEPOS	$25.47	$25.47
K0098-RR	DMEPOS	$2.55	$2.55
K0098-UE	DMEPOS	$19.10	$19.10
K0105-NU	DMEPOS	$106.82	$106.82
K0105-RR	DMEPOS	$10.68	$10.68
K0105-UE	DMEPOS	$80.12	$80.12
K0108	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0195-RR	DMEPOS	$14.14	$14.14
K0455-RR	DMEPOS	$324.04	$324.04
K0462	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0552	DMEPOS	$3.00	$3.00
K0553	DMEPOS	$234.60	$234.60
K0554-NU	DMEPOS	$245.65	$245.65
K0554-RR	DMEPOS	$24.57	$24.57
K0554-UE	DMEPOS	$184.24	$184.24
K0601-NU	DMEPOS	$1.34	$1.34
K0602-NU	DMEPOS	$7.56	$7.56
K0603-NU	DMEPOS	$0.68	$0.68
K0604-NU	DMEPOS	$7.28	$7.28
K0605-NU	DMEPOS	$17.42	$17.42
K0606-RR	DMEPOS	$3,080.95	$3,080.95
K0607-RR	DMEPOS	$23.77	$23.77
K0608-NU	DMEPOS	$148.29	$148.29
K0608-RR	DMEPOS	$14.86	$14.86
K0608-UE	DMEPOS	$111.21	$111.21
K0609	DMEPOS	$986.18	$986.18
K0669	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0672	DMEPOS	$89.94	$89.94
K0730-RR	DMEPOS	$210.91	$210.91
K0733-NU	DMEPOS	$29.59	$29.59
K0733-RR	DMEPOS	$2.97	$2.97
K0733-UE	DMEPOS	$22.20	$22.20
K0738-RR	DMEPOS	$43.16	$43.16
K0739	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0740	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0743	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0744	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0745	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0746	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0800-NU	DMEPOS	$1,008.50	$1,008.50
K0800-RR	DMEPOS	$100.85	$100.85
K0800-UE	DMEPOS	$756.37	$756.37
K0801-NU	DMEPOS	$1,749.49	$1,749.49
K0801-RR	DMEPOS	$174.94	$174.94
K0801-UE	DMEPOS	$1,312.12	$1,312.12
K0802-NU	DMEPOS	$2,209.53	$2,209.53
K0802-RR	DMEPOS	$220.95	$220.95
K0802-UE	DMEPOS	$1,657.15	$1,657.15
K0806-NU	DMEPOS	$1,515.69	$1,515.69
K0806-RR	DMEPOS	$151.57	$151.57
K0806-UE	DMEPOS	$1,136.77	$1,136.77
K0807-NU	DMEPOS	$2,335.61	$2,335.61
K0807-RR	DMEPOS	$233.56	$233.56
K0807-UE	DMEPOS	$1,751.71	$1,751.71
K0808-NU	DMEPOS	$3,611.32	$3,611.32
K0808-RR	DMEPOS	$361.13	$361.13
K0808-UE	DMEPOS	$2,708.49	$2,708.49
K0812	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0813-RR	DMEPOS	$298.34	$298.34
K0814-RR	DMEPOS	$334.81	$334.81
K0815-RR	DMEPOS	$375.37	$375.37
K0816-RR	DMEPOS	$353.87	$353.87
K0820-RR	DMEPOS	$309.46	$309.46
K0821-RR	DMEPOS	$351.71	$351.71
K0822-RR	DMEPOS	$394.64	$394.64
K0823-RR	DMEPOS	$380.14	$380.14
K0824-RR	DMEPOS	$536.14	$536.14
K0825-RR	DMEPOS	$487.39	$487.39
K0826-RR	DMEPOS	$823.91	$823.91
K0827-RR	DMEPOS	$717.88	$717.88
K0828-RR	DMEPOS	$944.63	$944.63
K0829-RR	DMEPOS	$924.37	$924.37
K0830	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0831	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0835-RR	DMEPOS	$443.96	$443.96
K0836-RR	DMEPOS	$460.45	$460.45
K0837-RR	DMEPOS	$555.13	$555.13
K0838-RR	DMEPOS	$493.61	$493.61
K0839-RR	DMEPOS	$730.95	$730.95
K0840-RR	DMEPOS	$1,117.20	$1,117.20
K0841-RR	DMEPOS	$490.27	$490.27
K0842-RR	DMEPOS	$489.81	$489.81
K0843-RR	DMEPOS	$584.34	$584.34
K0848-RR	DMEPOS	$835.86	$835.86
K0849-RR	DMEPOS	$803.62	$803.62
K0850-RR	DMEPOS	$969.54	$969.54
K0851-RR	DMEPOS	$932.23	$932.23
K0852-RR	DMEPOS	$1,120.25	$1,120.25
K0853-RR	DMEPOS	$1,150.79	$1,150.79
K0854-RR	DMEPOS	$1,524.54	$1,524.54
K0855-RR	DMEPOS	$1,440.15	$1,440.15
K0856-RR	DMEPOS	$897.18	$897.18
K0857-RR	DMEPOS	$915.17	$915.17
K0858-RR	DMEPOS	$1,113.15	$1,113.15
K0859-RR	DMEPOS	$1,061.60	$1,061.60
K0860-RR	DMEPOS	$1,590.28	$1,590.28
K0861-RR	DMEPOS	$898.62	$898.62
K0862-RR	DMEPOS	$1,113.15	$1,113.15
K0863-RR	DMEPOS	$1,590.28	$1,590.28
K0864-RR	DMEPOS	$1,892.43	$1,892.43
K0868	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0869	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0870	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0871	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0877	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0878	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0879	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0880	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0884	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0885	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0886	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0890	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0891	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0898	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0899	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K0900	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1006	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1007	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1009	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1018	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1019	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1024	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1026	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
K1027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L0112	DMEPOS	$1,484.62	$1,484.62
L0113	DMEPOS	$302.50	$302.50
L0120	DMEPOS	$29.68	$29.68
L0130	DMEPOS	$214.59	$214.59
L0140	DMEPOS	$74.05	$74.05
L0150	DMEPOS	$123.48	$123.48
L0160	DMEPOS	$175.81	$175.81
L0170	DMEPOS	$743.99	$743.99
L0172	DMEPOS	$150.85	$150.85
L0174	DMEPOS	$270.99	$270.99
L0180	DMEPOS	$368.54	$368.54
L0190	DMEPOS	$554.79	$554.79
L0200	DMEPOS	$509.43	$509.43
L0220	DMEPOS	$120.82	$120.82
L0450	DMEPOS	$152.74	$152.74
L0452	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L0454	DMEPOS	$367.88	$367.88
L0455	DMEPOS	$282.95	$282.95
L0456	DMEPOS	$1,054.98	$1,054.98
L0457	DMEPOS	$811.43	$811.43
L0458	DMEPOS	$946.01	$946.01
L0460	DMEPOS	$1,064.82	$1,064.82
L0462	DMEPOS	$1,324.44	$1,324.44
L0464	DMEPOS	$1,576.70	$1,576.70
L0466	DMEPOS	$405.43	$405.43
L0467	DMEPOS	$315.55	$315.55
L0468	DMEPOS	$508.34	$508.34
L0469	DMEPOS	$400.00	$400.00
L0470	DMEPOS	$723.69	$723.69
L0472	DMEPOS	$454.26	$454.26
L0480	DMEPOS	$1,404.69	$1,404.69
L0482	DMEPOS	$1,610.30	$1,610.30
L0484	DMEPOS	$1,877.57	$1,877.57
L0486	DMEPOS	$1,859.96	$1,859.96
L0488	DMEPOS	$1,064.82	$1,064.82
L0490	DMEPOS	$300.05	$300.05
L0491	DMEPOS	$814.62	$814.62
L0492	DMEPOS	$527.95	$527.95
L0621	DMEPOS	$77.89	$77.89
L0622	DMEPOS	$256.48	$256.48
L0623	DMEPOS	$144.16	$144.16
L0624	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L0625	DMEPOS	$44.96	$44.96
L0626	DMEPOS	$82.69	$82.69
L0627	DMEPOS	$436.04	$436.04
L0628	DMEPOS	$68.44	$68.44
L0629	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L0630	DMEPOS	$171.76	$171.76
L0631	DMEPOS	$1,088.93	$1,088.93
L0632	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L0633	DMEPOS	$304.18	$304.18
L0634	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L0635	DMEPOS	$1,127.94	$1,127.94
L0636	DMEPOS	$1,664.36	$1,664.36
L0637	DMEPOS	$1,444.03	$1,444.03
L0638	DMEPOS	$1,399.02	$1,399.02
L0639	DMEPOS	$1,444.03	$1,444.03
L0640	DMEPOS	$1,109.96	$1,109.96
L0641	DMEPOS	$63.60	$63.60
L0642	DMEPOS	$335.42	$335.42
L0643	DMEPOS	$132.14	$132.14
L0648	DMEPOS	$837.66	$837.66
L0649	DMEPOS	$233.99	$233.99
L0650	DMEPOS	$1,015.24	$1,015.24
L0651	DMEPOS	$1,015.24	$1,015.24
L0700	DMEPOS	$2,283.79	$2,283.79
L0710	DMEPOS	$2,492.90	$2,492.90
L0810	DMEPOS	$2,648.35	$2,648.35
L0820	DMEPOS	$2,142.40	$2,142.40
L0830	DMEPOS	$3,093.39	$3,093.39
L0859	DMEPOS	$1,201.76	$1,201.76
L0861	DMEPOS	$228.63	$228.63
L0970	DMEPOS	$112.75	$112.75
L0972	DMEPOS	$115.25	$115.25
L0974	DMEPOS	$235.49	$235.49
L0976	DMEPOS	$210.32	$210.32
L0978	DMEPOS	$189.89	$189.89
L0980	DMEPOS	$17.23	$17.23
L0982	DMEPOS	$18.78	$18.78
L0984	DMEPOS	$59.90	$59.90
L0999	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L1000	DMEPOS	$2,002.78	$2,002.78
L1001	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L1005	DMEPOS	$3,395.07	$3,395.07
L1010	DMEPOS	$80.65	$80.65
L1020	DMEPOS	$110.20	$110.20
L1025	DMEPOS	$125.25	$125.25
L1030	DMEPOS	$83.67	$83.67
L1040	DMEPOS	$100.71	$100.71
L1050	DMEPOS	$87.19	$87.19
L1060	DMEPOS	$98.35	$98.35
L1070	DMEPOS	$100.57	$100.57
L1080	DMEPOS	$69.68	$69.68
L1085	DMEPOS	$193.58	$193.58
L1090	DMEPOS	$90.42	$90.42
L1100	DMEPOS	$159.62	$159.62
L1110	DMEPOS	$270.36	$270.36
L1120	DMEPOS	$43.06	$43.06
L1200	DMEPOS	$1,714.38	$1,714.38
L1210	DMEPOS	$258.12	$258.12
L1220	DMEPOS	$218.55	$218.55
L1230	DMEPOS	$560.76	$560.76
L1240	DMEPOS	$96.50	$96.50
L1250	DMEPOS	$95.03	$95.03
L1260	DMEPOS	$97.67	$97.67
L1270	DMEPOS	$97.55	$97.55
L1280	DMEPOS	$86.95	$86.95
L1290	DMEPOS	$98.57	$98.57
L1300	DMEPOS	$1,647.85	$1,647.85
L1310	DMEPOS	$1,695.63	$1,695.63
L1499	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L1600	DMEPOS	$127.12	$127.12
L1610	DMEPOS	$43.31	$43.31
L1620	DMEPOS	$142.61	$142.61
L1630	DMEPOS	$170.18	$170.18
L1640	DMEPOS	$455.19	$455.19
L1650	DMEPOS	$241.40	$241.40
L1652	DMEPOS	$378.13	$378.13
L1660	DMEPOS	$168.82	$168.82
L1680	DMEPOS	$1,387.97	$1,387.97
L1685	DMEPOS	$1,464.54	$1,464.54
L1686	DMEPOS	$982.51	$982.51
L1690	DMEPOS	$2,051.21	$2,051.21
L1700	DMEPOS	$1,706.47	$1,706.47
L1710	DMEPOS	$2,005.85	$2,005.85
L1720	DMEPOS	$1,481.72	$1,481.72
L1730	DMEPOS	$1,117.92	$1,117.92
L1755	DMEPOS	$1,627.17	$1,627.17
L1810	DMEPOS	$128.42	$128.42
L1812	DMEPOS	$92.87	$92.87
L1820	DMEPOS	$127.91	$127.91
L1830	DMEPOS	$81.50	$81.50
L1831	DMEPOS	$312.17	$312.17
L1832	DMEPOS	$799.66	$799.66
L1833	DMEPOS	$594.34	$594.34
L1834	DMEPOS	$940.80	$940.80
L1836	DMEPOS	$112.80	$112.80
L1840	DMEPOS	$988.94	$988.94
L1843	DMEPOS	$951.75	$951.75
L1844	DMEPOS	$1,649.17	$1,649.17
L1845	DMEPOS	$993.54	$993.54
L1846	DMEPOS	$1,260.63	$1,260.63
L1847	DMEPOS	$610.13	$610.13
L1848	DMEPOS	$610.13	$610.13
L1850	DMEPOS	$249.31	$249.31
L1851	DMEPOS	$758.55	$758.55
L1852	DMEPOS	$745.04	$745.04
L1860	DMEPOS	$1,101.33	$1,101.33
L1900	DMEPOS	$298.37	$298.37
L1902	DMEPOS	$81.03	$81.03
L1904	DMEPOS	$463.88	$463.88
L1906	DMEPOS	$135.57	$135.57
L1907	DMEPOS	$596.86	$596.86
L1910	DMEPOS	$263.81	$263.81
L1920	DMEPOS	$344.87	$344.87
L1930	DMEPOS	$233.36	$233.36
L1932	DMEPOS	$946.56	$946.56
L1940	DMEPOS	$527.38	$527.38
L1945	DMEPOS	$968.48	$968.48
L1950	DMEPOS	$734.78	$734.78
L1951	DMEPOS	$890.84	$890.84
L1960	DMEPOS	$546.80	$546.80
L1970	DMEPOS	$808.76	$808.76
L1971	DMEPOS	$497.19	$497.19
L1980	DMEPOS	$362.04	$362.04
L1990	DMEPOS	$465.17	$465.17
L2000	DMEPOS	$1,000.58	$1,000.58
L2005	DMEPOS	$4,346.62	$4,346.62
L2006	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L2010	DMEPOS	$912.12	$912.12
L2020	DMEPOS	$1,151.87	$1,151.87
L2030	DMEPOS	$999.35	$999.35
L2034	DMEPOS	$2,178.03	$2,178.03
L2035	DMEPOS	$183.76	$183.76
L2036	DMEPOS	$1,830.24	$1,830.24
L2037	DMEPOS	$1,686.68	$1,686.68
L2038	DMEPOS	$1,410.41	$1,410.41
L2040	DMEPOS	$180.16	$180.16
L2050	DMEPOS	$479.77	$479.77
L2060	DMEPOS	$615.77	$615.77
L2070	DMEPOS	$176.89	$176.89
L2080	DMEPOS	$377.25	$377.25
L2090	DMEPOS	$464.97	$464.97
L2106	DMEPOS	$670.73	$670.73
L2108	DMEPOS	$1,054.01	$1,054.01
L2112	DMEPOS	$500.47	$500.47
L2114	DMEPOS	$572.59	$572.59
L2116	DMEPOS	$754.39	$754.39
L2126	DMEPOS	$1,342.27	$1,342.27
L2128	DMEPOS	$1,691.55	$1,691.55
L2132	DMEPOS	$795.78	$795.78
L2134	DMEPOS	$954.10	$954.10
L2136	DMEPOS	$1,166.61	$1,166.61
L2180	DMEPOS	$115.53	$115.53
L2182	DMEPOS	$90.42	$90.42
L2184	DMEPOS	$162.93	$162.93
L2186	DMEPOS	$180.55	$180.55
L2188	DMEPOS	$393.92	$393.92
L2190	DMEPOS	$102.31	$102.31
L2192	DMEPOS	$351.74	$351.74
L2200	DMEPOS	$46.90	$46.90
L2210	DMEPOS	$76.09	$76.09
L2220	DMEPOS	$87.38	$87.38
L2230	DMEPOS	$75.69	$75.69
L2232	DMEPOS	$102.48	$102.48
L2240	DMEPOS	$82.51	$82.51
L2250	DMEPOS	$350.52	$350.52
L2260	DMEPOS	$197.75	$197.75
L2265	DMEPOS	$116.18	$116.18
L2270	DMEPOS	$52.98	$52.98
L2275	DMEPOS	$128.91	$128.91
L2280	DMEPOS	$478.88	$478.88
L2300	DMEPOS	$270.32	$270.32
L2310	DMEPOS	$121.36	$121.36
L2320	DMEPOS	$202.97	$202.97
L2330	DMEPOS	$387.35	$387.35
L2335	DMEPOS	$227.87	$227.87
L2340	DMEPOS	$537.71	$537.71
L2350	DMEPOS	$879.01	$879.01
L2360	DMEPOS	$51.04	$51.04
L2370	DMEPOS	$253.23	$253.23
L2375	DMEPOS	$111.46	$111.46
L2380	DMEPOS	$121.45	$121.45
L2385	DMEPOS	$132.13	$132.13
L2387	DMEPOS	$179.31	$179.31
L2390	DMEPOS	$107.99	$107.99
L2395	DMEPOS	$164.87	$164.87
L2397	DMEPOS	$115.62	$115.62
L2405	DMEPOS	$92.49	$92.49
L2415	DMEPOS	$128.86	$128.86
L2425	DMEPOS	$152.05	$152.05
L2430	DMEPOS	$152.05	$152.05
L2492	DMEPOS	$100.59	$100.59
L2500	DMEPOS	$311.21	$311.21
L2510	DMEPOS	$833.23	$833.23
L2520	DMEPOS	$454.45	$454.45
L2525	DMEPOS	$1,559.13	$1,559.13
L2526	DMEPOS	$840.39	$840.39
L2530	DMEPOS	$231.78	$231.78
L2540	DMEPOS	$417.07	$417.07
L2550	DMEPOS	$283.32	$283.32
L2570	DMEPOS	$626.49	$626.49
L2580	DMEPOS	$593.88	$593.88
L2600	DMEPOS	$202.60	$202.60
L2610	DMEPOS	$239.57	$239.57
L2620	DMEPOS	$263.76	$263.76
L2622	DMEPOS	$302.51	$302.51
L2624	DMEPOS	$411.26	$411.26
L2627	DMEPOS	$1,694.37	$1,694.37
L2628	DMEPOS	$1,990.34	$1,990.34
L2630	DMEPOS	$244.28	$244.28
L2640	DMEPOS	$331.51	$331.51
L2650	DMEPOS	$118.38	$118.38
L2660	DMEPOS	$183.86	$183.86
L2670	DMEPOS	$168.27	$168.27
L2680	DMEPOS	$154.37	$154.37
L2750	DMEPOS	$82.45	$82.45
L2755	DMEPOS	$138.63	$138.63
L2760	DMEPOS	$59.94	$59.94
L2768	DMEPOS	$138.21	$138.21
L2780	DMEPOS	$70.90	$70.90
L2785	DMEPOS	$41.68	$41.68
L2795	DMEPOS	$83.82	$83.82
L2800	DMEPOS	$105.23	$105.23
L2810	DMEPOS	$77.05	$77.05
L2820	DMEPOS	$85.67	$85.67
L2830	DMEPOS	$96.33	$96.33
L2840	DMEPOS	$53.77	$53.77
L2850	DMEPOS	$61.08	$61.08
L2861	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L2999	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3000	DMEPOS	$333.22	$333.22
L3001	DMEPOS	$140.29	$140.29
L3002	DMEPOS	$171.31	$171.31
L3003	DMEPOS	$184.82	$184.82
L3010	DMEPOS	$184.82	$184.82
L3020	DMEPOS	$210.45	$210.45
L3030	DMEPOS	$80.96	$80.96
L3031	DMEPOS	$129.90	$129.90
L3040	DMEPOS	$49.92	$49.92
L3050	DMEPOS	$49.92	$49.92
L3060	DMEPOS	$78.24	$78.24
L3070	DMEPOS	$33.73	$33.73
L3080	DMEPOS	$33.73	$33.73
L3090	DMEPOS	$43.18	$43.18
L3100	DMEPOS	$45.84	$45.84
L3140	DMEPOS	$94.45	$94.45
L3150	DMEPOS	$86.35	$86.35
L3160	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3170	DMEPOS	$53.97	$53.97
L3201	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3202	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3203	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3204	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3206	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3207	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3208	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3209	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3211	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3212	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3213	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3214	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3215	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3216	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3217	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3219	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3221	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3222	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3224	DMEPOS	$58.01	$58.01
L3225	DMEPOS	$66.73	$66.73
L3230	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3250	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3251	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3252	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3253	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3254	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3255	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3257	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3260	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3265	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3300	DMEPOS	$55.30	$55.30
L3310	DMEPOS	$86.35	$86.35
L3320	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3330	DMEPOS	$600.30	$600.30
L3332	DMEPOS	$78.24	$78.24
L3334	DMEPOS	$40.47	$40.47
L3340	DMEPOS	$90.41	$90.41
L3350	DMEPOS	$24.26	$24.26
L3360	DMEPOS	$37.77	$37.77
L3370	DMEPOS	$52.62	$52.62
L3380	DMEPOS	$52.62	$52.62
L3390	DMEPOS	$52.62	$52.62
L3400	DMEPOS	$43.18	$43.18
L3410	DMEPOS	$98.50	$98.50
L3420	DMEPOS	$57.99	$57.99
L3430	DMEPOS	$169.98	$169.98
L3440	DMEPOS	$80.96	$80.96
L3450	DMEPOS	$111.94	$111.94
L3455	DMEPOS	$43.18	$43.18
L3460	DMEPOS	$36.41	$36.41
L3465	DMEPOS	$62.05	$62.05
L3470	DMEPOS	$66.09	$66.09
L3480	DMEPOS	$66.09	$66.09
L3485	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3500	DMEPOS	$31.06	$31.06
L3510	DMEPOS	$31.06	$31.06
L3520	DMEPOS	$33.73	$33.73
L3530	DMEPOS	$33.73	$33.73
L3540	DMEPOS	$53.97	$53.97
L3550	DMEPOS	$9.46	$9.46
L3560	DMEPOS	$24.26	$24.26
L3570	DMEPOS	$90.41	$90.41
L3580	DMEPOS	$68.80	$68.80
L3590	DMEPOS	$56.67	$56.67
L3595	DMEPOS	$44.51	$44.51
L3600	DMEPOS	$80.96	$80.96
L3610	DMEPOS	$106.56	$106.56
L3620	DMEPOS	$80.96	$80.96
L3630	DMEPOS	$106.56	$106.56
L3640	DMEPOS	$45.84	$45.84
L3649	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3650	DMEPOS	$57.78	$57.78
L3660	DMEPOS	$99.21	$99.21
L3670	DMEPOS	$138.28	$138.28
L3671	DMEPOS	$869.83	$869.83
L3674	DMEPOS	$1,141.10	$1,141.10
L3675	DMEPOS	$169.41	$169.41
L3677	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3678	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3702	DMEPOS	$278.76	$278.76
L3710	DMEPOS	$139.97	$139.97
L3720	DMEPOS	$698.28	$698.28
L3730	DMEPOS	$919.20	$919.20
L3740	DMEPOS	$1,033.04	$1,033.04
L3760	DMEPOS	$482.76	$482.76
L3761	DMEPOS	$482.76	$482.76
L3762	DMEPOS	$103.82	$103.82
L3763	DMEPOS	$766.45	$766.45
L3764	DMEPOS	$764.36	$764.36
L3765	DMEPOS	$1,237.83	$1,237.83
L3766	DMEPOS	$1,310.78	$1,310.78
L3806	DMEPOS	$438.50	$438.50
L3807	DMEPOS	$241.40	$241.40
L3808	DMEPOS	$322.44	$322.44
L3809	DMEPOS	$241.40	$241.40
L3891	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3900	DMEPOS	$1,508.06	$1,508.06
L3901	DMEPOS	$1,690.94	$1,690.94
L3904	DMEPOS	$3,442.28	$3,442.28
L3905	DMEPOS	$957.36	$957.36
L3906	DMEPOS	$407.24	$407.24
L3908	DMEPOS	$57.83	$57.83
L3912	DMEPOS	$92.78	$92.78
L3913	DMEPOS	$261.47	$261.47
L3915	DMEPOS	$513.17	$513.17
L3916	DMEPOS	$513.17	$513.17
L3917	DMEPOS	$101.98	$101.98
L3918	DMEPOS	$101.98	$101.98
L3919	DMEPOS	$261.47	$261.47
L3921	DMEPOS	$310.06	$310.06
L3923	DMEPOS	$83.97	$83.97
L3924	DMEPOS	$83.97	$83.97
L3925	DMEPOS	$50.99	$50.99
L3927	DMEPOS	$33.78	$33.78
L3929	DMEPOS	$81.26	$81.26
L3930	DMEPOS	$81.26	$81.26
L3931	DMEPOS	$196.60	$196.60
L3933	DMEPOS	$205.97	$205.97
L3935	DMEPOS	$213.30	$213.30
L3956	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L3960	DMEPOS	$795.72	$795.72
L3961	DMEPOS	$1,621.92	$1,621.92
L3962	DMEPOS	$828.52	$828.52
L3967	DMEPOS	$1,914.94	$1,914.94
L3971	DMEPOS	$1,817.69	$1,817.69
L3973	DMEPOS	$1,914.94	$1,914.94
L3975	DMEPOS	$1,621.92	$1,621.92
L3976	DMEPOS	$1,621.92	$1,621.92
L3977	DMEPOS	$1,817.69	$1,817.69
L3978	DMEPOS	$1,914.94	$1,914.94
L3980	DMEPOS	$298.43	$298.43
L3981	DMEPOS	$971.70	$971.70
L3982	DMEPOS	$368.69	$368.69
L3984	DMEPOS	$393.56	$393.56
L3995	DMEPOS	$33.02	$33.02
L3999	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L4000	DMEPOS	$1,286.90	$1,286.90
L4002	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L4010	DMEPOS	$724.19	$724.19
L4020	DMEPOS	$904.57	$904.57
L4030	DMEPOS	$498.06	$498.06
L4040	DMEPOS	$402.68	$402.68
L4045	DMEPOS	$323.60	$323.60
L4050	DMEPOS	$407.26	$407.26
L4055	DMEPOS	$263.72	$263.72
L4060	DMEPOS	$313.50	$313.50
L4070	DMEPOS	$299.09	$299.09
L4080	DMEPOS	$105.45	$105.45
L4090	DMEPOS	$93.33	$93.33
L4100	DMEPOS	$105.27	$105.27
L4110	DMEPOS	$83.66	$83.66
L4130	DMEPOS	$575.76	$575.76
L4205	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L4210	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L4350	DMEPOS	$103.73	$103.73
L4360	DMEPOS	$290.21	$290.21
L4361	DMEPOS	$290.21	$290.21
L4370	DMEPOS	$186.23	$186.23
L4386	DMEPOS	$168.17	$168.17
L4387	DMEPOS	$168.17	$168.17
L4392	DMEPOS	$24.98	$24.98
L4394	DMEPOS	$18.22	$18.22
L4396	DMEPOS	$178.05	$178.05
L4397	DMEPOS	$178.05	$178.05
L4398	DMEPOS	$81.94	$81.94
L4631	DMEPOS	$1,582.95	$1,582.95
L5000	DMEPOS	$556.20	$556.20
L5010	DMEPOS	$1,343.35	$1,343.35
L5020	DMEPOS	$2,281.29	$2,281.29
L5050	DMEPOS	$2,523.51	$2,523.51
L5060	DMEPOS	$2,902.80	$2,902.80
L5100	DMEPOS	$2,529.09	$2,529.09
L5105	DMEPOS	$3,651.03	$3,651.03
L5150	DMEPOS	$3,690.69	$3,690.69
L5160	DMEPOS	$4,014.29	$4,014.29
L5200	DMEPOS	$3,844.25	$3,844.25
L5210	DMEPOS	$2,550.27	$2,550.27
L5220	DMEPOS	$2,898.85	$2,898.85
L5230	DMEPOS	$3,998.08	$3,998.08
L5250	DMEPOS	$5,453.03	$5,453.03
L5270	DMEPOS	$5,428.84	$5,428.84
L5280	DMEPOS	$5,387.27	$5,387.27
L5301	DMEPOS	$2,890.93	$2,890.93
L5312	DMEPOS	$4,138.17	$4,138.17
L5321	DMEPOS	$4,190.47	$4,190.47
L5331	DMEPOS	$5,339.50	$5,339.50
L5341	DMEPOS	$5,558.46	$5,558.46
L5400	DMEPOS	$1,431.25	$1,431.25
L5410	DMEPOS	$439.11	$439.11
L5420	DMEPOS	$1,753.95	$1,753.95
L5430	DMEPOS	$528.87	$528.87
L5450	DMEPOS	$430.25	$430.25
L5460	DMEPOS	$573.25	$573.25
L5500	DMEPOS	$1,349.79	$1,349.79
L5505	DMEPOS	$1,866.82	$1,866.82
L5510	DMEPOS	$1,530.08	$1,530.08
L5520	DMEPOS	$1,511.35	$1,511.35
L5530	DMEPOS	$1,815.28	$1,815.28
L5535	DMEPOS	$1,782.25	$1,782.25
L5540	DMEPOS	$1,902.22	$1,902.22
L5560	DMEPOS	$2,042.65	$2,042.65
L5570	DMEPOS	$2,123.64	$2,123.64
L5580	DMEPOS	$2,479.20	$2,479.20
L5585	DMEPOS	$3,051.05	$3,051.05
L5590	DMEPOS	$2,526.47	$2,526.47
L5595	DMEPOS	$4,463.36	$4,463.36
L5600	DMEPOS	$4,797.90	$4,797.90
L5610	DMEPOS	$2,175.92	$2,175.92
L5611	DMEPOS	$1,693.30	$1,693.30
L5613	DMEPOS	$2,647.43	$2,647.43
L5614	DMEPOS	$1,793.45	$1,793.45
L5616	DMEPOS	$1,430.65	$1,430.65
L5617	DMEPOS	$594.65	$594.65
L5618	DMEPOS	$314.59	$314.59
L5620	DMEPOS	$292.19	$292.19
L5622	DMEPOS	$381.01	$381.01
L5624	DMEPOS	$382.09	$382.09
L5626	DMEPOS	$501.09	$501.09
L5628	DMEPOS	$535.80	$535.80
L5629	DMEPOS	$333.99	$333.99
L5630	DMEPOS	$471.67	$471.67
L5631	DMEPOS	$461.77	$461.77
L5632	DMEPOS	$257.72	$257.72
L5634	DMEPOS	$319.69	$319.69
L5636	DMEPOS	$267.79	$267.79
L5637	DMEPOS	$303.61	$303.61
L5638	DMEPOS	$528.88	$528.88
L5639	DMEPOS	$1,178.33	$1,178.33
L5640	DMEPOS	$672.03	$672.03
L5642	DMEPOS	$651.15	$651.15
L5643	DMEPOS	$1,635.78	$1,635.78
L5644	DMEPOS	$620.75	$620.75
L5645	DMEPOS	$838.56	$838.56
L5646	DMEPOS	$575.84	$575.84
L5647	DMEPOS	$836.01	$836.01
L5648	DMEPOS	$691.93	$691.93
L5649	DMEPOS	$2,507.28	$2,507.28
L5650	DMEPOS	$513.07	$513.07
L5651	DMEPOS	$1,262.13	$1,262.13
L5652	DMEPOS	$458.20	$458.20
L5653	DMEPOS	$611.66	$611.66
L5654	DMEPOS	$348.55	$348.55
L5655	DMEPOS	$295.37	$295.37
L5656	DMEPOS	$396.24	$396.24
L5658	DMEPOS	$382.13	$382.13
L5661	DMEPOS	$639.57	$639.57
L5665	DMEPOS	$538.12	$538.12
L5666	DMEPOS	$73.57	$73.57
L5668	DMEPOS	$118.67	$118.67
L5670	DMEPOS	$285.18	$285.18
L5671	DMEPOS	$604.34	$604.34
L5672	DMEPOS	$313.39	$313.39
L5673	DMEPOS	$747.30	$747.30
L5676	DMEPOS	$380.85	$380.85
L5677	DMEPOS	$518.19	$518.19
L5678	DMEPOS	$41.73	$41.73
L5679	DMEPOS	$622.72	$622.72
L5680	DMEPOS	$348.34	$348.34
L5681	DMEPOS	$1,398.02	$1,398.02
L5682	DMEPOS	$657.26	$657.26
L5683	DMEPOS	$1,398.02	$1,398.02
L5684	DMEPOS	$50.59	$50.59
L5685	DMEPOS	$136.13	$136.13
L5686	DMEPOS	$53.69	$53.69
L5688	DMEPOS	$64.20	$64.20
L5690	DMEPOS	$102.84	$102.84
L5692	DMEPOS	$139.65	$139.65
L5694	DMEPOS	$190.66	$190.66
L5695	DMEPOS	$176.00	$176.00
L5696	DMEPOS	$194.45	$194.45
L5697	DMEPOS	$84.37	$84.37
L5698	DMEPOS	$137.96	$137.96
L5699	DMEPOS	$248.54	$248.54
L5700	DMEPOS	$3,011.24	$3,011.24
L5701	DMEPOS	$3,616.28	$3,616.28
L5702	DMEPOS	$4,575.11	$4,575.11
L5703	DMEPOS	$2,367.67	$2,367.67
L5704	DMEPOS	$563.34	$563.34
L5705	DMEPOS	$1,006.60	$1,006.60
L5706	DMEPOS	$986.71	$986.71
L5707	DMEPOS	$1,300.82	$1,300.82
L5710	DMEPOS	$393.05	$393.05
L5711	DMEPOS	$549.32	$549.32
L5712	DMEPOS	$460.27	$460.27
L5714	DMEPOS	$472.77	$472.77
L5716	DMEPOS	$765.98	$765.98
L5718	DMEPOS	$957.41	$957.41
L5722	DMEPOS	$1,011.46	$1,011.46
L5724	DMEPOS	$1,586.36	$1,586.36
L5726	DMEPOS	$1,828.24	$1,828.24
L5728	DMEPOS	$2,500.79	$2,500.79
L5780	DMEPOS	$1,203.27	$1,203.27
L5781	DMEPOS	$4,252.48	$4,252.48
L5782	DMEPOS	$4,483.08	$4,483.08
L5785	DMEPOS	$676.38	$676.38
L5790	DMEPOS	$755.67	$755.67
L5795	DMEPOS	$1,504.56	$1,504.56
L5810	DMEPOS	$511.68	$511.68
L5811	DMEPOS	$766.49	$766.49
L5812	DMEPOS	$594.12	$594.12
L5814	DMEPOS	$3,947.14	$3,947.14
L5816	DMEPOS	$899.19	$899.19
L5818	DMEPOS	$1,009.27	$1,009.27
L5822	DMEPOS	$1,789.70	$1,789.70
L5824	DMEPOS	$1,611.73	$1,611.73
L5826	DMEPOS	$3,319.02	$3,319.02
L5828	DMEPOS	$2,967.88	$2,967.88
L5830	DMEPOS	$1,994.26	$1,994.26
L5840	DMEPOS	$3,687.39	$3,687.39
L5845	DMEPOS	$1,904.98	$1,904.98
L5848	DMEPOS	$1,142.84	$1,142.84
L5850	DMEPOS	$134.44	$134.44
L5855	DMEPOS	$361.27	$361.27
L5856	DMEPOS	$25,513.58	$25,513.58
L5857	DMEPOS	$9,053.15	$9,053.15
L5858	DMEPOS	$19,752.48	$19,752.48
L5859	DMEPOS	$15,420.61	$15,420.61
L5910	DMEPOS	$380.64	$380.64
L5920	DMEPOS	$557.64	$557.64
L5925	DMEPOS	$470.85	$470.85
L5930	DMEPOS	$3,577.29	$3,577.29
L5940	DMEPOS	$527.18	$527.18
L5950	DMEPOS	$824.28	$824.28
L5960	DMEPOS	$1,013.18	$1,013.18
L5961	DMEPOS	$4,831.27	$4,831.27
L5962	DMEPOS	$666.79	$666.79
L5964	DMEPOS	$984.26	$984.26
L5966	DMEPOS	$1,254.19	$1,254.19
L5968	DMEPOS	$3,862.16	$3,862.16
L5969	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L5970	DMEPOS	$213.44	$213.44
L5971	DMEPOS	$213.44	$213.44
L5972	DMEPOS	$398.70	$398.70
L5973	DMEPOS	$18,285.26	$18,285.26
L5974	DMEPOS	$244.91	$244.91
L5975	DMEPOS	$492.74	$492.74
L5976	DMEPOS	$588.57	$588.57
L5978	DMEPOS	$306.70	$306.70
L5979	DMEPOS	$2,398.07	$2,398.07
L5980	DMEPOS	$3,896.70	$3,896.70
L5981	DMEPOS	$3,148.01	$3,148.01
L5982	DMEPOS	$607.58	$607.58
L5984	DMEPOS	$598.71	$598.71
L5985	DMEPOS	$300.11	$300.11
L5986	DMEPOS	$665.99	$665.99
L5987	DMEPOS	$7,645.56	$7,645.56
L5988	DMEPOS	$2,123.16	$2,123.16
L5990	DMEPOS	$1,928.15	$1,928.15
L5999	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L6000	DMEPOS	$1,396.42	$1,396.42
L6010	DMEPOS	$1,553.99	$1,553.99
L6020	DMEPOS	$1,448.84	$1,448.84
L6026	DMEPOS	$5,253.74	$5,253.74
L6050	DMEPOS	$1,996.45	$1,996.45
L6055	DMEPOS	$2,782.54	$2,782.54
L6100	DMEPOS	$2,022.71	$2,022.71
L6110	DMEPOS	$2,145.42	$2,145.42
L6120	DMEPOS	$2,500.19	$2,500.19
L6130	DMEPOS	$2,720.67	$2,720.67
L6200	DMEPOS	$2,867.14	$2,867.14
L6205	DMEPOS	$3,827.19	$3,827.19
L6250	DMEPOS	$3,004.10	$3,004.10
L6300	DMEPOS	$3,915.54	$3,915.54
L6310	DMEPOS	$3,380.90	$3,380.90
L6320	DMEPOS	$1,846.90	$1,846.90
L6350	DMEPOS	$4,116.59	$4,116.59
L6360	DMEPOS	$3,702.22	$3,702.22
L6370	DMEPOS	$2,215.29	$2,215.29
L6380	DMEPOS	$1,283.71	$1,283.71
L6382	DMEPOS	$1,931.29	$1,931.29
L6384	DMEPOS	$2,671.73	$2,671.73
L6386	DMEPOS	$422.06	$422.06
L6388	DMEPOS	$462.03	$462.03
L6400	DMEPOS	$2,438.68	$2,438.68
L6450	DMEPOS	$3,258.02	$3,258.02
L6500	DMEPOS	$3,408.55	$3,408.55
L6550	DMEPOS	$4,097.13	$4,097.13
L6570	DMEPOS	$4,599.98	$4,599.98
L6580	DMEPOS	$1,756.18	$1,756.18
L6582	DMEPOS	$1,590.63	$1,590.63
L6584	DMEPOS	$2,494.52	$2,494.52
L6586	DMEPOS	$2,334.46	$2,334.46
L6588	DMEPOS	$3,067.43	$3,067.43
L6590	DMEPOS	$2,913.57	$2,913.57
L6600	DMEPOS	$197.14	$197.14
L6605	DMEPOS	$194.65	$194.65
L6610	DMEPOS	$186.93	$186.93
L6611	DMEPOS	$437.56	$437.56
L6615	DMEPOS	$201.41	$201.41
L6616	DMEPOS	$74.63	$74.63
L6620	DMEPOS	$322.25	$322.25
L6621	DMEPOS	$2,430.93	$2,430.93
L6623	DMEPOS	$898.88	$898.88
L6624	DMEPOS	$4,002.59	$4,002.59
L6625	DMEPOS	$638.66	$638.66
L6628	DMEPOS	$503.47	$503.47
L6629	DMEPOS	$153.76	$153.76
L6630	DMEPOS	$226.51	$226.51
L6632	DMEPOS	$78.67	$78.67
L6635	DMEPOS	$185.11	$185.11
L6637	DMEPOS	$394.82	$394.82
L6638	DMEPOS	$2,657.79	$2,657.79
L6640	DMEPOS	$350.76	$350.76
L6641	DMEPOS	$168.60	$168.60
L6642	DMEPOS	$228.53	$228.53
L6645	DMEPOS	$421.83	$421.83
L6646	DMEPOS	$3,352.09	$3,352.09
L6647	DMEPOS	$551.85	$551.85
L6648	DMEPOS	$3,457.18	$3,457.18
L6650	DMEPOS	$437.96	$437.96
L6655	DMEPOS	$86.07	$86.07
L6660	DMEPOS	$96.47	$96.47
L6665	DMEPOS	$48.40	$48.40
L6670	DMEPOS	$53.52	$53.52
L6672	DMEPOS	$212.38	$212.38
L6675	DMEPOS	$126.22	$126.22
L6676	DMEPOS	$145.90	$145.90
L6677	DMEPOS	$315.32	$315.32
L6680	DMEPOS	$243.83	$243.83
L6682	DMEPOS	$269.59	$269.59
L6684	DMEPOS	$366.34	$366.34
L6686	DMEPOS	$827.28	$827.28
L6687	DMEPOS	$606.21	$606.21
L6688	DMEPOS	$602.55	$602.55
L6689	DMEPOS	$721.94	$721.94
L6690	DMEPOS	$786.71	$786.71
L6691	DMEPOS	$364.11	$364.11
L6692	DMEPOS	$587.73	$587.73
L6693	DMEPOS	$3,017.28	$3,017.28
L6694	DMEPOS	$747.30	$747.30
L6695	DMEPOS	$622.72	$622.72
L6696	DMEPOS	$1,398.02	$1,398.02
L6697	DMEPOS	$1,398.02	$1,398.02
L6698	DMEPOS	$604.34	$604.34
L6703	DMEPOS	$382.07	$382.07
L6704	DMEPOS	$615.49	$615.49
L6706	DMEPOS	$366.70	$366.70
L6707	DMEPOS	$1,351.62	$1,351.62
L6708	DMEPOS	$883.60	$883.60
L6709	DMEPOS	$1,273.29	$1,273.29
L6711	DMEPOS	$714.53	$714.53
L6712	DMEPOS	$1,315.62	$1,315.62
L6713	DMEPOS	$1,660.39	$1,660.39
L6714	DMEPOS	$1,406.40	$1,406.40
L6715	DMEPOS	$3,355.44	$3,355.44
L6721	DMEPOS	$2,499.70	$2,499.70
L6722	DMEPOS	$2,154.91	$2,154.91
L6805	DMEPOS	$357.58	$357.58
L6810	DMEPOS	$202.67	$202.67
L6880	DMEPOS	$25,393.14	$25,393.14
L6881	DMEPOS	$4,344.98	$4,344.98
L6882	DMEPOS	$3,295.93	$3,295.93
L6883	DMEPOS	$1,667.77	$1,667.77
L6884	DMEPOS	$2,475.33	$2,475.33
L6885	DMEPOS	$3,702.22	$3,702.22
L6890	DMEPOS	$178.76	$178.76
L6895	DMEPOS	$657.60	$657.60
L6900	DMEPOS	$1,876.62	$1,876.62
L6905	DMEPOS	$1,865.96	$1,865.96
L6910	DMEPOS	$1,595.58	$1,595.58
L6915	DMEPOS	$804.47	$804.47
L6920	DMEPOS	$7,013.91	$7,013.91
L6925	DMEPOS	$9,441.94	$9,441.94
L6930	DMEPOS	$7,057.41	$7,057.41
L6935	DMEPOS	$9,588.46	$9,588.46
L6940	DMEPOS	$9,220.96	$9,220.96
L6945	DMEPOS	$11,266.91	$11,266.91
L6950	DMEPOS	$10,480.92	$10,480.92
L6955	DMEPOS	$12,552.33	$12,552.33
L6960	DMEPOS	$14,218.66	$14,218.66
L6965	DMEPOS	$15,164.72	$15,164.72
L6970	DMEPOS	$15,801.89	$15,801.89
L6975	DMEPOS	$17,282.16	$17,282.16
L7007	DMEPOS	$3,616.47	$3,616.47
L7008	DMEPOS	$5,691.94	$5,691.94
L7009	DMEPOS	$3,689.94	$3,689.94
L7040	DMEPOS	$2,962.88	$2,962.88
L7045	DMEPOS	$1,698.72	$1,698.72
L7170	DMEPOS	$7,821.55	$7,821.55
L7180	DMEPOS	$34,332.27	$34,332.27
L7181	DMEPOS	$42,584.57	$42,584.57
L7185	DMEPOS	$7,723.89	$7,723.89
L7186	DMEPOS	$9,296.45	$9,296.45
L7190	DMEPOS	$8,112.72	$8,112.72
L7191	DMEPOS	$9,714.24	$9,714.24
L7259	DMEPOS	$3,358.82	$3,358.82
L7360	DMEPOS	$250.78	$250.78
L7362	DMEPOS	$263.32	$263.32
L7364	DMEPOS	$418.79	$418.79
L7366	DMEPOS	$564.12	$564.12
L7367	DMEPOS	$413.76	$413.76
L7368	DMEPOS	$536.39	$536.39
L7400	DMEPOS	$325.75	$325.75
L7401	DMEPOS	$364.68	$364.68
L7402	DMEPOS	$393.78	$393.78
L7403	DMEPOS	$391.41	$391.41
L7404	DMEPOS	$590.69	$590.69
L7405	DMEPOS	$772.57	$772.57
L7499	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L7510	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L7520	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L7600	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L7700	DMEPOS	$118.61	$118.61
L7900	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L7902	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8000	DMEPOS	$46.22	$46.22
L8001	DMEPOS	$133.30	$133.30
L8002	DMEPOS	$175.36	$175.36
L8010	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8015	DMEPOS	$63.70	$63.70
L8020	DMEPOS	$239.61	$239.61
L8030	DMEPOS	$346.58	$346.58
L8031	DMEPOS	$346.58	$346.58
L8032	DMEPOS	$41.63	$41.63
L8033	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8035	DMEPOS	$3,893.72	$3,893.72
L8039	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8040	DMEPOS	$2,568.99	$2,568.99
L8041	DMEPOS	$3,096.44	$3,096.44
L8042	DMEPOS	$3,479.11	$3,479.11
L8043	DMEPOS	$3,896.61	$3,896.61
L8044	DMEPOS	$4,314.09	$4,314.09
L8045	DMEPOS	$2,701.61	$2,701.61
L8046	DMEPOS	$2,783.30	$2,783.30
L8047	DMEPOS	$1,426.42	$1,426.42
L8048	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8049	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8300	DMEPOS	$102.36	$102.36
L8310	DMEPOS	$157.39	$157.39
L8320	DMEPOS	$68.74	$68.74
L8330	DMEPOS	$68.14	$68.14
L8400	DMEPOS	$19.93	$19.93
L8410	DMEPOS	$22.66	$22.66
L8415	DMEPOS	$22.53	$22.53
L8417	DMEPOS	$79.92	$79.92
L8420	DMEPOS	$26.34	$26.34
L8430	DMEPOS	$28.97	$28.97
L8435	DMEPOS	$25.99	$25.99
L8440	DMEPOS	$55.10	$55.10
L8460	DMEPOS	$76.69	$76.69
L8465	DMEPOS	$68.35	$68.35
L8470	DMEPOS	$7.01	$7.01
L8480	DMEPOS	$9.67	$9.67
L8485	DMEPOS	$11.69	$11.69
L8499	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8500	DMEPOS	$693.60	$693.60
L8501	DMEPOS	$154.03	$154.03
L8505	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8507	DMEPOS	$44.52	$44.52
L8509	DMEPOS	$116.08	$116.08
L8510	DMEPOS	$268.58	$268.58
L8511	DMEPOS	$77.30	$77.30
L8512	DMEPOS	$2.32	$2.32
L8513	DMEPOS	$5.55	$5.55
L8514	DMEPOS	$100.22	$100.22
L8515	DMEPOS	$67.07	$67.07
L8600	DMEPOS	$656.28	$656.28
L8603	DMEPOS	$460.91	$460.91
L8604	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8605	DMEPOS	$761.23	$761.23
L8606	DMEPOS	$241.94	$241.94
L8607	DMEPOS	$45.60	$45.60
L8608	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8609	DMEPOS	$6,924.66	$6,924.66
L8610	DMEPOS	$673.19	$673.19
L8612	DMEPOS	$710.00	$710.00
L8613	DMEPOS	$317.87	$317.87
L8614	DMEPOS	$20,120.61	$20,120.61
L8615	DMEPOS	$479.34	$479.34
L8616	DMEPOS	$111.65	$111.65
L8617	DMEPOS	$97.55	$97.55
L8618	DMEPOS	$27.86	$27.86
L8619	DMEPOS	$8,630.98	$8,630.98
L8621	DMEPOS	$0.65	$0.65
L8622	DMEPOS	$0.34	$0.34
L8623	DMEPOS	$68.74	$68.74
L8624	DMEPOS	$171.37	$171.37
L8625	DMEPOS	$200.73	$200.73
L8627	DMEPOS	$7,316.21	$7,316.21
L8628	DMEPOS	$1,314.80	$1,314.80
L8629	DMEPOS	$190.29	$190.29
L8630	DMEPOS	$354.08	$354.08
L8631	DMEPOS	$2,376.25	$2,376.25
L8641	DMEPOS	$384.31	$384.31
L8642	DMEPOS	$315.46	$315.46
L8658	DMEPOS	$329.69	$329.69
L8659	DMEPOS	$2,050.86	$2,050.86
L8670	DMEPOS	$585.04	$585.04
L8679	DMEPOS	$8,868.12	$8,868.12
L8680	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8681	DMEPOS	$1,200.41	$1,200.41
L8682	DMEPOS	$6,336.10	$6,336.10
L8683	DMEPOS	$5,577.19	$5,577.19
L8684	DMEPOS	$732.39	$732.39
L8685	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8686	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8687	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8688	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8689	DMEPOS	$1,833.27	$1,833.27
L8690	DMEPOS	$5,055.94	$5,055.94
L8691	DMEPOS	$1,830.32	$1,830.32
L8692	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8693	DMEPOS	$1,611.56	$1,611.56
L8694	DMEPOS	$1,003.72	$1,003.72
L8695	DMEPOS	$17.70	$17.70
L8696	DMEPOS	$230.38	$230.38
L8698	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8699	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8701	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L8702	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
L9900	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0075	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0076	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0201	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0220	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0221	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0240	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0241	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0243	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0244	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0245	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0246	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0247	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0248	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0249	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M0301	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M1003	Other professional services	$0.00	$0.00
M1004	Other professional services	$0.00	$0.00
M1005	Other professional services	$0.00	$0.00
M1006	Other professional services	$0.00	$0.00
M1007	Other professional services	$0.00	$0.00
M1008	Other professional services	$0.00	$0.00
M1009	Other professional services	$0.00	$0.00
M1010	Other professional services	$0.00	$0.00
M1011	Other professional services	$0.00	$0.00
M1012	Other professional services	$0.00	$0.00
M1013	Other professional services	$0.00	$0.00
M1014	Other professional services	$0.00	$0.00
M1016	Other professional services	$0.00	$0.00
M1017	Other professional services	$0.00	$0.00
M1018	Other professional services	$0.00	$0.00
M1019	Other professional services	$0.00	$0.00
M1020	Other professional services	$0.00	$0.00
M1021	Other professional services	$0.00	$0.00
M1027	Other professional services	$0.00	$0.00
M1028	Other professional services	$0.00	$0.00
M1029	Other professional services	$0.00	$0.00
M1032	Other professional services	$0.00	$0.00
M1034	Other professional services	$0.00	$0.00
M1035	Other professional services	$0.00	$0.00
M1036	Other professional services	$0.00	$0.00
M1037	Other professional services	$0.00	$0.00
M1038	Other professional services	$0.00	$0.00
M1039	Other professional services	$0.00	$0.00
M1040	Other professional services	$0.00	$0.00
M1041	Other professional services	$0.00	$0.00
M1043	Other professional services	$0.00	$0.00
M1045	Other professional services	$0.00	$0.00
M1046	Other professional services	$0.00	$0.00
M1049	Other professional services	$0.00	$0.00
M1051	Other professional services	$0.00	$0.00
M1052	Other professional services	$0.00	$0.00
M1054	Other professional services	$0.00	$0.00
M1055	Other professional services	$0.00	$0.00
M1056	Other professional services	$0.00	$0.00
M1057	Other professional services	$0.00	$0.00
M1058	Other professional services	$0.00	$0.00
M1059	Other professional services	$0.00	$0.00
M1060	Other professional services	$0.00	$0.00
M1067	Other professional services	$0.00	$0.00
M1068	Other professional services	$0.00	$0.00
M1069	Other professional services	$0.00	$0.00
M1070	Other professional services	$0.00	$0.00
M1071	Other professional services	$0.00	$0.00
M1106	Other professional services	$0.00	$0.00
M1107	Other professional services	$0.00	$0.00
M1108	Other professional services	$0.00	$0.00
M1109	Other professional services	$0.00	$0.00
M1110	Other professional services	$0.00	$0.00
M1111	Other professional services	$0.00	$0.00
M1112	Other professional services	$0.00	$0.00
M1113	Other professional services	$0.00	$0.00
M1114	Other professional services	$0.00	$0.00
M1115	Other professional services	$0.00	$0.00
M1116	Other professional services	$0.00	$0.00
M1117	Other professional services	$0.00	$0.00
M1118	Other professional services	$0.00	$0.00
M1119	Other professional services	$0.00	$0.00
M1120	Other professional services	$0.00	$0.00
M1121	Other professional services	$0.00	$0.00
M1122	Other professional services	$0.00	$0.00
M1123	Other professional services	$0.00	$0.00
M1124	Other professional services	$0.00	$0.00
M1125	Other professional services	$0.00	$0.00
M1126	Other professional services	$0.00	$0.00
M1127	Other professional services	$0.00	$0.00
M1128	Other professional services	$0.00	$0.00
M1129	Other professional services	$0.00	$0.00
M1130	Other professional services	$0.00	$0.00
M1131	Other professional services	$0.00	$0.00
M1132	Other professional services	$0.00	$0.00
M1133	Other professional services	$0.00	$0.00
M1134	Other professional services	$0.00	$0.00
M1135	Other professional services	$0.00	$0.00
M1141	Other professional services	$0.00	$0.00
M1142	Other professional services	$0.00	$0.00
M1143	Other professional services	$0.00	$0.00
M1145	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
M1146	Other professional services	$0.00	$0.00
M1147	Other professional services	$0.00	$0.00
M1148	Other professional services	$0.00	$0.00
M1149	Other professional services	$0.00	$0.00
P2028	Clinical Laboratory	$7.43	$7.43
P2029	Clinical Laboratory	$7.43	$7.43
P2031	Clinical Laboratory	$7.43	$7.43
P2033	Clinical Laboratory	$7.43	$7.43
P2038	Clinical Laboratory	$7.43	$7.43
P3000	Clinical Laboratory	$23.88	$23.88
P3001	Clinical Laboratory	$32.22	$32.22
P7001	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9010	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9011	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9012	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9016	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9017	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9019	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9020	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9021	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9022	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9023	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9025	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9026	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9031	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9032	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9033	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9034	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9035	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9036	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9037	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9038	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9039	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9040	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9041	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9043	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9044	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9045	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9046	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9047	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9048	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9050	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9051	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9052	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9053	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9054	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9055	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9056	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9057	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9058	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9059	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9060	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9070	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9071	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9073	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9099	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9603	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9604	Clinical Laboratory	UCR or Pay Per Agreement	UCR or Pay Per Agreement
P9612	Clinical Laboratory	$4.50	$4.50
P9615	Clinical Laboratory	$4.50	$4.50
Q0035	Other professional services	$25.10	$25.10
Q0035-26	Other professional services	$12.14	$12.14
Q0035-TC	Other professional services	$12.95	$12.95
Q0081	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0083	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0084	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0085	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0091	Other professional services	$62.34	$27.65
Q0092	Other professional services	$33.18	$33.18
Q0111	Clinical Laboratory	$23.88	$23.88
Q0112	Clinical Laboratory	$8.75	$8.75
Q0113	Clinical Laboratory	$6.41	$6.41
Q0114	Clinical Laboratory	$14.61	$14.61
Q0115	Clinical Laboratory	$37.50	$37.50
Q0138	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0139	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0144	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0161	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0162	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0163	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0164	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0166	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0167	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0169	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0173	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0174	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0175	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0177	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0181	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0220	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0240	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0243	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0244	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0245	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0247	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0249	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0477	DMEPOS	$824.60	$824.60
Q0478	DMEPOS	$195.30	$195.30
Q0479	DMEPOS	$12,735.37	$12,735.37
Q0480	DMEPOS	$95,721.17	$95,721.17
Q0481	DMEPOS	$15,443.52	$15,443.52
Q0482	DMEPOS	$4,837.21	$4,837.21
Q0483	DMEPOS	$19,927.05	$19,927.05
Q0484	DMEPOS	$3,869.78	$3,869.78
Q0485	DMEPOS	$373.62	$373.62
Q0486	DMEPOS	$310.95	$310.95
Q0487	DMEPOS	$362.79	$362.79
Q0488	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0489	DMEPOS	$17,275.67	$17,275.67
Q0490	DMEPOS	$747.27	$747.27
Q0491	DMEPOS	$1,174.76	$1,174.76
Q0492	DMEPOS	$94.67	$94.67
Q0493	DMEPOS	$269.44	$269.44
Q0494	DMEPOS	$228.01	$228.01
Q0495	DMEPOS	$4,439.45	$4,439.45
Q0496	DMEPOS	$1,593.40	$1,593.40
Q0497	DMEPOS	$497.52	$497.52
Q0498	DMEPOS	$545.90	$545.90
Q0499	DMEPOS	$177.38	$177.38
Q0500	DMEPOS	$32.45	$32.45
Q0501	DMEPOS	$542.76	$542.76
Q0502	DMEPOS	$691.00	$691.00
Q0503	DMEPOS	$1,382.03	$1,382.03
Q0504	DMEPOS	$729.25	$729.25
Q0506	DMEPOS	$907.77	$907.77
Q0507	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0508	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0509	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0511	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0512	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0513	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0514	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q0515	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q1004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q1005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2009	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2026	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2038	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2039	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2041	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2042	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2043	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2049	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2052	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2053	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2054	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q2055	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q3001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q3014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q3027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q3028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q3031	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4001	DMEPOS	$53.54	$53.54
Q4002	DMEPOS	$202.29	$202.29
Q4003	DMEPOS	$38.44	$38.44
Q4004	DMEPOS	$133.09	$133.09
Q4005	DMEPOS	$14.18	$14.18
Q4006	DMEPOS	$31.94	$31.94
Q4007	DMEPOS	$7.08	$7.08
Q4008	DMEPOS	$15.96	$15.96
Q4009	DMEPOS	$9.47	$9.47
Q4010	DMEPOS	$21.29	$21.29
Q4011	DMEPOS	$4.72	$4.72
Q4012	DMEPOS	$10.67	$10.67
Q4013	DMEPOS	$17.23	$17.23
Q4014	DMEPOS	$29.05	$29.05
Q4015	DMEPOS	$8.63	$8.63
Q4016	DMEPOS	$14.52	$14.52
Q4017	DMEPOS	$9.95	$9.95
Q4018	DMEPOS	$15.87	$15.87
Q4019	DMEPOS	$4.99	$4.99
Q4020	DMEPOS	$7.97	$7.97
Q4021	DMEPOS	$7.37	$7.37
Q4022	DMEPOS	$13.30	$13.30
Q4023	DMEPOS	$3.71	$3.71
Q4024	DMEPOS	$6.66	$6.66
Q4025	DMEPOS	$41.31	$41.31
Q4026	DMEPOS	$129.04	$129.04
Q4027	DMEPOS	$20.68	$20.68
Q4028	DMEPOS	$64.56	$64.56
Q4029	DMEPOS	$31.61	$31.61
Q4030	DMEPOS	$83.20	$83.20
Q4031	DMEPOS	$15.79	$15.79
Q4032	DMEPOS	$41.60	$41.60
Q4033	DMEPOS	$29.49	$29.49
Q4034	DMEPOS	$73.31	$73.31
Q4035	DMEPOS	$14.74	$14.74
Q4036	DMEPOS	$36.68	$36.68
Q4037	DMEPOS	$17.96	$17.96
Q4038	DMEPOS	$45.05	$45.05
Q4039	DMEPOS	$9.02	$9.02
Q4040	DMEPOS	$22.52	$22.52
Q4041	DMEPOS	$21.87	$21.87
Q4042	DMEPOS	$37.33	$37.33
Q4043	DMEPOS	$10.94	$10.94
Q4044	DMEPOS	$18.69	$18.69
Q4045	DMEPOS	$12.70	$12.70
Q4046	DMEPOS	$20.41	$20.41
Q4047	DMEPOS	$6.32	$6.32
Q4048	DMEPOS	$10.22	$10.22
Q4049	DMEPOS	$2.30	$2.30
Q4050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4051	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4074	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4081	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4082	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4101	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4102	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4103	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4104	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4105	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4106	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4107	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4108	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4111	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4112	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4113	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4114	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4115	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4116	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4117	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4118	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4121	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4122	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4123	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4124	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4125	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4126	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4127	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4128	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4132	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4133	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4134	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4135	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4136	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4137	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4138	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4139	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4141	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4142	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4143	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4145	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4146	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4147	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4148	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4149	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4151	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4152	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4153	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4154	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4155	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4156	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4157	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4158	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4159	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4161	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4162	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4163	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4164	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4165	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4166	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4167	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4168	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4169	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4170	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4171	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4173	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4174	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4175	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4176	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4177	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4178	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4179	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4181	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4182	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4183	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4184	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4185	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4186	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4187	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4188	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4189	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4191	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4192	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4193	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4194	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4195	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4196	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4197	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4198	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4200	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4201	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4202	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4203	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4204	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4205	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4206	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4209	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4211	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4213	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4214	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4216	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4217	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4218	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4219	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4220	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4221	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4222	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4226	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4227	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4229	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4230	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4231	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4232	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4233	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4234	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4235	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4237	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4238	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4239	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4240	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4241	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4242	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4244	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4245	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4246	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4247	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4248	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4249	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4250	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4251	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4252	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4253	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4254	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q4255	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5006	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5007	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5008	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5009	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5101	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5103	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5104	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5105	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5106	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5107	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5108	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5109	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5111	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5112	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5113	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5114	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5115	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5116	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5117	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5118	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5119	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5121	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5122	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q5123	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9950	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9951	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9953	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9954	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9955	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9956	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9957	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9958	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9959	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9960	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9961	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9962	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9963	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9964	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9965	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9966	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9967	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9968	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9969	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9982	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9983	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9991	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
Q9992	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
R0070	Other professional services	$273.30	$273.30
R0075	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
R0076	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0013	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0032	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0039	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0073	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0074	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0077	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0078	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0080	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0081	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0088	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0090	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0091	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0092	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0093	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0104	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0106	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0108	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0109	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0117	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0119	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0122	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0126	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0128	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0132	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0136	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0137	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0138	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0139	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0142	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0145	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0148	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0155	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0156	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0157	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0164	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0166	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0169	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0170	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0171	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0172	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0174	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0175	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0176	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0177	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0178	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0179	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0182	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0183	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0187	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0189	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0191	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0194	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0197	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0201	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0207	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0209	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0220	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0221	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0255	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0257	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0265	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0271	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0272	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0273	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0274	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0280	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0281	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0285	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0302	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0310	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0311	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0315	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0316	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0317	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0320	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0340	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0341	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0342	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0353	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0354	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0390	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0395	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0400	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0500	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0504	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0506	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0508	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0510	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0512	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0514	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0515	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0516	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0518	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0580	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0581	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0590	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0592	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0595	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0596	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0601	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0610	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0612	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0613	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0618	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0620	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0621	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0622	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0630	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0800	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0810	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S0812	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1031	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S1091	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2053	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2054	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2055	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2060	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2061	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2065	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2066	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2067	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2068	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2070	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2079	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2080	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2083	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2095	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2102	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2103	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2107	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2112	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2115	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2117	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2118	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2142	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2152	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2202	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2205	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2206	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2207	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2209	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2225	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2230	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2235	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2265	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2266	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2267	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2300	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2325	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2340	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2341	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2342	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2348	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2350	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2351	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2400	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2401	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2402	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2403	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2404	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2405	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2409	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2411	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S2900	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3601	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3620	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3630	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3645	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3650	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3652	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3655	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3708	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3722	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3800	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3840	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3841	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3842	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3844	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3845	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3846	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3849	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3850	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3852	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3853	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3854	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3861	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3865	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3866	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3870	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3900	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3902	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S3904	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4018	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4026	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4031	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4042	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4981	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4989	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4990	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4991	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4993	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S4995	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5101	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5102	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5105	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5108	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5109	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5111	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5115	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5116	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5121	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5125	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5126	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5131	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5135	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5136	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5141	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5145	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5146	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5151	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5161	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5162	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5165	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5170	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5175	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5180	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5181	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5185	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5497	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5498	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5501	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5502	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5517	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5518	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5520	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5521	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5522	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5523	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5550	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5551	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5552	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5553	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5560	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5561	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5565	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5566	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5570	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S5571	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8042	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8055	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8080	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8085	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8092	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8096	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8097	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8101	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8121	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8131	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8185	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8186	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8189	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8210	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8265	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8301	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8415	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8420	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8421	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8422	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8423	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8424	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8425	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8426	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8427	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8428	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8429	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8430	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8431	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8450	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8451	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8452	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8460	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8490	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8930	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8940	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8948	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8950	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8990	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S8999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9007	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9024	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9055	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9056	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9061	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9083	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9088	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9090	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9097	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9098	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9117	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9122	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9123	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9124	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9125	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9126	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9127	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9128	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9129	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9131	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9141	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9145	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9152	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9208	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9209	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9211	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9213	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9214	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9325	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9326	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9327	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9328	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9329	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9330	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9331	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9335	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9336	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9338	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9339	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9340	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9341	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9342	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9343	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9345	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9346	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9347	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9348	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9349	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9351	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9353	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9355	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9357	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9359	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9361	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9363	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9364	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9365	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9366	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9367	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9368	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9370	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9372	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9373	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9374	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9375	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9376	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9377	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9379	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9381	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9401	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9430	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9432	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9433	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9434	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9435	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9436	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9437	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9438	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9439	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9441	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9442	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9443	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9444	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9445	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9446	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9447	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9449	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9451	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9452	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9453	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9454	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9455	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9460	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9465	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9470	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9472	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9473	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9474	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9475	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9476	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9480	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9482	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9484	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9485	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9490	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9494	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9497	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9500	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9501	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9502	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9503	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9504	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9529	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9537	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9538	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9542	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9558	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9559	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9560	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9562	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9590	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9810	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9900	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9901	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9960	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9961	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9970	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9975	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9976	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9977	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9981	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9982	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9986	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9988	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9989	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9990	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9991	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9992	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9994	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9996	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
S9999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1000	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1006	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1007	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1009	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1018	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1019	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1024	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1026	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1029	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1031	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1041	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1502	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1503	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1505	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T1999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2002	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2003	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2004	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2005	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2007	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2012	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2013	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2015	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2016	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2017	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2018	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2019	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2021	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2022	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2023	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2024	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2026	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2027	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2028	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2029	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2031	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2032	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2033	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2034	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2035	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2036	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2037	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2038	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2039	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2041	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2042	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2043	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2044	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2045	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2046	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2047	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2048	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2049	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T2101	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4521	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4522	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4523	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4524	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4525	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4526	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4527	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4528	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4529	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4530	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4531	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4532	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4533	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4534	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4535	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4536	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4537	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4538	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4539	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4540	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4541	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4542	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4543	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4544	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T4545	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T5001	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
T5999	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
U0001	Clinical Laboratory	$53.88	$53.88
U0002	Clinical Laboratory	$76.97	$76.97
U0003	Clinical Laboratory	$112.50	$112.50
U0004	Clinical Laboratory	$112.50	$112.50
U0005	Clinical Laboratory	$37.50	$37.50
V2020	DMEPOS	$84.71	$84.71
V2025	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2100	DMEPOS	$41.17	$41.17
V2101	DMEPOS	$43.38	$43.38
V2102	DMEPOS	$61.53	$61.53
V2103	DMEPOS	$35.74	$35.74
V2104	DMEPOS	$39.59	$39.59
V2105	DMEPOS	$48.47	$48.47
V2106	DMEPOS	$49.19	$49.19
V2107	DMEPOS	$51.70	$51.70
V2108	DMEPOS	$50.14	$50.14
V2109	DMEPOS	$57.64	$57.64
V2110	DMEPOS	$67.27	$67.27
V2111	DMEPOS	$59.29	$59.29
V2112	DMEPOS	$58.52	$58.52
V2113	DMEPOS	$80.83	$80.83
V2114	DMEPOS	$71.51	$71.51
V2115	DMEPOS	$77.74	$77.74
V2118	DMEPOS	$77.07	$77.07
V2121	DMEPOS	$79.57	$79.57
V2199	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2200	DMEPOS	$53.88	$53.88
V2201	DMEPOS	$58.72	$58.72
V2202	DMEPOS	$69.11	$69.11
V2203	DMEPOS	$54.36	$54.36
V2204	DMEPOS	$58.94	$58.94
V2205	DMEPOS	$64.67	$64.67
V2206	DMEPOS	$78.74	$78.74
V2207	DMEPOS	$65.72	$65.72
V2208	DMEPOS	$66.53	$66.53
V2209	DMEPOS	$73.17	$73.17
V2210	DMEPOS	$94.15	$94.15
V2211	DMEPOS	$80.28	$80.28
V2212	DMEPOS	$87.36	$87.36
V2213	DMEPOS	$89.59	$89.59
V2214	DMEPOS	$96.02	$96.02
V2215	DMEPOS	$103.91	$103.91
V2218	DMEPOS	$106.31	$106.31
V2219	DMEPOS	$46.79	$46.79
V2220	DMEPOS	$37.95	$37.95
V2221	DMEPOS	$101.39	$101.39
V2299	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2300	DMEPOS	$69.97	$69.97
V2301	DMEPOS	$81.15	$81.15
V2302	DMEPOS	$88.89	$88.89
V2303	DMEPOS	$73.65	$73.65
V2304	DMEPOS	$77.07	$77.07
V2305	DMEPOS	$94.52	$94.52
V2306	DMEPOS	$88.13	$88.13
V2307	DMEPOS	$87.38	$87.38
V2308	DMEPOS	$93.24	$93.24
V2309	DMEPOS	$109.08	$109.08
V2310	DMEPOS	$119.99	$119.99
V2311	DMEPOS	$114.28	$114.28
V2312	DMEPOS	$100.73	$100.73
V2313	DMEPOS	$137.49	$137.49
V2314	DMEPOS	$150.61	$150.61
V2315	DMEPOS	$167.20	$167.20
V2318	DMEPOS	$154.16	$154.16
V2319	DMEPOS	$52.19	$52.19
V2320	DMEPOS	$55.06	$55.06
V2321	DMEPOS	$164.81	$164.81
V2399	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2410	DMEPOS	$94.24	$94.24
V2430	DMEPOS	$122.68	$122.68
V2499	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2500	DMEPOS	$85.42	$85.42
V2501	DMEPOS	$130.12	$130.12
V2502	DMEPOS	$160.30	$160.30
V2503	DMEPOS	$153.38	$153.38
V2510	DMEPOS	$116.61	$116.61
V2511	DMEPOS	$167.55	$167.55
V2512	DMEPOS	$197.98	$197.98
V2513	DMEPOS	$166.21	$166.21
V2520	DMEPOS	$109.60	$109.60
V2521	DMEPOS	$190.83	$190.83
V2522	DMEPOS	$185.71	$185.71
V2523	DMEPOS	$158.26	$158.26
V2524	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2530	DMEPOS	$234.40	$234.40
V2531	DMEPOS	$575.45	$575.45
V2599	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2600	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2610	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2615	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2623	DMEPOS	$943.39	$943.39
V2624	DMEPOS	$63.98	$63.98
V2625	DMEPOS	$414.43	$414.43
V2626	DMEPOS	$262.93	$262.93
V2627	DMEPOS	$1,505.27	$1,505.27
V2628	DMEPOS	$344.16	$344.16
V2629	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2630	DMEPOS	$125.10	$125.10
V2631	DMEPOS	$125.10	$125.10
V2632	DMEPOS	$125.10	$125.10
V2700	DMEPOS	$46.04	$46.04
V2702	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2710	DMEPOS	$67.39	$67.39
V2715	DMEPOS	$12.22	$12.22
V2718	DMEPOS	$30.01	$30.01
V2730	DMEPOS	$22.16	$22.16
V2744	DMEPOS	$22.99	$22.99
V2745	DMEPOS	$13.03	$13.03
V2750	DMEPOS	$26.74	$26.74
V2755	DMEPOS	$19.33	$19.33
V2756	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2760	DMEPOS	$16.83	$16.83
V2761	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2762	DMEPOS	$63.36	$63.36
V2770	DMEPOS	$21.73	$21.73
V2780	DMEPOS	$17.56	$17.56
V2781	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2782	DMEPOS	$68.41	$68.41
V2783	DMEPOS	$77.14	$77.14
V2784	DMEPOS	$50.16	$50.16
V2785	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2786	DMEPOS	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2787	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2788	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2790	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2797	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V2799	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5008	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5010	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5011	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5014	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5020	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5030	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5040	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5050	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5060	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5070	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5080	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5090	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5095	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5100	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5110	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5120	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5130	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5140	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5150	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5160	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5171	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5172	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5181	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5190	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5200	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5211	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5212	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5213	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5214	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5215	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5221	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5230	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5240	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5241	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5242	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5243	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5244	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5245	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5246	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5247	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5248	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5249	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5250	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5251	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5252	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5253	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5254	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5255	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5256	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5257	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5258	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5259	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5260	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5261	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5262	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5263	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5264	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5265	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5266	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5267	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5268	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5269	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5270	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5271	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5272	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5273	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5274	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5275	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5281	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5282	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5283	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5284	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5285	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5286	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5287	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5288	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5289	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5290	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5298	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5299	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5336	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5362	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5363	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement
V5364	Other professional services	UCR or Pay Per Agreement	UCR or Pay Per Agreement

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Medical Fee Schedule Eff. January 1, 2022

North Carolina Industrial Commission
Workers' Compensation Fee Schedule
Fees Effective January 1, 2022

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North Carolina Industrial CommissionWorkers' Compensation Fee ScheduleFees Effective January 1, 2022

North Carolina Industrial Commission
Workers' Compensation Fee Schedule
Fees Effective January 1, 2022