Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates; Correction, 50680-50886 [05-16699]

Agencies

• Centers for Medicare & Medicaid Services
• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 70, Number 165 (Friday, August 26, 2005)]
[Proposed Rules]
[Pages 50680-50886]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-16699]



[[Page 50679]]

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Part III

Book 2 of 2 Books

Pages 50679-50948





Department of Health and Human Services





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Centers for Medicare & Medicaid Services



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42 CFR Parts 419 and 485



Medicare Program; Proposed Changes to the Hospital Outpatient 
Prospective Payment System and Calendar Year 2006 Payment Rates; 
Correction; Proposed Rule

Federal Register / Vol. 70, No. 165 / Friday, August 26, 2005 / 
Proposed Rules

[[Page 50680]]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 419 and 485

[CMS-1501-CN]
RIN 0938-AN46


Medicare Program; Proposed Changes to the Hospital Outpatient 
Prospective Payment System and Calendar Year 2006 Payment Rates; 
Correction

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Proposed rule; correction.

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SUMMARY: This document corrects technical errors that appeared in the 
proposed rule published in the Federal Register on July 25, 2005 
entitled ``Medicare Program; Proposed Changes to the Hospital 
Outpatient Prospective Payment System and Calendar Year 2006 Payment 
Rates; Proposed Rule.''

FOR FURTHER INFORMATION CONTACT: Rebecca Kane, (410) 786-0378.

SUPPLEMENTARY INFORMATION: 

I. Background

    FR Doc. 05-14448 contains our proposed rule to update the Medicare 
Outpatient Prospective Payment System for calendar year (CY) 2006. We 
have identified a number of technical errors in the ``Summary of 
Errors'' section and are correcting them in the ``Correction of 
Errors'' section below.

II. Summary of Errors

A. Corrections Related to the Rural Adjustment Calculation

    The calendar year (CY) 2006 Outpatient Prospective Payment System 
(OPPS) proposed rule that we published in the Federal Register on July 
25, 2005 included a proposed 6.6 percent adjustment for rural sole 
community hospitals. The calculations used to develop the conversion 
factor and budget neutrality scalar inadvertently incorporated this 
adjustment as 6.4 percent. The rural adjustment is used in calculations 
that determine the scalar and conversion factor, and therefore affects 
the payment rates and copayment amounts published in the proposed rule. 
The corrected scalar is 1.003753831, and the corrected conversion 
factor is $59.343. The various changes to the preamble are specified 
under section III. of this correction notice. In addition to preamble 
text changes, we are correcting specific tables and addenda which also 
reflected the inadvertent use of a 6.4 percent rural adjustment factor, 
which we have described below.
    On page 42709, we published Table 11. We are correcting the last 
column of this table to present the corrected proposed CY 2006 payment 
amounts. In section III. of this notice, we republish Table 11 as 
corrected.
    On pages 42761-42762, we published Table 33. In section III. of 
this notice, we republish Table 33 as corrected.
    On pages 42764-42775, we published Addendum A, which provides the 
payment rates and copayment amounts for Ambulatory Payment 
Classification (APC) groups used for payment purposes under the OPPS. A 
corrected Addendum A is posted on the OPPS Web site at https://
www.cms.hhs.gov/providers/hopps/2006p/1501p.asp.
    On pages 42776-42965, we published Addendum B, which provides the 
payment rates and copayment amounts for services payable under OPPS. A 
corrected Addendum B, including additional technical errors affecting 
HCPCS codes 78814, 78815, 78816, 91035, and 95950 is posted on the OPPS 
Web site at https://www.cms.hhs.gov/providers/hopps/2006p/1501p.asp.
    We are posting the corrected Addendum A and Addendum B on our Web 
site rather than publishing them in this notice because of the large 
volume of data included in these addenda. Hard copies of these tables 
are available by contacting the CMS staff member identified above.
    We note that as soon as we discovered these inadvertent errors that 
affected the payment rates noted in the proposed rule, we posted the 
corrections on the CMS Web site at: https://www.cms.hhs.gov/providers/
hopps/2006p/1501p.asp.

B. Other Corrections

    We also noted other typographical, formatting, and other technical 
errors in the proposed rule.
    On page 42714, we published Table 15. The proposed ``unadjusted'' 
and ``adjusted'' CY 2006 APC median cost for APC 0085 Level II 
Electrophysiologic Evaluation contained a typographical error and 
should read $2,123.38. We are correcting this under section III. of 
this notice.
    On page 42761, column 2 includes a comparison that discusses the 
differences in copayments from CY 2005 to CY 2006. While the analysis 
of this example is correct, the example incorrectly identifies the 
comparison as being the ``minimum unadjusted copayment'' rather than 
the ``national unadjusted copayment''. We are making this correction 
under section III. of this notice to refer to the ``national unadjusted 
copayment''.
    On page 42737, we published Table 26, which inadvertently excluded 
C2636 (Brachytherapy linear source, Palladium -103, per 1 mm) which was 
accurately described in the text of page 42736 as a proposed separately 
payable brachytherapy source. In section III. of the notice we append 
the excluded row to correct table 26 as published.
    The other technical, typographical, formatting, and other errors 
that appeared on various other pages of the Federal Register are 
corrected as noted in section III. of this notice.

III. Correction of Errors

    In FR Doc. 05-14448 of July 25, 2005 (70 FR 42674), make the 
following corrections:
    1. On page 42690, in column 3, in the last paragraph, in line 20, 
the figure ``0.999207669'' is corrected to read ``1.003753831''.
    2. On page 42691, in column 1, in the second full paragraph, line 
8, the year ``2006'' is corrected to read ``2007''.
    3. On page 42694,
    a. In column 1, in the second full paragraph, in line 8, the figure 
``$240.51'' is corrected to read ``$241.57''.
    b. In column 1, in the second full paragraph, in line 8, the figure 
``$48.10'' is corrected to read ``$48.31''.
    c. In column 3, in the third full paragraph, in line 8, the figure 
``1.002015212'' is corrected to read ``1.002023412''.
    d. In column 3, in the third full paragraph, in line 18, the figure 
``0.99652023'' is corrected to read ``0.99639633''.
    e. In column 3, in the last partial paragraph, in line 5, the 
figure ``1.002015212'' is corrected to read ``1.002023412''.
    4. On page 42695,
    a. In column 1, in the first partial paragraph, in line 5, the 
figure ``0.99652023'' is corrected to read ``0.99639633''.
    b. In column 1, in the first partial paragraph, in line 7, the 
figure ``$59.350'' is corrected to read ``$59.343''.
    5. On page 42703,
    a. In column 1, in the second full paragraph, in line 5, the figure 
``$9.95'' is corrected to read ``$7.00''.
    b. In column 1, in the second full paragraph, in line 5, the figure 
``40'' is corrected to read ``28''.
    c. In column 1, in the second full paragraph, in line 6, the figure 
``$24.89'' is corrected to read ``$25.00''.
    6. On page 42709,

[[Page 50681]]

    a. In column 1, in the first full paragraph, in line 22, the figure 
``$1,297'' is corrected to read ``$1,274''.
    b. In column 1, in the first full paragraph, in line 23, the figure 
``$1,366'' is corrected to read ``$1,244''.
    c. In column 1, in the first full paragraph, in line 25, the figure 
``$1,100'' is corrected to read ``$1,025''.
    d. Table 11 is corrected to read as follows:

        Table 11.--Proposed APC Reassignment of New Technology Procedures Into Clinical APCs for CY 2006
----------------------------------------------------------------------------------------------------------------
                                                                                                       Proposed
                                     CY 2005   CY 2005 status    Proposed  Proposed CY 2006  CY 2005    CY 2006
     HCPCS           Descriptor        APC        indicator      CY 2006        status       payment    payment
                                                                   APC         indicator      amount    amount
----------------------------------------------------------------------------------------------------------------
0027T..........  Endoscopic             1547  T                      0220  T                    $850   $1,030.11
                  epidural lysis.
33225..........  L ventric pacing       1525  S                      0418  T                   3,750    6,486.45
                  lead add-on.
61623..........  Endovasc tempory       1555  T                      0081  T                   1,650    2,044.21
                  vessel occl.
92974..........  Cath place, cardio     1559  T                      0103  T                   2,250      873.18
                  brachytx.
93580..........  Transcath closure      1559  T                      0434  T                   2,250    5,387.61
                  of asd.
93581..........  Transcath closure      1559  T                      0434  T                   2,250    5,387.61
                  of vsd.
95965..........  Meg, spontaneous..     1528  S                      0430  T                   5,250      676.75
95966..........  Meg, evoked,           1516  S                      0430  T                   1,450      676.75
                  single.
95967..........  Meg, evoked, each      1511  S                      0430  T                     950      676.75
                  add'l.
C9713..........  Non-contact laser      1525  S                      0429  T                   3,750    2,511.08
                  vap prosta.
----------------------------------------------------------------------------------------------------------------

    7. On page 42710, in column 2, in the first full paragraph, in line 
19, the figure ``$93.71'' is corrected to read ``$93.37''.
    8. On page 42714, Table 15, APC 0085, in columns 5 and 7, in row 7, 
both occurrences of the figure ``$2,123.46'' are corrected to read 
``$2,123.38''.
    9. On page 42737, Table 26, ``Proposed Separately payable 
Brachytherapy Sources for CY 2006'' is appended with the following row:

----------------------------------------------------------------------------------------------------------------
                                                                                                    New status
    HCPCS       Long descriptor     APC                          APC title                          indicator
----------------------------------------------------------------------------------------------------------------
C2636........  Brachytherapy        2636   Brachytx linear source, P-103.......................  H
                linear source,
                Palladium-103,
                per 1mm.
----------------------------------------------------------------------------------------------------------------

    10. On page 42756, in column 1, in the first partial paragraph, in 
line 5, the figure ``1.8'' is corrected to read ``1.7''.
    11. On page 42758, in column 2, in the third full paragraph, in 
line 13, the figure ``$59.35'' is corrected to read ``$59.34''.
    12. On page 42759,
    a. In column 1, in the first partial paragraph, in line 21, the 
figure ``5.8'' is corrected to read ``5.6''.
    b. In column 1, in the first partial paragraph, in line 31, the 
figure ``1.2'' is corrected to read ``1.3''.
    c. In column 1, in the first partial paragraph, in line 31, the 
figure ``1.8'' is corrected to read ``1.7''.
    d. In column 1, in the first partial paragraph, in line 36, the 
figure ``2.6'' is corrected to read ``2.5''.
    e. In column 1, in the second partial paragraph, in line 22, the 
figure ``2.9'' is corrected to read ``2.7''.
    f. In column 1, in the second partial paragraph, in line 25, the 
figure ``0.7'' is corrected to read ``0.6''.
    g. In column 1, in the second partial paragraph, in line 30, the 
text ``West South Central'' is corrected to read ``New England''.
    h. In column 2, in the first partial paragraph, in line 2, the 
figure ``1.9'' is corrected to read ``1.7''.
    i. In column 2, in the first partial paragraph, in line 2, the 
figure ``1.8'' is corrected to read ``1.6''.
    j. In column 2, in the first full paragraph, in line 4, the figure 
``0.4'' is corrected to read ``0.3''.
    k. In column 2, in the first full paragraph, in line 5, the figure 
``0.5'' is corrected to read ``0.3''.
    l. In column 2, in the first full paragraph, in line 9, the figure 
``0.9'' is corrected to read ``1.6''.
    m. In column 2, in the first full paragraph, in line 10, the figure 
``1.4'' is corrected to read ``2.2''.
    n. In column 2, in the first full paragraph, in line 21, the 
sentence portion ``1.3 percent and voluntary and government hospitals 
will gain at least 0.1 percent.'' is corrected to read ``1.1 percent, 
voluntary hospitals would gain 0.2 percent, and government hospitals 
will see no changes as a result of changes to APC structure.''
    o. In column 3, in the second full paragraph, in line 7, the figure 
``0.997'' is corrected to read ``0.996''.
    p. In column 3, in the second full paragraph, in line 10, the 
figure ``0.3'' is corrected to read ``0.4''.
    q. In column 3, in the second full paragraph, in line 13, the 
figure ``5.2'' is corrected to read ``5.4''.
    13. On page 42760,
    a. In column 1, in the first partial paragraph, in line 6, the 
figure ``0.3'' is corrected to read ``0.4''.
    b. In column 1, in the first full paragraph, in line 19, the figure 
``5.8'' is corrected to read ``5.6''.
    c. In column 1, in the first full paragraph, in line 24, the figure 
``-2.8'' is corrected to read ``-2.4''.
    d. In column 1, in the first full paragraph, in line 32, the figure 
``1.2'' is corrected to read ``1.3''.
    e. In column 1, in the first full paragraph, in line 35, the figure 
``0.3'' is corrected to read ``0.4''.
    f. In column 1, in the first full paragraph, in line 37, the figure 
``1.5'' is corrected to read ``1.4''.
    g. In column 1, in the last paragraph, in line 7, the figure 
``8.6'' is corrected to read ``8.7''.
    h. In column 1, in the third partial paragraph, in line 12, the 
figure ``5.0'' is corrected to read ``4.7''.
    i. In column 3, in the first partial paragraph, in line 6, the 
figure ``2.6'' is corrected to read ``2.5''.
    j. In column 3, in the first partial paragraph, in line 12, the 
figure ``2.1'' is corrected to read ``1.8''.
    k. In column 3, in the first partial paragraph, in line 32, the 
figure ``3.7'' is corrected to read ``3.6''.

[[Page 50682]]

    l. In column 3, in the first full paragraph, in line 11, the figure 
``3.4'' is corrected to read ``3.5''.
    m. In column 3, in the first full paragraph, in line 13, the figure 
``6.4'' is corrected to read ``6.5''.
    n. In column 3, in the first full paragraph, in line 30, the text 
``greater than'' is corrected to read ``of at least''.
    o. In column 3, in the first full paragraph, in lines 33 and 34, 
the figure ``only 1.0'' is corrected to read ``1.4'' and the text ``and 
0.8 percent, respectively.'' is appended to the end of the sentence.
    14. On page 42761
    a. In column 1, in the first partial paragraph, in line 3, the 
figure ``1.9'' is corrected to read ``2.6''.
    b. In column 1, in the first partial paragraph, in line 6, the 
figure ``2.6'' is corrected to read ``3.4''.
    c. In column 1, in the first partial paragraph, in line 11, the 
figure ``0.8'' is corrected to read ``0.6''.
    d. In column 1, in line 12, the designation for the heading 
``Estimated Impacts of This Proposed Rule on Beneficiaries'' is 
corrected from ``G'' to read ``F''.
    e. In column 1, in the second partial paragraph, in line 12, the 
figure ``$11.86'' is corrected to read ``$11.91''.
    f. In column 2, in the first partial paragraph, in lines 4 and 6, 
the term ``minimum'' is corrected to read ``national''.
    g. In column 2, in the first partial paragraph, in line 8, the 
figure ``$223.91'' is corrected to read ``$224.91''.
    h. Table 33 is corrected to read as follows:

        Table 33.--Impact of Proposed Changes for CY 2006 Hospital Outpatient Prospective Payment System
----------------------------------------------------------------------------------------------------------------
                                                                                             Cumulative
                                                                                   New adj      (Cols
                                                     Number of             New    for rural    2,3,4)
                 Hospital category                                APC      wage      sole       with       All
                                                     hospitals  changes   index   community    market    changes
                                                                                  hospitals    basket
                                                                                               update
                                                           (1)      (2)      (3)        (4)         (5)      (6)
----------------------------------------------------
ALL HOSPITALS......................................       4212      0.0      0.0        0.0         3.2      1.9
URBAN HOSPITALS....................................       2949      0.0      0.0       -0.4         2.8      1.6
    LARGE URBAN....................................       1624     -0.8      0.0       -0.4         2.0      0.8
    OTHER URBAN....................................       1325      1.0      0.0       -0.4         3.8      2.5
RURAL HOSPITALS....................................       1263     -0.1      0.1        1.8         5.0      3.5
    SOLE COMMUNITY.................................        478     -0.1      0.0        5.4         8.7      6.5
    OTHER RURAL....................................        785     -0.1      0.1       -0.4         2.8      1.6
BEDS (URBAN):
    0-99 BEDS......................................        917      0.0      0.2       -0.4         3.0      2.1
    100-199 BEDS...................................        964     -0.4      0.0       -0.4         2.5      1.5
    200-299 BEDS...................................        503      0.2      0.1       -0.4         3.2      2.4
    300-499 BEDS...................................        402     -0.1     -0.1       -0.4         2.6      1.5
    500 + BEDS.....................................        163      0.3      0.0       -0.4         3.1      1.0
BEDS (RURAL):
    0-49 BEDS......................................        551     -0.9      0.2        2.1         4.6      3.1
    50-100 BEDS....................................        419     -0.8      0.2        2.3         4.8      3.0
    101-149 BEDS...................................        180      1.4      0.0        1.1         5.8      4.7
    150-199 BEDS...................................         62     -0.2     -0.2        1.8         4.7      3.7
    200 + BEDS.....................................         51      0.1      0.0        1.7         5.1      3.1
VOLUME (URBAN):
    LT 5,000 claim lines...........................        600     -5.6      0.5       -0.4        -2.4     -1.8
    5,000-10,999...................................        180     -2.4      0.2       -0.4         0.5      0.6
    11,000-20,999..................................        299     -0.6      0.2       -0.4         2.4      2.5
    21,000-42,999..................................        575     -0.6      0.1       -0.4         2.3      1.9
    GT 42,999......................................       1295      0.2      0.0       -0.4         3.0      1.6
VOLUME (RURAL):
    LT 5,000 claim lines...........................        119     -2.7      0.0        1.4         1.7      1.4
    5,000-10,999...................................        195     -1.9      0.0        2.1         3.4      2.4
    11,000-20,999..................................        325     -0.9     -0.1        2.0         4.3      3.4
    21,000-42,999..................................        364     -0.9      0.2        1.9         4.5      3.0
    GT 42,999......................................        260      0.6      0.0        1.7         5.7      3.8
REGION (URBAN):
    NEW ENGLAND....................................        166     -1.3     -0.1       -0.4         1.4     -0.2
    MIDDLE ATLANTIC................................        393      0.6     -0.1       -0.4         3.4      2.1
    SOUTH ATLANTIC.................................        453     -0.4     -0.4       -0.4         2.0      1.0
    EAST NORTH CENT................................        466      0.4     -0.1       -0.4         3.2      1.7
    EAST SOUTH CENT................................        197      1.5      0.0       -0.4         4.4      3.4
    WEST NORTH CENT................................        184      2.5     -0.3       -0.4         5.1      3.6
    WEST SOUTH CENT................................        445     -0.3     -0.1       -0.4         2.5      1.3
    MOUNTAIN.......................................        163     -0.1     -0.2       -0.4         2.5      1.3
    PACIFIC........................................        431     -1.7      1.1       -0.4         2.2      1.4
    PUERTO RICO....................................         51      0.4     -0.3       -0.4         2.9      2.2
REGION (RURAL):
    NEW ENGLAND....................................         37     -1.1      0.9        1.2         4.2      0.8
    MIDDLE ATLANTIC................................         78      1.7     -0.4        1.4         6.0      4.1
    SOUTH ATLANTIC.................................        189     -0.4     -0.2        1.7         4.4      3.3
    EAST NORTH CENT................................        171     -0.6      0.1        1.4         4.1      2.2
    EAST SOUTH CENT................................        202     -0.7      0.5        0.5         3.5      3.0
    WEST NORTH CENT................................        188      1.6     -0.3        2.6         7.2      4.7

[[Page 50683]]

 
    WEST SOUTH CENT................................        242     -0.9     -0.2        2.2         4.4      3.7
    MOUNTAIN.......................................         95     -1.0      0.1        4.6         7.0      5.2
    PACIFIC........................................         61     -0.7      1.8        2.7         7.2      5.3
TEACHING STATUS:
    NON-TEACHING...................................       3115     -0.3      0.1        0.3         3.2      2.3
    MINOR..........................................        769      0.3      0.0       -0.2         3.3      2.3
    MAJOR..........................................        328      0.3     -0.2       -0.3         3.0      0.6
DSH PATIENT PERCENT:
    0..............................................         16      0.3      0.0       -0.4         3.1      3.1
    GT 0-0.10......................................        386      0.1     -0.2       -0.3         2.8      1.7
    0.10-0.16......................................        555      0.0      0.1        0.2         3.5      2.4
    0.16-0.23......................................        802      0.1      0.0        0.1         3.5      2.3
    0.23-0.35......................................        977      0.1     -0.1        0.0         3.2      1.9
    GE 0.35........................................        792     -0.3      0.1       -0.1         3.0      1.8
    TEFRA: DSH NOT AVAIL 1.........................        684     -1.6      0.0       -0.4         1.2     -2.6
URBAN TEACHING/DSH:
    TEACHING & DSH.................................        944      0.4     -0.1       -0.4         3.1      1.7
    NO TEACHING/DSH................................       1401     -0.3      0.1       -0.4         2.5      1.8
    NO TEACHING/NO DSH.............................         16      0.3      0.0       -0.4         3.1      3.1
    TEFRA: DSH NOT AVAIL 1.........................        588     -2.2      0.1       -0.4         0.7     -3.4
TYPE OF OWNERSHIP:
    VOLUNTARY......................................       2397      0.2      0.0        0.0         3.3      2.0
    PROPRIETARY....................................       1091     -1.1      0.0        0.0         2.1      1.6
    GOVERNMENT.....................................        724      0.0      0.1        0.2         3.6      1.7
----------------------------------------------------------------------------------------------------------------
Col (1) Total Hospitals in 2006.
Col (2) This column shows the impact of changes resulting from the reclassification of HCPCS codes among APC
  groups and from the addition of multiple procedure discounting for radiology procedures (budget neutral
  overall).
Col (3) This column shows the adjustment for updating the wage index (budget neutral overall).
Col (4) This column shows the adjustment for rural sole community hospitals (budget neutral overall).
Col (5) This column shows the cumulative impact of cols 2 through 4 and the addition of the market basket
  update.
Col (6) The column shows the impact of the change in MMA dollars in 2006 (drugs and 508) and outlier changes.
1 Complete DSH numbers are not available for hospitals that are not paid under IPPS.

    15. On pages 42764-42775, Addendum A is corrected to read as 
follows:

[[Page 50684]]



Addendum A.--List of Ambulatory Payment Classifications (APCs) with Status Indicators, Relative Weights, Payment
                                 Rates, and Copayment Amounts Calendar Year 2006
----------------------------------------------------------------------------------------------------------------
                                                                                          National     Minimum
      APC               Group title                SI           Relative     Payment     unadjusted   unadjusted
                                                                 weight        rate      copayment    copayment
----------------------------------------------------------------------------------------------------------------
0001...........  Level I Photochemotherapy  S...............       0.4213       $25.00        $7.00        $5.00
0002...........  Level I Fine Needle        T...............       0.9559       $56.73  ...........       $11.35
                  Biopsy/Aspiration.
0003...........  Bone Marrow Biopsy/        T...............       2.6530      $157.44  ...........       $31.49
                  Aspiration.
0004...........  Level I Needle Biopsy/     T...............       1.7646      $104.72       $22.36       $20.94
                  Aspiration Except Bone
                  Marrow.
0005...........  Level II Needle Biopsy/    T...............       3.5994      $213.60       $71.59       $42.72
                  Aspiration Except Bone
                  Marrow.
0006...........  Level I Incision &         T...............       1.5500       $91.98       $22.28       $18.40
                  Drainage.
0007...........  Level II Incision &        T...............      11.4501      $679.48  ...........      $135.90
                  Drainage.
0008...........  Level III Incision and     T...............      16.4989      $979.09  ...........      $195.82
                  Drainage.
0009...........  Nail Procedures..........  T...............       0.6680       $39.64        $8.34        $7.93
0010...........  Level I Destruction of     T...............       0.5719       $33.94        $9.65        $6.79
                  Lesion.
0011...........  Level II Destruction of    T...............       2.0839      $123.66       $25.17       $24.73
                  Lesion.
0012...........  Level I Debridement &      T...............       0.8497       $50.42       $11.18       $10.08
                  Destruction.
0013...........  Level II Debridement &     T...............       1.1078       $65.74       $14.20       $13.15
                  Destruction.
0015...........  Level III Debridement &    T...............       1.6514       $98.00       $20.29       $19.60
                  Destruction.
0016...........  Level IV Debridement &     T...............       2.5834      $153.31       $33.57       $30.66
                  Destruction.
0017...........  Level VI Debridement &     T...............      18.4211    $1,093.16      $227.84      $218.63
                  Destruction.
0018...........  Biopsy of Skin/Puncture    T...............       1.1726       $69.59       $16.04       $13.92
                  of Lesion.
0019...........  Level I Excision/ Biopsy.  T...............       4.0547      $240.62       $71.87       $48.12
0020...........  Level II Excision/ Biopsy  T...............       6.9433      $412.04      $107.40       $82.41
0021...........  Level III Excision/        T...............      14.9776      $888.82      $219.48      $177.76
                  Biopsy.
0022...........  Level IV Excision/ Biopsy  T...............      19.6472    $1,165.92      $354.45      $233.18
0023...........  Exploration Penetrating    T...............       4.7775      $283.51  ...........       $56.70
                  Wound.
0024...........  Level I Skin Repair......  T...............       1.6084       $95.45       $31.25       $19.09
0025...........  Level II Skin Repair.....  T...............       5.4938      $326.02      $101.85       $65.20
0027...........  Level IV Skin Repair.....  T...............      18.4182    $1,092.99      $329.72      $218.60
0028...........  Level I Breast Surgery...  T...............      19.5801    $1,161.94      $303.74      $232.39
0029...........  Level II Breast Surgery..  T...............      32.0476    $1,901.80      $632.64      $380.36
0030...........  Level III Breast Surgery.  T...............      40.0825    $2,378.62      $763.55      $475.72
0033...........  Partial Hospitalization..  P...............       4.0708      $241.57  ...........       $48.31
0035...........  Venous Cutdown...........  T...............       0.7158       $42.48  ...........        $8.50
0036...........  Level II Fine Needle       T...............       2.1773      $129.21  ...........       $25.84
                  Biopsy/Aspiration.
0037...........  Level IV Needle Biopsy/    T...............       9.4751      $562.28      $224.91      $112.46
                  Aspiration Except Bone
                  Marrow.
0039...........  Level I Implantation of    S...............     181.4000   $10,764.82  ...........    $2,152.96
                  Neurostimulator.
0040...........  Level I Implantation of    S...............      55.3297    $3,283.43  ...........      $656.69
                  Neurostimulator
                  Electrodes.
0041...........  Level I Arthroscopy......  T...............      28.1318    $1,669.43  ...........      $333.89
0042...........  Level II Arthroscopy.....  T...............      43.9753    $2,609.63      $804.74      $521.93
0043...........  Closed Treatment Fracture  T...............       1.7694      $105.00  ...........       $21.00
                  Finger/Toe/Trunk.
0045...........  Bone/Joint Manipulation    T...............      14.4945      $860.15      $268.47      $172.03
                  Under Anesthesia.
0046...........  Open/Percutaneous          T...............      37.7023    $2,237.37      $535.76      $447.47
                  Treatment Fracture or
                  Dislocation.
0047...........  Arthroplasty without       T...............      31.6107    $1,875.87      $537.03      $375.17
                  Prosthesis.
0048...........  Level I Arthroplasty with  T...............      43.1288    $2,559.39      $570.30      $511.88
                  Prosthesis.
0049...........  Level I Musculoskeletal    T...............      20.3707    $1,208.86  ...........      $241.77
                  Procedures Except Hand
                  and Foot.
0050...........  Level II Musculoskeletal   T...............      23.9081    $1,418.78  ...........      $283.76
                  Procedures Except Hand
                  and Foot.
0051...........  Level III Musculoskeletal  T...............      36.5271    $2,167.63  ...........      $433.53
                  Procedures Except Hand
                  and Foot.
0052...........  Level IV Musculoskeletal   T...............      43.9378    $2,607.40  ...........      $521.48
                  Procedures Except Hand
                  and Foot.
0053...........  Level I Hand               T...............      15.6795      $930.47      $253.49      $186.09
                  Musculoskeletal
                  Procedures.
0054...........  Level II Hand              T...............      25.3711    $1,505.60  ...........      $301.12
                  Musculoskeletal
                  Procedures.
0055...........  Level I Foot               T...............      20.0692    $1,190.97      $355.34      $238.19
                  Musculoskeletal
                  Procedures.
0056...........  Level II Foot              T...............      40.2957    $2,391.27  ...........      $478.25
                  Musculoskeletal
                  Procedures.
0057...........  Bunion Procedures........  T...............      27.5493    $1,634.86      $475.91      $326.97
0058...........  Level I Strapping and      S...............       1.0934       $64.89  ...........       $12.98
                  Cast Application.
0060...........  Manipulation Therapy.....  S...............       0.4935       $29.29  ...........        $5.86
0068...........  CPAP Initiation..........  S...............       1.2293       $72.95       $29.18       $14.59
0069...........  Thoracoscopy.............  T...............      30.6775    $1,820.49      $591.64      $364.10
0070...........  Thoracentesis/Lavage       T...............       3.2101      $190.50  ...........       $38.10
                  Procedures.
0071...........  Level I Endoscopy Upper    T...............       0.7915       $46.97       $11.31        $9.39
                  Airway.
0072...........  Level II Endoscopy Upper   T...............       1.4361       $85.22       $21.27       $17.04
                  Airway.
0074...........  Level IV Endoscopy Upper   T...............      15.7757      $936.18      $295.70      $187.24
                  Airway.
0075...........  Level V Endoscopy Upper    T...............      21.3426    $1,266.53      $445.92      $253.31
                  Airway.
0076...........  Level I Endoscopy Lower    T...............       9.4592      $561.34      $189.82      $112.27
                  Airway.
0077...........  Level I Pulmonary          S...............       0.3444       $20.44        $7.74        $4.09
                  Treatment.
0078...........  Level II Pulmonary         S...............       1.0236       $60.74       $14.55       $12.15
                  Treatment.
0079...........  Ventilation Initiation     S...............       2.3482      $139.35  ...........       $27.87
                  and Management.
0080...........  Diagnostic Cardiac         T...............      37.1361    $2,203.77      $838.92      $440.75
                  Catheterization.
0081...........  Non-Coronary Angioplasty   T...............      34.4473    $2,044.21  ...........      $408.84
                  or Atherectomy.
0082...........  Coronary Atherectomy.....  T...............      85.0126    $5,044.90    $1,085.20    $1,008.98
0083...........  Coronary Angioplasty and   T...............      50.8925    $3,020.11  ...........      $604.02
                  Percutaneous
                  Valvuloplasty.
0084...........  Level I                    S...............      10.0205      $594.65  ...........      $118.93
                  Electrophysiologic
                  Evaluation.
0085...........  Level II                   T...............      35.1882    $2,088.17      $426.25      $417.63
                  Electrophysiologic
                  Evaluation.

[[Page 50685]]

 
0086...........  Ablate Heart Dysrhythm     T...............      44.2596    $2,626.50      $833.33      $525.30
                  Focus.
0087...........  Cardiac                    T...............      30.7101    $1,822.43  ...........      $364.49
                  Electrophysiologic
                  Recording/Mapping.
0088...........  Thrombectomy.............  T...............      36.5617    $2,169.68      $655.22      $433.94
0089...........  Insertion/Replacement of   T...............     105.6143    $6,267.47    $1,682.28    $1,253.49
                  Permanent Pacemaker and
                  Electrodes.
0090...........  Insertion/Replacement of   T...............      89.1574    $5,290.87    $1,612.80    $1,058.17
                  Pacemaker Pulse
                  Generator.
0091...........  Level II Vascular          T...............      28.9999    $1,720.94      $348.23      $344.19
                  Ligation.
0092...........  Level I Vascular Ligation  T...............      23.4516    $1,391.69  ...........      $278.34
0093...........  Vascular Reconstruction/   ................  ...........  ...........  ...........  ...........
                  Fistula Repair without
                  Device.
0094...........  Level I Resuscitation and  S...............       2.5363      $150.51       $47.62       $30.10
                  Cardioversion.
0095...........  Cardiac Rehabilitation...  S...............       0.5885       $34.92       $13.96        $6.98
0096...........  Non-Invasive Vascular      S...............       1.6307       $96.77       $38.70       $19.35
                  Studies.
0097...........  Cardiac and Ambulatory     X...............       1.0223       $60.67       $23.79       $12.13
                  Blood Pressure
                  Monitoring.
0098...........  Injection of Sclerosing    T...............       1.1346       $67.33  ...........       $13.47
                  Solution.
0099...........  Electrocardiograms.......  S...............       0.3821       $22.67  ...........        $4.53
0100...........  Cardiac Stress Tests.....  X...............       2.4968      $148.17       $41.44       $29.63
0101...........  Tilt Table Evaluation....  S...............       4.2787      $253.91      $101.56       $50.78
0103...........  Miscellaneous Vascular     T...............      14.7142      $873.18      $223.63      $174.64
                  Procedures.
0104...........  Transcatheter Placement    T...............      79.0094    $4,688.65  ...........      $937.73
                  of Intracoronary Stents.
0105...........  Revision/Removal of        T...............      22.3685    $1,327.41      $370.40      $265.48
                  Pacemakers, AICD, or
                  Vascular.
0106...........  Insertion/Replacement/     T...............      45.4851    $2,699.22  ...........      $539.84
                  Repair of Pacemaker and/
                  or Electrodes.
0107...........  Insertion of Cardioverter- T...............     260.0295   $15,430.93    $3,103.22    $3,086.19
                  Defibrillator.
0108...........  Insertion/Replacement/     T...............     349.1681   $20,720.68  ...........    $4,144.14
                  Repair of Cardioverter-
                  Defibrillator Leads.
0109...........  Removal of Implanted       T...............      11.0433      $655.34      $131.49      $131.07
                  Devices.
0110...........  Transfusion..............  S...............       3.6594      $217.16  ...........       $43.43
0111...........  Blood Product Exchange...  S...............      12.3956      $735.59      $200.18      $147.12
0112...........  Apheresis, Photopheresis,  S...............      26.7948    $1,590.08      $438.94      $318.02
                  and Plasmapheresis.
0113...........  Excision Lymphatic System  T...............      21.4653    $1,273.82  ...........      $254.76
0114...........  Thyroid/Lymphadenectomy    T...............      40.7652    $2,419.13      $485.91      $483.83
                  Procedures.
0115...........  Cannula/Access Device      T...............      31.4727    $1,867.68      $459.35      $373.54
                  Procedures.
0116...........  Chemotherapy               S...............       1.1453       $67.97  ...........       $13.59
                  Administration by Other
                  Technique Except
                  Infusion.
0117...........  Chemotherapy               S...............       3.2378      $192.14       $42.54       $38.43
                  Administration by
                  Infusion Only.
0120...........  Infusion Therapy Except    S...............       2.0193      $119.83       $28.21       $23.97
                  Chemotherapy.
0121...........  Level I Tube changes and   T...............       2.2766      $135.10       $43.80       $27.02
                  Repositioning.
0122...........  Level II Tube changes and  T...............       6.9721      $413.75       $84.85       $82.75
                  Repositioning.
0123...........  Bone Marrow Harvesting     S...............      22.9902    $1,364.31  ...........      $272.86
                  and Bone Marrow/Stem
                  Cell Transplant.
0125...........  Refilling of Infusion      T...............       1.9331      $114.72  ...........       $22.94
                  Pump.
0130...........  Level I Laparoscopy......  T...............      31.9271    $1,894.65      $659.53      $378.93
0131...........  Level II Laparoscopy.....  T...............      43.3389    $2,571.86    $1,001.89      $514.37
0132...........  Level III Laparoscopy....  T...............      62.9914    $3,738.10    $1,239.22      $747.62
0140...........  Esophageal Dilation        T...............       5.4737      $324.83       $94.18       $64.97
                  without Endoscopy.
0141...........  Level I Upper GI           T...............       8.1835      $485.63      $143.38       $97.13
                  Procedures.
0142...........  Small Intestine Endoscopy  T...............       9.3487      $554.78      $152.78      $110.96
0143...........  Lower GI Endoscopy.......  T...............       8.6869      $515.51      $186.06      $103.10
0146...........  Level I Sigmoidoscopy and  T...............       4.6374      $275.20       $64.40       $55.04
                  Anoscopy.
0147...........  Level II Sigmoidoscopy     T...............       7.9679      $472.84  ...........       $94.57
                  and Anoscopy.
0148...........  Level I Anal/Rectal        T...............       3.7383      $221.84       $57.21       $44.37
                  Procedures.
0149...........  Level III Anal/Rectal      T...............      18.0726    $1,072.48      $293.06      $214.50
                  Procedures.
0150...........  Level IV Anal/Rectal       T...............      23.8654    $1,416.24      $437.12      $283.25
                  Procedures.
0151...........  Endoscopic Retrograde      T...............      18.7338    $1,111.72      $245.46      $222.34
                  Cholangio-
                  Pancreatography (ERCP).
0152...........  Level I Percutaneous       T...............      12.2833      $728.93  ...........      $145.79
                  Abdominal and Biliary
                  Procedures.
0153...........  Peritoneal and Abdominal   T...............      21.6961    $1,287.51      $382.75      $257.50
                  Procedures.
0154...........  Hernia/Hydrocele           T...............      28.7847    $1,708.17      $464.85      $341.63
                  Procedures.
0155...........  Level II Anal/Rectal       T...............      16.2546      $964.60  ...........      $192.92
                  Procedures.
0156...........  Level II Urinary and Anal  T...............       2.5751      $152.81       $40.52       $30.56
                  Procedures.
0157...........  Colorectal Cancer          S...............       2.2904      $135.92  ...........       $27.18
                  Screening: Barium Enema.
0158...........  Colorectal Cancer          T...............       7.6588      $454.50  ...........      $113.63
                  Screening: Colonoscopy.
0159...........  Colorectal Cancer          S...............       3.1455      $186.66  ...........       $46.67
                  Screening: Flexible
                  Sigmoidoscopy.
0160...........  Level I Cystourethroscopy  T...............       6.6753      $396.13      $105.06       $79.23
                  and other Genitourinary
                  Procedures.
0161...........  Level II                   T...............      18.5576    $1,101.26      $249.36      $220.25
                  Cystourethroscopy and
                  other Genitourinary
                  Procedures.
0162...........  Level III                  T...............      23.3918    $1,388.14  ...........      $277.63
                  Cystourethroscopy and
                  other Genitourinary
                  Procedures.
0163...........  Level IV                   T...............      33.7354    $2,001.96  ...........      $400.39
                  Cystourethroscopy and
                  other Genitourinary
                  Procedures.
0164...........  Level I Urinary and Anal   T...............       1.1855       $70.35       $17.29       $14.07
                  Procedures.

[[Page 50686]]

 
0165...........  Level III Urinary and      T...............      16.6689      $989.18  ...........      $197.84
                  Anal Procedures.
0166...........  Level I Urethral           T...............      17.6743    $1,048.85      $218.73      $209.77
                  Procedures.
0168...........  Level II Urethral          T...............      28.2685    $1,677.54      $388.03      $335.51
                  Procedures.
0169...........  Lithotripsy..............  T...............      43.0133    $2,552.54    $1,021.01      $510.51
0170...........  Dialysis.................  S...............       5.8994      $350.09  ...........       $70.02
0180...........  Circumcision.............  T...............      19.8827    $1,179.90      $304.87      $235.98
0181...........  Penile Procedures........  T...............      30.8663    $1,831.70      $621.82      $366.34
0183...........  Testes/Epididymis          T...............      23.6415    $1,402.96  ...........      $280.59
                  Procedures.
0184...........  Prostate Biopsy..........  T...............       4.3566      $258.53       $96.27       $51.71
0188...........  Level II Female            T...............       1.1400       $67.65  ...........       $13.53
                  Reproductive Proc.
0189...........  Level III Female           T...............       2.3710      $140.70  ...........       $28.14
                  Reproductive Proc.
0190...........  Level I Hysteroscopy.....  T...............      21.0653    $1,250.08      $424.28      $250.02
0191...........  Level I Female             T...............       0.1670        $9.91        $2.78        $1.98
                  Reproductive Proc.
0192...........  Level IV Female            T...............       4.3082      $255.66  ...........       $51.13
                  Reproductive Proc.
0193...........  Level V Female             T...............      14.5843      $865.48  ...........      $173.10
                  Reproductive Proc.
0194...........  Level VIII Female          T...............      20.7525    $1,231.52      $397.84      $246.30
                  Reproductive Proc.
0195...........  Level IX Female            T...............      26.6791    $1,583.22      $483.80      $316.64
                  Reproductive Proc.
0196...........  Dilation and Curettage...  T...............      17.0974    $1,014.61      $338.23      $202.92
0197...........  Infertility Procedures...  T...............       2.3572      $139.88  ...........       $27.98
0198...........  Pregnancy and Neonatal     T...............       1.3683       $81.20       $32.19       $16.24
                  Care Procedures.
0200...........  Level VII Female           T...............      17.8728    $1,060.63      $263.69      $212.13
                  Reproductive Proc.
0201...........  Level VI Female            T...............      17.6047    $1,044.72      $329.65      $208.94
                  Reproductive Proc.
0202...........  Level X Female             T...............      40.3866    $2,396.66      $958.66      $479.33
                  Reproductive Proc.
0203...........  Level IV Nerve Injections  T...............      10.4015      $617.26      $246.90      $123.45
0204...........  Level I Nerve Injections.  T...............       2.1910      $130.02       $40.13       $26.00
0206...........  Level II Nerve Injections  T...............       5.4920      $325.91       $75.55       $65.18
0207...........  Level III Nerve            T...............       6.0109      $356.70       $86.92       $71.34
                  Injections.
0208...........  Laminotomies and           T...............      42.3409    $2,512.64  ...........      $502.53
                  Laminectomies.
0209...........  Extended EEG Studies and   S...............      11.5713      $686.68      $274.67      $137.34
                  Sleep Studies, Level II.
0212...........  Nervous System Injections  T...............       2.9740      $176.49       $70.59       $35.30
0213...........  Extended EEG Studies and   S...............       2.2932      $136.09       $54.43       $27.22
                  Sleep Studies, Level I.
0214...........  Electroencephalogram.....  S...............       1.1353       $67.37       $26.94       $13.47
0215...........  Level I Nerve and Muscle   S...............       0.6115       $36.29       $14.51        $7.26
                  Tests.
0216...........  Level III Nerve and        S...............       2.6720      $158.56  ...........       $31.71
                  Muscle Tests.
0218...........  Level II Nerve and Muscle  S...............       1.1408       $67.70  ...........       $13.54
                  Tests.
0220...........  Level I Nerve Procedures.  T...............      17.3586    $1,030.11  ...........      $206.02
0221...........  Level II Nerve Procedures  T...............      29.9209    $1,775.60      $463.62      $355.12
0222...........  Implantation of            T...............     179.0982   $10,628.22  ...........    $2,125.64
                  Neurological Device.
0223...........  Implantation or Revision   T...............      28.1230    $1,668.90  ...........      $333.78
                  of Pain Management
                  Catheter.
0224...........  Implantation of Reservoir/ T...............      40.6455    $2,412.03  ...........      $482.41
                  Pump/Shunt.
0225...........  Level II Implantation of   S...............     234.6925   $13,927.36  ...........    $2,785.47
                  Neurostimulator
                  Electrodes.
0226...........  Implantation of Drug       T...............     138.8695    $8,240.93  ...........    $1,648.19
                  Infusion Reservoir.
0227...........  Implantation of Drug       T...............     136.4922    $8,099.86  ...........    $1,619.97
                  Infusion Device.
0228...........  Creation of Lumbar         T...............      51.7258    $3,069.56  ...........      $613.91
                  Subarachnoid Shunt.
0229...........  Transcatherter Placement   T...............      64.4545    $3,824.92      $771.23      $764.98
                  of Intravascular Shunts.
0230...........  Level I Eye Tests &        S...............       0.7858       $46.63       $14.97        $9.33
                  Treatments.
0231...........  Level III Eye Tests &      S...............       1.9278      $114.40       $44.61       $22.88
                  Treatments.
0232...........  Level I Anterior Segment   T...............       6.6732      $396.01      $103.17       $79.20
                  Eye Procedures.
0233...........  Level II Anterior Segment  T...............      14.9673      $888.20      $266.33      $177.64
                  Eye Procedures.
0234...........  Level III Anterior         T...............      21.9741    $1,304.01      $511.31      $260.80
                  Segment Eye Procedures.
0235...........  Level I Posterior Segment  T...............       4.6593      $276.50       $67.40       $55.30
                  Eye Procedures.
0236...........  Level II Posterior         T...............      17.0229    $1,010.19  ...........      $202.04
                  Segment Eye Procedures.
0237...........  Level III Posterior        T...............      28.9401    $1,717.39  ...........      $343.48
                  Segment Eye Procedures.
0238...........  Level I Repair and         T...............       2.5933      $153.89  ...........       $30.78
                  Plastic Eye Procedures.
0239...........  Level II Repair and        T...............       6.9097      $410.04  ...........       $82.01
                  Plastic Eye Procedures.
0240...........  Level III Repair and       T...............      18.1508    $1,077.12      $315.31      $215.42
                  Plastic Eye Procedures.
0241...........  Level IV Repair and        T...............      23.3036    $1,382.91      $384.47      $276.58
                  Plastic Eye Procedures.
0242...........  Level V Repair and         T...............      30.5464    $1,812.72      $597.36      $362.54
                  Plastic Eye Procedures.
0243...........  Strabismus/Muscle          T...............      22.1671    $1,315.46      $431.39      $263.09
                  Procedures.
0244...........  Corneal Transplant.......  T...............      38.3723    $2,277.13      $803.26      $455.43
0245...........  Level I Cataract           T...............      13.3625      $792.97      $221.89      $158.59
                  Procedures without IOL
                  Insert.
0246...........  Cataract Procedures with   T...............      23.4597    $1,392.17      $495.96      $278.43
                  IOL Insert.
0247...........  Laser Eye Procedures       T...............       5.0330      $298.67      $104.31       $59.73
                  Except Retinal.
0248...........  Laser Retinal Procedures.  T...............       4.6769      $277.54       $93.98       $55.51
0249...........  Level II Cataract          T...............      27.9369    $1,657.86      $524.67      $331.57
                  Procedures without IOL
                  Insert.
0250...........  Nasal Cauterization/       T...............       1.2896       $76.53       $26.79       $15.31
                  Packing.
0251...........  Level I ENT Procedures...  T...............       2.0101      $119.29  ...........       $23.86
0252...........  Level II ENT Procedures..  T...............       7.8673      $466.87      $113.41       $93.37
0253...........  Level III ENT Procedures.  T...............      16.1357      $957.54      $282.29      $191.51

[[Page 50687]]

 
0254...........  Level IV ENT Procedures..  T...............      23.4040    $1,388.86      $321.35      $277.77
0256...........  Level V ENT Procedures...  T...............      37.3204    $2,214.70  ...........      $442.94
0258...........  Tonsil and Adenoid         T...............      22.2466    $1,320.18      $437.25      $264.04
                  Procedures.
0259...........  Level VI ENT Procedures..  T...............     366.3317   $21,739.22    $8,070.21    $4,347.84
0260...........  Level I Plain Film Except  X...............       0.7555       $44.83       $17.93        $8.97
                  Teeth.
0261...........  Level II Plain Film        X...............       1.2901       $76.56  ...........       $15.31
                  Except Teeth Including
                  Bone Density Measurement.
0262...........  Plain Film of Teeth......  X...............       0.9228       $54.76  ...........       $10.95
0263...........  Level I Miscellaneous      X...............       1.7476      $103.71       $24.40       $20.74
                  Radiology Procedures.
0264...........  Level II Miscellaneous     X...............       3.5240      $209.12       $79.41       $41.82
                  Radiology Procedures.
0265...........  Level I Diagnostic         S...............       1.0213       $60.61       $24.24       $12.12
                  Ultrasound.
0266...........  Level II Diagnostic        S...............       1.6393       $97.28       $38.91       $19.46
                  Ultrasound.
0267...........  Level III Diagnostic       S...............       2.6327      $156.23       $62.18       $31.25
                  Ultrasound.
0268...........  Ultrasound Guidance        S...............       1.0610       $62.96  ...........       $12.59
                  Procedures.
0269...........  Level III Echocardiogram   S...............       3.2437      $192.49       $76.99       $38.50
                  Except Transesophageal.
0270...........  Transesophageal            S...............       6.0192      $357.20      $142.88       $71.44
                  Echocardiogram.
0272...........  Level I Fluoroscopy......  X...............       1.3801       $81.90       $32.76       $16.38
0274...........  Myelography..............  S...............       3.0413      $180.48       $72.19       $36.10
0275...........  Arthrography.............  S...............       3.5779      $212.32       $69.09       $42.46
0276...........  Level I Digestive          S...............       1.5319       $90.91       $36.36       $18.18
                  Radiology.
0277...........  Level II Digestive         S...............       2.3852      $141.54       $56.61       $28.31
                  Radiology.
0278...........  Diagnostic Urography.....  S...............       2.6434      $156.87       $62.74       $31.37
0279...........  Level II Angiography and   S...............       8.9319      $530.05      $150.03      $106.01
                  Venography except
                  Extremity.
0280...........  Level III Angiography and  S...............      20.7902    $1,233.75      $353.85      $246.75
                  Venography except
                  Extremity.
0282...........  Miscellaneous              S...............       1.6542       $98.17       $39.26       $19.63
                  Computerized Axial
                  Tomography.
0283...........  Computerized Axial         S...............       4.4253      $262.61      $105.04       $52.52
                  Tomography with Contrast
                  Material.
0284...........  Magnetic Resonance         S...............       6.4201      $380.99      $152.39       $76.20
                  Imaging and Magnetic
                  Resonance Angiography
                  with Contras.
0285...........  Myocardial Positron        S...............      17.1798    $1,019.50      $318.72      $203.90
                  Emission Tomography
                  (PET).
0288...........  Bone Density: Axial        S...............       1.2568       $74.58  ...........       $14.92
                  Skeleton.
0296...........  Level I Therapeutic        S...............       2.2452      $133.24       $53.29       $26.65
                  Radiologic Procedures.
0297...........  Level II Therapeutic       S...............       5.2530      $311.73      $122.13       $62.35
                  Radiologic Procedures.
0299...........  Miscellaneous Radiation    S...............       5.8482      $347.05  ...........       $69.41
                  Treatment.
0300...........  Level I Radiation Therapy  S...............       1.5198       $90.19  ...........       $18.04
0301...........  Level II Radiation         S...............       2.2195      $131.71  ...........       $26.34
                  Therapy.
0302...........  Level III Radiation        S...............       4.6145      $273.84      $103.74       $54.77
                  Therapy.
0303...........  Treatment Device           X...............       2.8356      $168.27       $66.95       $33.65
                  Construction.
0304...........  Level I Therapeutic        X...............       1.7738      $105.26       $41.52       $21.05
                  Radiation Treatment
                  Preparation.
0305...........  Level II Therapeutic       X...............       4.0036      $237.59       $91.38       $47.52
                  Radiation Treatment
                  Preparation.
0310...........  Level III Therapeutic      X...............      13.9490      $827.78      $325.27      $165.56
                  Radiation Treatment
                  Preparation.
0312...........  Radioelement Applications  S...............       5.0032      $296.90  ...........       $59.38
0313...........  Brachytherapy............  S...............      12.8655      $763.48  ...........      $152.70
0314...........  Hyperthermic Therapies...  S...............       5.9945      $355.73       $98.36       $71.15
0315...........  Level II Implantation of   T...............     290.6470   $17,247.86  ...........    $3,449.57
                  Neurostimulator.
0320...........  Electroconvulsive Therapy  S...............       5.3765      $319.06       $80.06       $63.81
0321...........  Biofeedback and Other      S...............       1.3579       $80.58       $21.71       $16.12
                  Training.
0322...........  Brief Individual           S...............       1.2319       $73.10  ...........       $14.62
                  Psychotherapy.
0323...........  Extended Individual        S...............       1.6227       $96.30       $20.08       $19.26
                  Psychotherapy.
0324...........  Family Psychotherapy.....  S...............       2.0997      $124.60  ...........       $24.92
0325...........  Group Psychotherapy......  S...............       1.3189       $78.27       $17.10       $15.65
0330...........  Dental Procedures........  S...............       7.1756      $425.82  ...........       $85.16
0332...........  Computerized Axial         S...............       3.2694      $194.02       $77.60       $38.80
                  Tomography and
                  Computerized Angiography
                  without Contras.
0333...........  Computerized Axial         S...............       5.2836      $313.54      $125.41       $62.71
                  Tomography and
                  Computerized Angio w/o
                  Contrast Material.
0335...........  Magnetic Resonance         S...............       5.1581      $306.10      $122.43       $61.22
                  Imaging, Miscellaneous.
0336...........  Magnetic Resonance         S...............       6.0742      $360.46      $144.18       $72.09
                  Imaging and Magnetic
                  Resonance Angiography
                  without Cont.
0337...........  MRI and Magnetic           S...............       8.7945      $521.89      $208.75      $104.38
                  Resonance Angiography
                  without Contrast
                  Material followed.
0339...........  Observation..............  S...............       7.1403      $423.73  ...........       $84.75
0340...........  Minor Ancillary            X...............       0.6384       $37.88  ...........        $7.58
                  Procedures.
0341...........  Skin Tests...............  X...............       0.1112        $6.60        $2.62        $1.32
0342...........  Level I Pathology........  X...............       0.1560        $9.26        $3.70        $1.85
0343...........  Level III Pathology......  X...............       0.4786       $28.40       $11.10        $5.68
0344...........  Level IV Pathology.......  X...............       0.7996       $47.45       $15.66        $9.49
0345...........  Level I Transfusion        X...............       0.2277       $13.51        $3.01        $2.70
                  Laboratory Procedures.
0346...........  Level II Transfusion       X...............       0.3434       $20.38        $4.54        $4.08
                  Laboratory Procedures.
0347...........  Level III Transfusion      X...............       0.8434       $50.05       $12.35       $10.01
                  Laboratory Procedures.

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0348...........