Procedure Code,Procedure Description,Pricing Indicator,Rate Type,Mod1,Mod2,Mod3,Mod4,Max Fee,Max Fee Eff. Date,Max Fee End Date,PA,
="0001A",ADM SARSCOV2 30MCG/0.3ML 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0001A",ADM SARSCOV2 30MCG/0.3ML 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0002A",ADM SARSCOV2 30MCG/0.3ML 2ND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0002A",ADM SARSCOV2 30MCG/0.3ML 2ND,EAPG,DEF,,,,,NA,NA,NA,N,
="0003A",ADM SARSCOV2 30MCG/0.3ML 3RD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0003A",ADM SARSCOV2 30MCG/0.3ML 3RD,EAPG,DEF,,,,,NA,NA,NA,N,
="0004A",ADM SARSCOV2 30MCG/0.3ML BST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0004A",ADM SARSCOV2 30MCG/0.3ML BST,EAPG,DEF,,,,,NA,NA,NA,N,
="0011A",ADM SARSCOV2 100MCG/0.5ML1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0011A",ADM SARSCOV2 100MCG/0.5ML1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0012A",ADM SARSCOV2 100MCG/0.5ML2ND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0012A",ADM SARSCOV2 100MCG/0.5ML2ND,EAPG,DEF,,,,,NA,NA,NA,N,
="0013A",ADM SARSCOV2 100MCG/0.5ML3RD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0013A",ADM SARSCOV2 100MCG/0.5ML3RD,EAPG,DEF,,,,,NA,NA,NA,N,
="0041A",ADM SARSCOV2 5MCG/0.5ML 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0041A",ADM SARSCOV2 5MCG/0.5ML 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0042A",ADM SARSCOV2 5MCG/0.5ML 2ND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0042A",ADM SARSCOV2 5MCG/0.5ML 2ND,EAPG,DEF,,,,,NA,NA,NA,N,
="0042T",CT PERFUSION W/CONTRAST CBF,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0042T",CT PERFUSION W/CONTRAST CBF,EAPG,DEF,,,,,NA,NA,NA,E,
="0044A",ADM SARSCOV2 5MCG/0.5ML BST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0044A",ADM SARSCOV2 5MCG/0.5ML BST,EAPG,DEF,,,,,NA,NA,NA,N,
="0051A",ADM SARSCV2 30MCG TRS-SUCR 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0051A",ADM SARSCV2 30MCG TRS-SUCR 1,EAPG,DEF,,,,,NA,NA,NA,N,
="0052A",ADM SARSCV2 30MCG TRS-SUCR 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0052A",ADM SARSCV2 30MCG TRS-SUCR 2,EAPG,DEF,,,,,NA,NA,NA,N,
="0053A",ADM SARSCV2 30MCG TRS-SUCR 3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0053A",ADM SARSCV2 30MCG TRS-SUCR 3,EAPG,DEF,,,,,NA,NA,NA,N,
="0054A",ADM SARSCV2 30MCG TRS-SUCR B,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0054A",ADM SARSCV2 30MCG TRS-SUCR B,EAPG,DEF,,,,,NA,NA,NA,N,
="0054T",BONE SRGRY CMPTR FLUOR IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0054T",BONE SRGRY CMPTR FLUOR IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="0055T",BONE SRGRY CMPTR CT/MRI IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0055T",BONE SRGRY CMPTR CT/MRI IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="0064A",ADM SARSCOV2 50MCG/0.25MLBST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0064A",ADM SARSCOV2 50MCG/0.25MLBST,EAPG,DEF,,,,,NA,NA,NA,N,
="0071A",ADM SARSCV2 10MCG TRS-SUCR 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0071A",ADM SARSCV2 10MCG TRS-SUCR 1,EAPG,DEF,,,,,NA,NA,NA,N,
="0072A",ADM SARSCV2 10MCG TRS-SUCR 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0072A",ADM SARSCV2 10MCG TRS-SUCR 2,EAPG,DEF,,,,,NA,NA,NA,N,
="0073A",ADM SARSCV2 10MCG TRS-SUCR 3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0073A",ADM SARSCV2 10MCG TRS-SUCR 3,EAPG,DEF,,,,,NA,NA,NA,N,
="0074A",ADM SARSCV2 10MCG TRS-SUCR B,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0074A",ADM SARSCV2 10MCG TRS-SUCR B,EAPG,DEF,,,,,NA,NA,NA,N,
="0081A",ADM SARSCV2 3MCG TRS-SUCR 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0081A",ADM SARSCV2 3MCG TRS-SUCR 1,EAPG,DEF,,,,,NA,NA,NA,N,
="0082A",ADM SARSCV2 3MCG TRS-SUCR 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0082A",ADM SARSCV2 3MCG TRS-SUCR 2,EAPG,DEF,,,,,NA,NA,NA,N,
="0083A",ADM SARSCV2 3MCG TRS-SUCR 3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0083A",ADM SARSCV2 3MCG TRS-SUCR 3,EAPG,DEF,,,,,NA,NA,NA,N,
="0090U",ONC CUTAN MLNMA MRNA 23 GENE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0090U",ONC CUTAN MLNMA MRNA 23 GENE,EAPG,DEF,,,,,NA,NA,NA,N,
="0091A",ADM SARSCOV2 50 MCG/.5 ML1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0091A",ADM SARSCOV2 50 MCG/.5 ML1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0092A",ADM SARSCOV2 50 MCG/.5 ML2ND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0092A",ADM SARSCOV2 50 MCG/.5 ML2ND,EAPG,DEF,,,,,NA,NA,NA,N,
="0093A",ADM SARSCOV2 50 MCG/.5 ML3RD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0093A",ADM SARSCOV2 50 MCG/.5 ML3RD,EAPG,DEF,,,,,NA,NA,NA,N,
="0094A",ADM SARSCOV2 50 MCG/.5 MLBST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0094A",ADM SARSCOV2 50 MCG/.5 MLBST,EAPG,DEF,,,,,NA,NA,NA,N,
="0100T",PROSTH RETINA RECEIVE&GEN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0100T",PROSTH RETINA RECEIVE&GEN,EAPG,DEF,,,,,NA,NA,NA,E,
="0101T",ESW MUSCSKEL SYS NOS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0101T",ESW MUSCSKEL SYS NOS,EAPG,DEF,,,,,NA,NA,NA,E,
="0102T",ESW PHY ANES LAT HMRL EPCNDL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0102T",ESW PHY ANES LAT HMRL EPCNDL,EAPG,DEF,,,,,NA,NA,NA,E,
="0111A",ADM SARSCOV2 25MCG/0.25ML1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0111A",ADM SARSCOV2 25MCG/0.25ML1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0112A",ADM SARSCOV2 25MCG/0.25ML2ND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0112A",ADM SARSCOV2 25MCG/0.25ML2ND,EAPG,DEF,,,,,NA,NA,NA,N,
="0113A",ADM SARSCOV2 25MCG/0.25ML3RD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0113A",ADM SARSCOV2 25MCG/0.25ML3RD,EAPG,DEF,,,,,NA,NA,NA,N,
="0121A",ADM SARSCV2 BVL 30MCG/.3ML 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0121A",ADM SARSCV2 BVL 30MCG/.3ML 1,EAPG,DEF,,,,,NA,NA,NA,N,
="0124A",ADM SARSCV2 BVL 30MCG/.3ML A,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0124A",ADM SARSCV2 BVL 30MCG/.3ML A,EAPG,DEF,,,,,NA,NA,NA,N,
="0126T",CHD RISK IMT STUDY,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0126T",CHD RISK IMT STUDY,EAPG,DEF,,,,,NA,NA,NA,E,
="0134A",ADM SARSCV2 BVL 50MCG/.5ML A,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0134A",ADM SARSCV2 BVL 50MCG/.5ML A,EAPG,DEF,,,,,NA,NA,NA,N,
="0141A",ADM SRSCV2 BVL 25MCG/.25ML 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0141A",ADM SRSCV2 BVL 25MCG/.25ML 1,EAPG,DEF,,,,,NA,NA,NA,N,
="0142A",ADM SRSCV2 BVL 25MCG/.25ML 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0142A",ADM SRSCV2 BVL 25MCG/.25ML 2,EAPG,DEF,,,,,NA,NA,NA,N,
="0144A",ADM SRSCV2 BVL 25MCG/.25ML A,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0144A",ADM SRSCV2 BVL 25MCG/.25ML A,EAPG,DEF,,,,,NA,NA,NA,N,
="0151A",ADM SARSCV2 BVL 10MCG/.2ML 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0151A",ADM SARSCV2 BVL 10MCG/.2ML 1,EAPG,DEF,,,,,NA,NA,NA,N,
="0154A",ADM SARSCV2 BVL 10MCG/.2ML A,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0154A",ADM SARSCV2 BVL 10MCG/.2ML A,EAPG,DEF,,,,,NA,NA,NA,N,
="0159T",CAD BREAST MRI,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0159T",CAD BREAST MRI,EAPG,DEF,,,,,NA,NA,NA,E,
="0164A",ADM SRSCV2 BVL 10MCG/0.2ML A,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0164A",ADM SRSCV2 BVL 10MCG/0.2ML A,EAPG,DEF,,,,,NA,NA,NA,N,
="0171A",ADM SARSCV2 BVL 3MCG/0.2ML 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0171A",ADM SARSCV2 BVL 3MCG/0.2ML 1,EAPG,DEF,,,,,NA,NA,NA,N,
="0172A",ADM SARSCV2 BVL 3MCG/0.2ML 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0172A",ADM SARSCV2 BVL 3MCG/0.2ML 2,EAPG,DEF,,,,,NA,NA,NA,N,
="0172U",ONC SLD TUM ALYS BRCA1 BRCA2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0172U",ONC SLD TUM ALYS BRCA1 BRCA2,EAPG,DEF,,,,,NA,NA,NA,N,
="0173A",ADM SARSCV2 BVL 3MCG/0.2ML 3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0173A",ADM SARSCV2 BVL 3MCG/0.2ML 3,EAPG,DEF,,,,,NA,NA,NA,N,
="0174A",ADM SARSCV2 BVL 3MCG/0.2ML A,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0174A",ADM SARSCV2 BVL 3MCG/0.2ML A,EAPG,DEF,,,,,NA,NA,NA,N,
="0174T",CAD CXR WITH INTERP,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0174T",CAD CXR WITH INTERP,EAPG,DEF,,,,,NA,NA,NA,E,
="0175T",CAD CXR REMOTE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0175T",CAD CXR REMOTE,EAPG,DEF,,,,,NA,NA,NA,E,
="0190T",PLACE INTRAOC RADIATION SRC,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0190T",PLACE INTRAOC RADIATION SRC,EAPG,DEF,,,,,NA,NA,NA,E,
="0191T",INSERT ANT SEGMENT DRAIN INT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0191T",INSERT ANT SEGMENT DRAIN INT,EAPG,DEF,,,,,NA,NA,NA,N,
="0200T",PERQ SACRAL AUGMT UNILAT INJ,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0200T",PERQ SACRAL AUGMT UNILAT INJ,EAPG,DEF,,,,,NA,NA,NA,E,
="0201T",PERQ SACRAL AUGMT BILAT INJ,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0201T",PERQ SACRAL AUGMT BILAT INJ,EAPG,DEF,,,,,NA,NA,NA,E,
="0205T",INIRS EACH VESSEL ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0205T",INIRS EACH VESSEL ADD-ON,EAPG,DEF,,,,,NA,NA,NA,E,
="0206T",CPTR DBS ALYS CAR ELEC DTA,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0206T",CPTR DBS ALYS CAR ELEC DTA,EAPG,DEF,,,,,NA,NA,NA,E,
="0213T",NJX PARAVERT W/US CER/THOR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0213T",NJX PARAVERT W/US CER/THOR,EAPG,DEF,,,,,NA,NA,NA,E,
="0214T",NJX PARAVERT W/US CER/THOR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0214T",NJX PARAVERT W/US CER/THOR,EAPG,DEF,,,,,NA,NA,NA,E,
="0215T",NJX PARAVERT W/US CER/THOR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0215T",NJX PARAVERT W/US CER/THOR,EAPG,DEF,,,,,NA,NA,NA,E,
="0216T",NJX PARAVERT W/US LUMB/SAC,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0216T",NJX PARAVERT W/US LUMB/SAC,EAPG,DEF,,,,,NA,NA,NA,E,
="0217T",NJX PARAVERT W/US LUMB/SAC,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0217T",NJX PARAVERT W/US LUMB/SAC,EAPG,DEF,,,,,NA,NA,NA,E,
="0218T",NJX PARAVERT W/US LUMB/SAC,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0218T",NJX PARAVERT W/US LUMB/SAC,EAPG,DEF,,,,,NA,NA,NA,E,
="0228T",NJX TFRML EPRL W/US CER/THOR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0228T",NJX TFRML EPRL W/US CER/THOR,EAPG,DEF,,,,,NA,NA,NA,E,
="0229T",NJX TFRML EPRL W/US CER/THOR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0229T",NJX TFRML EPRL W/US CER/THOR,EAPG,DEF,,,,,NA,NA,NA,E,
="0230T",NJX TFRML EPRL W/US LUMB/SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0230T",NJX TFRML EPRL W/US LUMB/SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="0231T",NJX TFRML EPRL W/US LUMB/SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0231T",NJX TFRML EPRL W/US LUMB/SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="0232T",NJX PLATELET PLASMA,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0232T",NJX PLATELET PLASMA,EAPG,DEF,,,,,NA,NA,NA,E,
="0238T",TRLUML PERIP ATHRC ILIAC ART,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0238T",TRLUML PERIP ATHRC ILIAC ART,EAPG,DEF,,,,,NA,NA,NA,E,
="0249T",LIGATION HEMORRHOID W/US,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0249T",LIGATION HEMORRHOID W/US,EAPG,DEF,,,,,NA,NA,NA,E,
="0253T",INSERT AQUEOUS DRAIN DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0253T",INSERT AQUEOUS DRAIN DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="0263T",IM B1 MRW CEL THER CMPL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0263T",IM B1 MRW CEL THER CMPL,EAPG,DEF,,,,,NA,NA,NA,E,
="0264T",IM B1 MRW CEL THER XCL HRVST,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0264T",IM B1 MRW CEL THER XCL HRVST,EAPG,DEF,,,,,NA,NA,NA,E,
="0265T",IM B1 MRW CEL THER HRVST ONL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0265T",IM B1 MRW CEL THER HRVST ONL,EAPG,DEF,,,,,NA,NA,NA,E,
="0269T",REV/REMVL CRTD SNS DEV TOTAL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0269T",REV/REMVL CRTD SNS DEV TOTAL,EAPG,DEF,,,,,NA,NA,NA,E,
="0270T",REV/REMVL CRTD SNS DEV LEAD,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0270T",REV/REMVL CRTD SNS DEV LEAD,EAPG,DEF,,,,,NA,NA,NA,E,
="0271T",REV/REMVL CRTD SNS DEV GEN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0271T",REV/REMVL CRTD SNS DEV GEN,EAPG,DEF,,,,,NA,NA,NA,E,
="0274T",PERQ LAMOT/LAM CRV/THRC,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0274T",PERQ LAMOT/LAM CRV/THRC,EAPG,DEF,,,,,NA,NA,NA,E,
="0275T",PERQ LAMOT/LAM LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0275T",PERQ LAMOT/LAM LUMBAR,EAPG,DEF,,,,,NA,NA,NA,E,
="0278T",TEMPR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0278T",TEMPR,EAPG,DEF,,,,,NA,NA,NA,E,
="0290T",LASER INC FOR PKP/LKP RECIP,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0290T",LASER INC FOR PKP/LKP RECIP,EAPG,DEF,,,,,NA,NA,NA,E,
="0299T",ESW WOUND HEALING INIT WOUND,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0299T",ESW WOUND HEALING INIT WOUND,EAPG,DEF,,,,,NA,NA,NA,E,
="0300T",ESW WOUND HEALING ADDL WOUND,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0300T",ESW WOUND HEALING ADDL WOUND,EAPG,DEF,,,,,NA,NA,NA,E,
="0301T",MW THERAPY FOR BREAST TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0301T",MW THERAPY FOR BREAST TUMOR,EAPG,DEF,,,,,NA,NA,NA,E,
="0302T",ICAR ISCHM MNTRNG SYS COMPL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0302T",ICAR ISCHM MNTRNG SYS COMPL,EAPG,DEF,,,,,NA,NA,NA,E,
="0303T",ICAR ISCHM MNTRNG SYS ELTRD,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0303T",ICAR ISCHM MNTRNG SYS ELTRD,EAPG,DEF,,,,,NA,NA,NA,E,
="0304T",ICAR ISCHM MNTRNG SYS DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0304T",ICAR ISCHM MNTRNG SYS DEVICE,EAPG,DEF,,,,,NA,NA,NA,E,
="0307T",RMVL ICAR ISCHM MNTRNG DVCE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0307T",RMVL ICAR ISCHM MNTRNG DVCE,EAPG,DEF,,,,,NA,NA,NA,E,
="0308T",INSJ OCULAR TELESCOPE PROSTH,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0308T",INSJ OCULAR TELESCOPE PROSTH,EAPG,DEF,,,,,NA,NA,NA,E,
="0313T",LAPS RMVL NSTIM ARRAY VAGUS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0313T",LAPS RMVL NSTIM ARRAY VAGUS,EAPG,DEF,,,,,NA,NA,NA,E,
="0314T",LAPS RMVL VGL ARRY&PLS GEN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0314T",LAPS RMVL VGL ARRY&PLS GEN,EAPG,DEF,,,,,NA,NA,NA,E,
="0315T",RMVL VAGUS NERVE PLS GEN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0315T",RMVL VAGUS NERVE PLS GEN,EAPG,DEF,,,,,NA,NA,NA,E,
="0316T",REPLC VAGUS NERVE PLS GEN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0316T",REPLC VAGUS NERVE PLS GEN,EAPG,DEF,,,,,NA,NA,NA,E,
="0329U",ONC NEO XOME&TRNS SEQ ALYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0329U",ONC NEO XOME&TRNS SEQ ALYS,EAPG,DEF,,,,,NA,NA,NA,N,
="0330T",TEAR FILM IMG UNI/BI W/I&R,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0330T",TEAR FILM IMG UNI/BI W/I&R,EAPG,DEF,,,,,NA,NA,NA,E,
="0331T",HEART SYMP IMAGE PLNR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0331T",HEART SYMP IMAGE PLNR,EAPG,DEF,,,,,NA,NA,NA,E,
="0332T",HEART SYMP IMAGE PLNR SPECT,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0332T",HEART SYMP IMAGE PLNR SPECT,EAPG,DEF,,,,,NA,NA,NA,E,
="0335T",INSJ SINUS TARSI IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0335T",INSJ SINUS TARSI IMPLANT,EAPG,DEF,,,,,NA,NA,NA,E,
="0338T",TRNSCTH RENAL SYMP DENRV UNL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0338T",TRNSCTH RENAL SYMP DENRV UNL,EAPG,DEF,,,,,NA,NA,NA,E,
="0339T",TRNSCTH RENAL SYMP DENRV BIL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0339T",TRNSCTH RENAL SYMP DENRV BIL,EAPG,DEF,,,,,NA,NA,NA,E,
="0340T",ABLATE PULM TUMORS + EXTNSN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0340T",ABLATE PULM TUMORS + EXTNSN,EAPG,DEF,,,,,NA,NA,NA,E,
="0341T",QUANT PUPILLOMETRY W/ RPRT,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0341T",QUANT PUPILLOMETRY W/ RPRT,EAPG,DEF,,,,,NA,NA,NA,E,
="0342T",THXP APHERESIS W/HDL DELIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0342T",THXP APHERESIS W/HDL DELIP,EAPG,DEF,,,,,NA,NA,NA,N,
="0346T",ULTRASOUND ELASTOGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0346T",ULTRASOUND ELASTOGRAPHY,EAPG,DEF,,,,,NA,NA,NA,E,
="0347T",INS BONE DEVICE FOR RSA,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0347T",INS BONE DEVICE FOR RSA,EAPG,DEF,,,,,NA,NA,NA,E,
="0348T",RSA SPINE EXAM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0348T",RSA SPINE EXAM,EAPG,DEF,,,,,NA,NA,NA,E,
="0349T",RSA UPPER EXTR EXAM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0349T",RSA UPPER EXTR EXAM,EAPG,DEF,,,,,NA,NA,NA,E,
="0350T",RSA LOWER EXTR EXAM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0350T",RSA LOWER EXTR EXAM,EAPG,DEF,,,,,NA,NA,NA,E,
="0351T",INTRAOP OCT BRST/NODE SPEC,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0351T",INTRAOP OCT BRST/NODE SPEC,EAPG,DEF,,,,,NA,NA,NA,E,
="0353T",INTRAOP OCT BREAST CAVITY,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0353T",INTRAOP OCT BREAST CAVITY,EAPG,DEF,,,,,NA,NA,NA,E,
="0356T",INSRT DRUG DEVICE FOR IOP,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0356T",INSRT DRUG DEVICE FOR IOP,EAPG,DEF,,,,,NA,NA,NA,E,
="0376T",INSERT ANT SEGMENT DRAIN INT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0376T",INSERT ANT SEGMENT DRAIN INT,EAPG,DEF,,,,,NA,NA,NA,N,
="0377T",ANOSCPY INJ AGENT FOR INCONT,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0377T",ANOSCPY INJ AGENT FOR INCONT,EAPG,DEF,,,,,NA,NA,NA,E,
="0379T",VIS FIELD ASSMNT TECH SUPPT,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0379T",VIS FIELD ASSMNT TECH SUPPT,EAPG,DEF,,,,,NA,NA,NA,E,
="0380T",COMP ANIMAT RET IMAG SERIES,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0380T",COMP ANIMAT RET IMAG SERIES,EAPG,DEF,,,,,NA,NA,NA,E,
="0387T",LEADLESS C PM INS/RPL VENTR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0387T",LEADLESS C PM INS/RPL VENTR,EAPG,DEF,,,,,NA,NA,NA,E,
="0388T",LEADLESS C PM REMOVE VENTR,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0388T",LEADLESS C PM REMOVE VENTR,EAPG,DEF,,,,,NA,NA,NA,E,
="0390T",PERIPROC EVAL INPER LEDLS PM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="0390T",PERIPROC EVAL INPER LEDLS PM,EAPG,DEF,,,,,NA,NA,NA,E,
="0394T",HDR ELCTRNC SKN SURF BRCHYTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0394T",HDR ELCTRNC SKN SURF BRCHYTX,EAPG,DEF,,,,,NA,NA,NA,N,
="0395T",HDR ELCTR NTRST/NTRCV BRCHTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0395T",HDR ELCTR NTRST/NTRCV BRCHTX,EAPG,DEF,,,,,NA,NA,NA,N,
="0396T",INTRAOP KINETIC BALNCE SENSR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0396T",INTRAOP KINETIC BALNCE SENSR,EAPG,DEF,,,,,NA,NA,NA,N,
="0397T",ERCP W/OPTICAL ENDOMICROSCPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0397T",ERCP W/OPTICAL ENDOMICROSCPY,EAPG,DEF,,,,,NA,NA,NA,N,
="0399T",MYOCARDIAL STRAIN IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0399T",MYOCARDIAL STRAIN IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="0400T",MLTISPECTRL DIGITAL LES ALYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0400T",MLTISPECTRL DIGITAL LES ALYS,EAPG,DEF,,,,,NA,NA,NA,N,
="0401T",MLTISPECTRL DIGITAL LES ALYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0401T",MLTISPECTRL DIGITAL LES ALYS,EAPG,DEF,,,,,NA,NA,NA,N,
="0402T",COLGN CRS-LINK CRN&PACHYMTRY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0402T",COLGN CRS-LINK CRN&PACHYMTRY,EAPG,DEF,,,,,NA,NA,NA,N,
="0404T",TRNSCRV UTERIN FIBROID ABLTJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0404T",TRNSCRV UTERIN FIBROID ABLTJ,EAPG,DEF,,,,,NA,NA,NA,N,
="0406T",SIN NDSC PLMT DRG ELUT MPLNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0406T",SIN NDSC PLMT DRG ELUT MPLNT,EAPG,DEF,,,,,NA,NA,NA,N,
="0407T",SIN NDSC PLMT DRG ELUT MPLNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0407T",SIN NDSC PLMT DRG ELUT MPLNT,EAPG,DEF,,,,,NA,NA,NA,N,
="0408T",INSJ/RPLC CARDIAC MODULJ SYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0408T",INSJ/RPLC CARDIAC MODULJ SYS,EAPG,DEF,,,,,NA,NA,NA,N,
="0409T",INSJ/RPLC CAR MODULJ PLS GN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0409T",INSJ/RPLC CAR MODULJ PLS GN,EAPG,DEF,,,,,NA,NA,NA,N,
="0410T",INSJ/RPLC CAR MODULJ ATR ELT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0410T",INSJ/RPLC CAR MODULJ ATR ELT,EAPG,DEF,,,,,NA,NA,NA,N,
="0411T",INSJ/RPLC CAR MODULJ VNT ELT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0411T",INSJ/RPLC CAR MODULJ VNT ELT,EAPG,DEF,,,,,NA,NA,NA,N,
="0412T",RMVL CARDIAC MODULJ PLS GEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0412T",RMVL CARDIAC MODULJ PLS GEN,EAPG,DEF,,,,,NA,NA,NA,N,
="0413T",RMVL CAR MODULJ TRANVNS ELT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0413T",RMVL CAR MODULJ TRANVNS ELT,EAPG,DEF,,,,,NA,NA,NA,N,
="0414T",RMVL & RPL CAR MODULJ PLS GN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0414T",RMVL & RPL CAR MODULJ PLS GN,EAPG,DEF,,,,,NA,NA,NA,N,
="0415T",REPOS CAR MODULJ TRANVNS ELT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0415T",REPOS CAR MODULJ TRANVNS ELT,EAPG,DEF,,,,,NA,NA,NA,N,
="0416T",RELOC SKIN POCKET PLS GEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0416T",RELOC SKIN POCKET PLS GEN,EAPG,DEF,,,,,NA,NA,NA,N,
="0419T",DSTRJ NEUROFIBROMA XTNSV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0419T",DSTRJ NEUROFIBROMA XTNSV,EAPG,DEF,,,,,NA,NA,NA,N,
="0420T",DSTRJ NEUROFIBROMA XTNSV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0420T",DSTRJ NEUROFIBROMA XTNSV,EAPG,DEF,,,,,NA,NA,NA,N,
="0422T",TACTILE BREAST IMG UNI/BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0422T",TACTILE BREAST IMG UNI/BI,EAPG,DEF,,,,,NA,NA,NA,N,
="0424T",INSJ/RPLC NSTIM APNEA COMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0424T",INSJ/RPLC NSTIM APNEA COMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="0425T",INSJ/RPLC NSTIM APNEA SEN LD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0425T",INSJ/RPLC NSTIM APNEA SEN LD,EAPG,DEF,,,,,NA,NA,NA,N,
="0426T",INSJ/RPLC NSTIM APNEA STM LD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0426T",INSJ/RPLC NSTIM APNEA STM LD,EAPG,DEF,,,,,NA,NA,NA,N,
="0427T",INSJ/RPLC NSTIM APNEA PLS GN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0427T",INSJ/RPLC NSTIM APNEA PLS GN,EAPG,DEF,,,,,NA,NA,NA,N,
="0428T",RMVL NSTIM APNEA PLS GEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0428T",RMVL NSTIM APNEA PLS GEN,EAPG,DEF,,,,,NA,NA,NA,N,
="0429T",RMVL NSTIM APNEA SEN LD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0429T",RMVL NSTIM APNEA SEN LD,EAPG,DEF,,,,,NA,NA,NA,N,
="0430T",RMVL NSTIM APNEA STIMJ LD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0430T",RMVL NSTIM APNEA STIMJ LD,EAPG,DEF,,,,,NA,NA,NA,N,
="0431T",RMVL/RPLC NSTIM APNEA PLS GN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0431T",RMVL/RPLC NSTIM APNEA PLS GN,EAPG,DEF,,,,,NA,NA,NA,N,
="0432T",REPOS NSTIM APNEA STIMJ LD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0432T",REPOS NSTIM APNEA STIMJ LD,EAPG,DEF,,,,,NA,NA,NA,N,
="0433T",REPOS NSTIM APNEA SENSING LD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0433T",REPOS NSTIM APNEA SENSING LD,EAPG,DEF,,,,,NA,NA,NA,N,
="0434T",INTERRO EVAL NPGS APNEA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0434T",INTERRO EVAL NPGS APNEA,EAPG,DEF,,,,,NA,NA,NA,N,
="0437T",IMPLTJ SYNTH RNFCMT ABDL WAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0437T",IMPLTJ SYNTH RNFCMT ABDL WAL,EAPG,DEF,,,,,NA,NA,NA,N,
="0438T",TPRNL PLMT BIODEGRDABL MATRL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0438T",TPRNL PLMT BIODEGRDABL MATRL,EAPG,DEF,,,,,NA,NA,NA,N,
="0439T",MYOCRD CONTRAST PRFUJ ECHO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0439T",MYOCRD CONTRAST PRFUJ ECHO,EAPG,DEF,,,,,NA,NA,NA,N,
="0440T",ABLTJ PERC UXTR/PERPH NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0440T",ABLTJ PERC UXTR/PERPH NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="0441T",ABLTJ PERC LXTR/PERPH NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0441T",ABLTJ PERC LXTR/PERPH NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="0442T",ABLTJ PERC PLEX/TRNCL NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0442T",ABLTJ PERC PLEX/TRNCL NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="0443T",R-T SPCTRL ALYS PRST8 TISS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0443T",R-T SPCTRL ALYS PRST8 TISS,EAPG,DEF,,,,,NA,NA,NA,N,
="0444T",1ST PLMT DRUG ELUT OC INS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0444T",1ST PLMT DRUG ELUT OC INS,EAPG,DEF,,,,,NA,NA,NA,N,
="0445T",SBSQT PLMT DRUG ELUT OC INS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0445T",SBSQT PLMT DRUG ELUT OC INS,EAPG,DEF,,,,,NA,NA,NA,N,
="0446T",INSJ IMPLTBL GLUCOSE SENSOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0446T",INSJ IMPLTBL GLUCOSE SENSOR,EAPG,DEF,,,,,NA,NA,NA,N,
="0447T",RMVL IMPLTBL GLUCOSE SENSOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0447T",RMVL IMPLTBL GLUCOSE SENSOR,EAPG,DEF,,,,,NA,NA,NA,N,
="0448T",REMVL INSJ IMPLTBL GLUC SENS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0448T",REMVL INSJ IMPLTBL GLUC SENS,EAPG,DEF,,,,,NA,NA,NA,N,
="0449T",INSJ AQUEOUS DRAIN DEV 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0449T",INSJ AQUEOUS DRAIN DEV 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0450T",INSJ AQUEOUS DRAIN DEV EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0450T",INSJ AQUEOUS DRAIN DEV EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="0465T",SUPCHRDL NJX RX W/O SUPPLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0465T",SUPCHRDL NJX RX W/O SUPPLY,EAPG,DEF,,,,,NA,NA,NA,N,
="0466T",INSJ CH WAL RESPIR ELTRD/RA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0466T",INSJ CH WAL RESPIR ELTRD/RA,EAPG,DEF,,,,,NA,NA,NA,N,
="0467T",REVJ/RPLMNT CH RESPIR ELTRD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0467T",REVJ/RPLMNT CH RESPIR ELTRD,EAPG,DEF,,,,,NA,NA,NA,N,
="0468T",RMVL CH WAL RESPIR ELTRD/RA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0468T",RMVL CH WAL RESPIR ELTRD/RA,EAPG,DEF,,,,,NA,NA,NA,N,
="0471T",OCT SKN IMG ACQUISJ I&R ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0471T",OCT SKN IMG ACQUISJ I&R ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="0474T",INSJ AQUEOUS DRG DEV IO RSVR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0474T",INSJ AQUEOUS DRG DEV IO RSVR,EAPG,DEF,,,,,NA,NA,NA,N,
="0479T",FXJL ABL LSR 1ST 100 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0479T",FXJL ABL LSR 1ST 100 SQ CM,EAPG,DEF,,,,,NA,NA,NA,Y,
="0480T",FXJL ABL LSR EA ADDL 100SQCM,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0480T",FXJL ABL LSR EA ADDL 100SQCM,EAPG,DEF,,,,,NA,NA,NA,Y,
="0482T",ABSL QUAN MYOCRD BLD FLO PET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0482T",ABSL QUAN MYOCRD BLD FLO PET,EAPG,DEF,,,,,NA,NA,NA,N,
="0487T",TRVG BIOMCHN MAPG W/REPRT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0487T",TRVG BIOMCHN MAPG W/REPRT,EAPG,DEF,,,,,NA,NA,NA,N,
="0491T",ABL LSR OPN WND 1ST 20 SQCM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0491T",ABL LSR OPN WND 1ST 20 SQCM,EAPG,DEF,,,,,NA,NA,NA,N,
="0492T",ABL LSR OPN WND ADDL 20 SQCM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0492T",ABL LSR OPN WND ADDL 20 SQCM,EAPG,DEF,,,,,NA,NA,NA,N,
="0493T",CNTC NEAR IFR SPECTRSC WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0493T",CNTC NEAR IFR SPECTRSC WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="0502T",COR FFR DATA PREP & TRANSMIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0502T",COR FFR DATA PREP & TRANSMIS,EAPG,DEF,,,,,NA,NA,NA,N,
="0503T",COR FFR ALYS GNRJ FFR MDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0503T",COR FFR ALYS GNRJ FFR MDL,EAPG,DEF,,,,,NA,NA,NA,N,
="0508T",PLS ECHO US B1 DNS MEAS TIB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0508T",PLS ECHO US B1 DNS MEAS TIB,EAPG,DEF,,,,,NA,NA,NA,N,
="0510T",RMVL SINUS TARSI IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0510T",RMVL SINUS TARSI IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="0511T",RMVL&RINSJ SINUS TARSI IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0511T",RMVL&RINSJ SINUS TARSI IMPLT,EAPG,DEF,,,,,NA,NA,NA,N,
="0512T",ESW INTEG WND HLG 1ST WND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0512T",ESW INTEG WND HLG 1ST WND,EAPG,DEF,,,,,NA,NA,NA,N,
="0513F",ELEV BP PLAN OF CARE DOCD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0513F",ELEV BP PLAN OF CARE DOCD,EAPG,DEF,,,,,NA,NA,NA,N,
="0513T",ESW INTEG WND HLG EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0513T",ESW INTEG WND HLG EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="0514T",INTRAOP VIS AXIS ID PT FIXJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0514T",INTRAOP VIS AXIS ID PT FIXJ,EAPG,DEF,,,,,NA,NA,NA,N,
="0523T",NTRAPX C FFR W/3D FUNCJL MAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0523T",NTRAPX C FFR W/3D FUNCJL MAP,EAPG,DEF,,,,,NA,NA,NA,N,
="0524T",EV CATH DIR CHEM ABLTJ W/IMG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0524T",EV CATH DIR CHEM ABLTJ W/IMG,EAPG,DEF,,,,,NA,NA,NA,Y,
="0525T",INSJ/RPLCMT COMPL IIMS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0525T",INSJ/RPLCMT COMPL IIMS,EAPG,DEF,,,,,NA,NA,NA,N,
="0526T",INSJ/RPLCMT IIMS ELTRD ONLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0526T",INSJ/RPLCMT IIMS ELTRD ONLY,EAPG,DEF,,,,,NA,NA,NA,N,
="0527T",INSJ/RPLCMT IIMS IMPLT MNTR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0527T",INSJ/RPLCMT IIMS IMPLT MNTR,EAPG,DEF,,,,,NA,NA,NA,N,
="0530T",REMOVAL COMPLETE IIMS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0530T",REMOVAL COMPLETE IIMS,EAPG,DEF,,,,,NA,NA,NA,N,
="0531T",REMOVAL IIMS ELECTRODE ONLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0531T",REMOVAL IIMS ELECTRODE ONLY,EAPG,DEF,,,,,NA,NA,NA,N,
="0532T",REMOVAL IIMS IMPLT MNTR ONLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0532T",REMOVAL IIMS IMPLT MNTR ONLY,EAPG,DEF,,,,,NA,NA,NA,N,
="0546T",RF SPECTRSC NTRAOP MRGN ASMT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0546T",RF SPECTRSC NTRAOP MRGN ASMT,EAPG,DEF,,,,,NA,NA,NA,N,
="0548T",TPRNL BALO CNTNC DEV BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0548T",TPRNL BALO CNTNC DEV BI,EAPG,DEF,,,,,NA,NA,NA,N,
="0549T",TPRNL BALO CNTNC DEV UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0549T",TPRNL BALO CNTNC DEV UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="0550T",TPRNL BALO CNTNC DEV RMVL EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0550T",TPRNL BALO CNTNC DEV RMVL EA,EAPG,DEF,,,,,NA,NA,NA,N,
="0551T",TPRNL BALO CNTNC DEV ADJMT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0551T",TPRNL BALO CNTNC DEV ADJMT,EAPG,DEF,,,,,NA,NA,NA,N,
="0558T",CT SCAN F/BIOMCHN CT ALYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0558T",CT SCAN F/BIOMCHN CT ALYS,EAPG,DEF,,,,,NA,NA,NA,N,
="0559T",ANTMC MDL 3D PRINT 1ST CMPNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0559T",ANTMC MDL 3D PRINT 1ST CMPNT,EAPG,DEF,,,,,NA,NA,NA,N,
="0560T",ANTMC MDL 3D PRINT EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0560T",ANTMC MDL 3D PRINT EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="0561T",ANTMC GUIDE 3D PRINT 1ST GD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0561T",ANTMC GUIDE 3D PRINT 1ST GD,EAPG,DEF,,,,,NA,NA,NA,N,
="0562T",ANTMC GUIDE 3D PRINT EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0562T",ANTMC GUIDE 3D PRINT EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="0563T",EVAC MEIBOMIAN GLND HEAT BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0563T",EVAC MEIBOMIAN GLND HEAT BI,EAPG,DEF,,,,,NA,NA,NA,N,
="0564T",ONC CHEMO RX CYTOTOX CSC 14,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0564T",ONC CHEMO RX CYTOTOX CSC 14,EAPG,DEF,,,,,NA,NA,NA,N,
="0565T",AUTOL CELL IMPLT ADPS HRVG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0565T",AUTOL CELL IMPLT ADPS HRVG,EAPG,DEF,,,,,NA,NA,NA,N,
="0566T",AUTOL CELL IMPLT ADPS NJX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0566T",AUTOL CELL IMPLT ADPS NJX,EAPG,DEF,,,,,NA,NA,NA,N,
="0587T",PERQ IMPLTJ/RPLCMT ISDNS PTN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0587T",PERQ IMPLTJ/RPLCMT ISDNS PTN,EAPG,DEF,,,,,NA,NA,NA,N,
="0588T",REVISION/REMOVAL ISDNS PTN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0588T",REVISION/REMOVAL ISDNS PTN,EAPG,DEF,,,,,NA,NA,NA,N,
="0589T",ELEC ALYS SMPL PRGRMG IINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0589T",ELEC ALYS SMPL PRGRMG IINS,EAPG,DEF,,,,,NA,NA,NA,N,
="0590T",ELEC ALYS CPLX PRGRMG IINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0590T",ELEC ALYS CPLX PRGRMG IINS,EAPG,DEF,,,,,NA,NA,NA,N,
="0620T",EVASC VEN ARTLZ TIBL/PRNL VN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0620T",EVASC VEN ARTLZ TIBL/PRNL VN,EAPG,DEF,,,,,NA,NA,NA,N,
="0621T",TRABECULOSTOMY INTERNO LASER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0621T",TRABECULOSTOMY INTERNO LASER,EAPG,DEF,,,,,NA,NA,NA,N,
="0622T",TRABECULOSTOMY INT LSR W/SCP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0622T",TRABECULOSTOMY INT LSR W/SCP,EAPG,DEF,,,,,NA,NA,NA,N,
="0627T",PERQ NJX ALGC FLUOR LMBR 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0627T",PERQ NJX ALGC FLUOR LMBR 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0628T",PERQ NJX ALGC FLUOR LMBR EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0628T",PERQ NJX ALGC FLUOR LMBR EA,EAPG,DEF,,,,,NA,NA,NA,N,
="0629T",PERQ NJX ALGC CT LMBR 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0629T",PERQ NJX ALGC CT LMBR 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0630T",PERQ NJX ALGC CT LMBR EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0630T",PERQ NJX ALGC CT LMBR EA,EAPG,DEF,,,,,NA,NA,NA,N,
="0633T",CT BREAST W/3D UNI C-,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0633T",CT BREAST W/3D UNI C-,EAPG,DEF,,,,,NA,NA,NA,N,
="0634T",CT BREAST W/3D UNI C+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0634T",CT BREAST W/3D UNI C+,EAPG,DEF,,,,,NA,NA,NA,N,
="0635T",CT BREAST W/3D UNI C-/C+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0635T",CT BREAST W/3D UNI C-/C+,EAPG,DEF,,,,,NA,NA,NA,N,
="0636T",CT BREAST W/3D BI C-,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0636T",CT BREAST W/3D BI C-,EAPG,DEF,,,,,NA,NA,NA,N,
="0637T",CT BREAST W/3D BI C+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0637T",CT BREAST W/3D BI C+,EAPG,DEF,,,,,NA,NA,NA,N,
="0638T",CT BREAST W/3D BI C-/C+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0638T",CT BREAST W/3D BI C-/C+,EAPG,DEF,,,,,NA,NA,NA,N,
="0671T",INSJ ANT SGM AQ DRG DEV 1+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0671T",INSJ ANT SGM AQ DRG DEV 1+,EAPG,DEF,,,,,NA,NA,NA,N,
="0673T",ABLTJ B9 THYR NDUL PERQ LASR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0673T",ABLTJ B9 THYR NDUL PERQ LASR,EAPG,DEF,,,,,NA,NA,NA,N,
="0686T",HISTOTRIPSY MAL HEPATCEL TIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0686T",HISTOTRIPSY MAL HEPATCEL TIS,EAPG,DEF,,,,,NA,NA,NA,N,
="0689T",QUAN US TIS CHARAC W/O DX US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0689T",QUAN US TIS CHARAC W/O DX US,EAPG,DEF,,,,,NA,NA,NA,N,
="0697T",QUAN MR TIS WO MRI MLT ORGN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0697T",QUAN MR TIS WO MRI MLT ORGN,EAPG,DEF,,,,,NA,NA,NA,N,
="0699T",NJX PST CHMBR EYE MEDICATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0699T",NJX PST CHMBR EYE MEDICATION,EAPG,DEF,,,,,NA,NA,NA,N,
="0707T",NJX B1 SUB MTRL SBCHDRL DFCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0707T",NJX B1 SUB MTRL SBCHDRL DFCT,EAPG,DEF,,,,,NA,NA,NA,N,
="0740T",REM AUTON ALG NSLN CAL SETUP,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0740T",REM AUTON ALG NSLN CAL SETUP,EAPG,DEF,,,,,NA,NA,NA,Y,
="0741T",REM AUTON ALG NSLN DATA COLL,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0741T",REM AUTON ALG NSLN DATA COLL,EAPG,DEF,,,,,NA,NA,NA,Y,
="0751T",DGTZ GLS MCRSCP SLD LEVEL II,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0751T",DGTZ GLS MCRSCP SLD LEVEL II,EAPG,DEF,,,,,NA,NA,NA,N,
="0752T",DGTZ GLS MCRSCP SLD LVL III,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0752T",DGTZ GLS MCRSCP SLD LVL III,EAPG,DEF,,,,,NA,NA,NA,N,
="0753T",DGTZ GLS MCRSCP SLD LEVEL IV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0753T",DGTZ GLS MCRSCP SLD LEVEL IV,EAPG,DEF,,,,,NA,NA,NA,N,
="0754T",DGTZ GLS MCRSCP SLD LEVEL V,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0754T",DGTZ GLS MCRSCP SLD LEVEL V,EAPG,DEF,,,,,NA,NA,NA,N,
="0755T",DGTZ GLS MCRSCP SLD LEVEL VI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0755T",DGTZ GLS MCRSCP SLD LEVEL VI,EAPG,DEF,,,,,NA,NA,NA,N,
="0756T",DGTZ GLS MCRSCP SLD SPC GRPI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0756T",DGTZ GLS MCRSCP SLD SPC GRPI,EAPG,DEF,,,,,NA,NA,NA,N,
="0757T",DGTZ GLS MCRSCP SL SPC GRPII,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0757T",DGTZ GLS MCRSCP SL SPC GRPII,EAPG,DEF,,,,,NA,NA,NA,N,
="0758T",DGTZ GLS MCRSCP SL SPC HCHEM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0758T",DGTZ GLS MCRSCP SL SPC HCHEM,EAPG,DEF,,,,,NA,NA,NA,N,
="0759T",DGTZ GLS MCRSCP SL SP GRPIII,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0759T",DGTZ GLS MCRSCP SL SP GRPIII,EAPG,DEF,,,,,NA,NA,NA,N,
="0760T",DGTZ GLS MCRSCP SL IMM 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0760T",DGTZ GLS MCRSCP SL IMM 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="0761T",DGTZ GLS MCRSCP SL IMM EA 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0761T",DGTZ GLS MCRSCP SL IMM EA 1,EAPG,DEF,,,,,NA,NA,NA,N,
="0762T",DGTZ GLS MCRSCP SL IMM EA M,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0762T",DGTZ GLS MCRSCP SL IMM EA M,EAPG,DEF,,,,,NA,NA,NA,N,
="0763T",DGTZ GLS MCRSCP MPHMTRC ALYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0763T",DGTZ GLS MCRSCP MPHMTRC ALYS,EAPG,DEF,,,,,NA,NA,NA,N,
="0766T",TC MAG STIMJ PN 1ST TX 1NRV,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0766T",TC MAG STIMJ PN 1ST TX 1NRV,EAPG,DEF,,,,,NA,NA,NA,Y,
="0767T",TC MAG STIMJ PN 1ST TX EA,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0767T",TC MAG STIMJ PN 1ST TX EA,EAPG,DEF,,,,,NA,NA,NA,Y,
="0768T",TC MAG STIMJ PN SBSQ TX 1NRV,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0768T",TC MAG STIMJ PN SBSQ TX 1NRV,EAPG,DEF,,,,,NA,NA,NA,Y,
="0769T",TC MAG STIMJ PN SBSQ TX EA,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0769T",TC MAG STIMJ PN SBSQ TX EA,EAPG,DEF,,,,,NA,NA,NA,Y,
="0775T",ARTHRD SI JT PRQ IARTIC IMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="0775T",ARTHRD SI JT PRQ IARTIC IMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="0777T",R-T PRS SENSING EDRL GDN SYS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="0777T",R-T PRS SENSING EDRL GDN SYS,EAPG,DEF,,,,,NA,NA,NA,Y,
="10004",FNA BX W/O IMG GDN EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10004",FNA BX W/O IMG GDN EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="10005",FNA BX W/US GDN 1ST LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10005",FNA BX W/US GDN 1ST LES,EAPG,DEF,,,,,NA,NA,NA,N,
="10006",FNA BX W/US GDN EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10006",FNA BX W/US GDN EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="10007",FNA BX W/FLUOR GDN 1ST LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10007",FNA BX W/FLUOR GDN 1ST LES,EAPG,DEF,,,,,NA,NA,NA,N,
="10008",FNA BX W/FLUOR GDN EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10008",FNA BX W/FLUOR GDN EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="10009",FNA BX W/CT GDN 1ST LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10009",FNA BX W/CT GDN 1ST LES,EAPG,DEF,,,,,NA,NA,NA,N,
="10010",FNA BX W/CT GDN EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10010",FNA BX W/CT GDN EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="10011",FNA BX W/MR GDN 1ST LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10011",FNA BX W/MR GDN 1ST LES,EAPG,DEF,,,,,NA,NA,NA,N,
="10012",FNA BX W/MR GDN EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10012",FNA BX W/MR GDN EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="10021",FNA BX W/O IMG GDN 1ST LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10021",FNA BX W/O IMG GDN 1ST LES,EAPG,DEF,,,,,NA,NA,NA,N,
="10022",FNA W/IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10022",FNA W/IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="10030",GUIDE CATHET FLUID DRAINAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10030",GUIDE CATHET FLUID DRAINAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="10035",PERQ DEV SOFT TISS 1ST IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10035",PERQ DEV SOFT TISS 1ST IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="10036",PERQ DEV SOFT TISS ADD IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10036",PERQ DEV SOFT TISS ADD IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="10040",ACNE SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10040",ACNE SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="10060",DRAINAGE OF SKIN ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10060",DRAINAGE OF SKIN ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="10061",DRAINAGE OF SKIN ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10061",DRAINAGE OF SKIN ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="10080",DRAINAGE OF PILONIDAL CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10080",DRAINAGE OF PILONIDAL CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="10081",DRAINAGE OF PILONIDAL CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10081",DRAINAGE OF PILONIDAL CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="10120",REMOVE FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10120",REMOVE FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="10121",REMOVE FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10121",REMOVE FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="10140",DRAINAGE OF HEMATOMA/FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10140",DRAINAGE OF HEMATOMA/FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="10160",PUNCTURE DRAINAGE OF LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10160",PUNCTURE DRAINAGE OF LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="10180",COMPLEX DRAINAGE WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="10180",COMPLEX DRAINAGE WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="11000",DEBRIDE INFECTED SKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11000",DEBRIDE INFECTED SKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="11001",DEBRIDE INFECTED SKIN ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11001",DEBRIDE INFECTED SKIN ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="11010",DEBRIDE SKIN AT FX SITE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11010",DEBRIDE SKIN AT FX SITE,EAPG,DEF,,,,,NA,NA,NA,N,
="11011",DEBRIDE SKIN MUSC AT FX SITE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11011",DEBRIDE SKIN MUSC AT FX SITE,EAPG,DEF,,,,,NA,NA,NA,N,
="11012",DEB SKIN BONE AT FX SITE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11012",DEB SKIN BONE AT FX SITE,EAPG,DEF,,,,,NA,NA,NA,N,
="11042",DEB SUBQ TISSUE 20 SQ CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11042",DEB SUBQ TISSUE 20 SQ CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11043",DEB MUSC/FASCIA 20 SQ CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11043",DEB MUSC/FASCIA 20 SQ CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11044",DEB BONE 20 SQ CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11044",DEB BONE 20 SQ CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11045",DEB SUBQ TISSUE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11045",DEB SUBQ TISSUE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="11046",DEB MUSC/FASCIA ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11046",DEB MUSC/FASCIA ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="11047",DEB BONE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11047",DEB BONE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="11055",TRIM SKIN LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11055",TRIM SKIN LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11056",TRIM SKIN LESIONS 2 TO 4,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11056",TRIM SKIN LESIONS 2 TO 4,EAPG,DEF,,,,,NA,NA,NA,N,
="11057",TRIM SKIN LESIONS OVER 4,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11057",TRIM SKIN LESIONS OVER 4,EAPG,DEF,,,,,NA,NA,NA,N,
="11100",BIOPSY SKIN LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11100",BIOPSY SKIN LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11101",BIOPSY SKIN ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11101",BIOPSY SKIN ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="11102",TANGNTL BX SKIN SINGLE LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11102",TANGNTL BX SKIN SINGLE LES,EAPG,DEF,,,,,NA,NA,NA,N,
="11103",TANGNTL BX SKIN EA SEP/ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11103",TANGNTL BX SKIN EA SEP/ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="11104",PUNCH BX SKIN SINGLE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11104",PUNCH BX SKIN SINGLE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11105",PUNCH BX SKIN EA SEP/ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11105",PUNCH BX SKIN EA SEP/ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="11106",INCAL BX SKN SINGLE LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11106",INCAL BX SKN SINGLE LES,EAPG,DEF,,,,,NA,NA,NA,N,
="11107",INCAL BX SKN EA SEP/ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11107",INCAL BX SKN EA SEP/ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="11200",REMOVAL OF SKIN TAGS 2.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11303",SHAVE SKIN LESION >2.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11305",SHAVE SKIN LESION 0.5 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11305",SHAVE SKIN LESION 0.5 CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11306",SHAVE SKIN LESION 0.6-1.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11306",SHAVE SKIN LESION 0.6-1.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11307",SHAVE SKIN LESION 1.1-2.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11307",SHAVE SKIN LESION 1.1-2.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11308",SHAVE SKIN LESION >2.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11308",SHAVE SKIN LESION >2.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11310",SHAVE SKIN LESION 0.5 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11310",SHAVE SKIN LESION 0.5 CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11311",SHAVE SKIN LESION 0.6-1.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11311",SHAVE SKIN LESION 0.6-1.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11312",SHAVE SKIN LESION 1.1-2.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11312",SHAVE SKIN LESION 1.1-2.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11313",SHAVE SKIN LESION >2.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11313",SHAVE SKIN LESION >2.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11400",EXC TR-EXT B9+MARG 0.5 CM<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11400",EXC TR-EXT B9+MARG 0.5 CM<,EAPG,DEF,,,,,NA,NA,NA,N,
="11401",EXC TR-EXT B9+MARG 0.6-1 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11401",EXC TR-EXT B9+MARG 0.6-1 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11402",EXC TR-EXT B9+MARG 1.1-2 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11402",EXC TR-EXT B9+MARG 1.1-2 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11403",EXC TR-EXT B9+MARG 2.1-3CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11403",EXC TR-EXT B9+MARG 2.1-3CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11404",EXC TR-EXT B9+MARG 3.1-4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11404",EXC TR-EXT B9+MARG 3.1-4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11406",EXC TR-EXT B9+MARG >4.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11406",EXC TR-EXT B9+MARG >4.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11420",EXC H-F-NK-SP B9+MARG 0.5/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11420",EXC H-F-NK-SP B9+MARG 0.5/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11421",EXC H-F-NK-SP B9+MARG 0.6-1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11421",EXC H-F-NK-SP B9+MARG 0.6-1,EAPG,DEF,,,,,NA,NA,NA,N,
="11422",EXC H-F-NK-SP B9+MARG 1.1-2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11422",EXC H-F-NK-SP B9+MARG 1.1-2,EAPG,DEF,,,,,NA,NA,NA,N,
="11423",EXC H-F-NK-SP B9+MARG 2.1-3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11423",EXC H-F-NK-SP B9+MARG 2.1-3,EAPG,DEF,,,,,NA,NA,NA,N,
="11424",EXC H-F-NK-SP B9+MARG 3.1-4,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11424",EXC H-F-NK-SP B9+MARG 3.1-4,EAPG,DEF,,,,,NA,NA,NA,N,
="11426",EXC H-F-NK-SP B9+MARG >4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11426",EXC H-F-NK-SP B9+MARG >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11440",EXC FACE-MM B9+MARG 0.5 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11440",EXC FACE-MM B9+MARG 0.5 CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11441",EXC FACE-MM B9+MARG 0.6-1 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11441",EXC FACE-MM B9+MARG 0.6-1 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11442",EXC FACE-MM B9+MARG 1.1-2 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11442",EXC FACE-MM B9+MARG 1.1-2 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11443",EXC FACE-MM B9+MARG 2.1-3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11443",EXC FACE-MM B9+MARG 2.1-3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11444",EXC FACE-MM B9+MARG 3.1-4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11444",EXC FACE-MM B9+MARG 3.1-4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11446",EXC FACE-MM B9+MARG >4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11446",EXC FACE-MM B9+MARG >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11450",REMOVAL SWEAT GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11450",REMOVAL SWEAT GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11451",REMOVAL SWEAT GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11451",REMOVAL SWEAT GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11462",REMOVAL SWEAT GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11462",REMOVAL SWEAT GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11463",REMOVAL SWEAT GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11463",REMOVAL SWEAT GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11470",REMOVAL SWEAT GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11470",REMOVAL SWEAT GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11471",REMOVAL SWEAT GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11471",REMOVAL SWEAT GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="11600",EXC TR-EXT MAL+MARG 0.5 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11600",EXC TR-EXT MAL+MARG 0.5 CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11601",EXC TR-EXT MAL+MARG 0.6-1 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11601",EXC TR-EXT MAL+MARG 0.6-1 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11602",EXC TR-EXT MAL+MARG 1.1-2 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11602",EXC TR-EXT MAL+MARG 1.1-2 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11603",EXC TR-EXT MAL+MARG 2.1-3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11603",EXC TR-EXT MAL+MARG 2.1-3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11604",EXC TR-EXT MAL+MARG 3.1-4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11604",EXC TR-EXT MAL+MARG 3.1-4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11606",EXC TR-EXT MAL+MARG >4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11606",EXC TR-EXT MAL+MARG >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11620",EXC H-F-NK-SP MAL+MARG 0.5/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11620",EXC H-F-NK-SP MAL+MARG 0.5/<,EAPG,DEF,,,,,NA,NA,NA,N,
="11621",EXC S/N/H/F/G MAL+MRG 0.6-1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11621",EXC S/N/H/F/G MAL+MRG 0.6-1,EAPG,DEF,,,,,NA,NA,NA,N,
="11622",EXC S/N/H/F/G MAL+MRG 1.1-2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11622",EXC S/N/H/F/G MAL+MRG 1.1-2,EAPG,DEF,,,,,NA,NA,NA,N,
="11623",EXC S/N/H/F/G MAL+MRG 2.1-3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11623",EXC S/N/H/F/G MAL+MRG 2.1-3,EAPG,DEF,,,,,NA,NA,NA,N,
="11624",EXC S/N/H/F/G MAL+MRG 3.1-4,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11624",EXC S/N/H/F/G MAL+MRG 3.1-4,EAPG,DEF,,,,,NA,NA,NA,N,
="11626",EXC S/N/H/F/G MAL+MRG >4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11626",EXC S/N/H/F/G MAL+MRG >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11640",EXC F/E/E/N/L MAL+MRG 0.5CM<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11640",EXC F/E/E/N/L MAL+MRG 0.5CM<,EAPG,DEF,,,,,NA,NA,NA,N,
="11641",EXC F/E/E/N/L MAL+MRG 0.6-1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11641",EXC F/E/E/N/L MAL+MRG 0.6-1,EAPG,DEF,,,,,NA,NA,NA,N,
="11642",EXC F/E/E/N/L MAL+MRG 1.1-2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11642",EXC F/E/E/N/L MAL+MRG 1.1-2,EAPG,DEF,,,,,NA,NA,NA,N,
="11643",EXC F/E/E/N/L MAL+MRG 2.1-3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11643",EXC F/E/E/N/L MAL+MRG 2.1-3,EAPG,DEF,,,,,NA,NA,NA,N,
="11644",EXC F/E/E/N/L MAL+MRG 3.1-4,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11644",EXC F/E/E/N/L MAL+MRG 3.1-4,EAPG,DEF,,,,,NA,NA,NA,N,
="11646",EXC F/E/E/N/L MAL+MRG >4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11646",EXC F/E/E/N/L MAL+MRG >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="11719",TRIM NAIL(S) ANY NUMBER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11719",TRIM NAIL(S) ANY NUMBER,EAPG,DEF,,,,,NA,NA,NA,N,
="11720",DEBRIDE NAIL 1-5,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11720",DEBRIDE NAIL 1-5,EAPG,DEF,,,,,NA,NA,NA,N,
="11721",DEBRIDE NAIL 6 OR MORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11721",DEBRIDE NAIL 6 OR MORE,EAPG,DEF,,,,,NA,NA,NA,N,
="11730",REMOVAL OF NAIL PLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11730",REMOVAL OF NAIL PLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="11732",REMOVE NAIL PLATE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11732",REMOVE NAIL PLATE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="11740",DRAIN BLOOD FROM UNDER NAIL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11740",DRAIN BLOOD FROM UNDER NAIL,EAPG,DEF,,,,,NA,NA,NA,N,
="11750",REMOVAL OF NAIL BED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11750",REMOVAL OF NAIL BED,EAPG,DEF,,,,,NA,NA,NA,N,
="11755",BIOPSY NAIL UNIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11755",BIOPSY NAIL UNIT,EAPG,DEF,,,,,NA,NA,NA,N,
="11760",REPAIR OF NAIL BED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11760",REPAIR OF NAIL BED,EAPG,DEF,,,,,NA,NA,NA,N,
="11762",RECONSTRUCTION OF NAIL BED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11762",RECONSTRUCTION OF NAIL BED,EAPG,DEF,,,,,NA,NA,NA,N,
="11765",EXCISION OF NAIL FOLD TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11765",EXCISION OF NAIL FOLD TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="11770",REMOVE PILONIDAL CYST SIMPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11770",REMOVE PILONIDAL CYST SIMPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="11771",REMOVE PILONIDAL CYST EXTEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11771",REMOVE PILONIDAL CYST EXTEN,EAPG,DEF,,,,,NA,NA,NA,N,
="11772",REMOVE PILONIDAL CYST COMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11772",REMOVE PILONIDAL CYST COMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="11900",INJECT SKIN LESIONS 7,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11901",INJECT SKIN LESIONS >7,EAPG,DEF,,,,,NA,NA,NA,N,
="11920",CORRECT SKIN COLOR 6.0 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,E,
="11920",CORRECT SKIN COLOR 6.0 CM/<,EAPG,DEF,,,,,NA,NA,NA,E,
="11921",CORRECT SKN COLOR 6.1-20.0CM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="11921",CORRECT SKN COLOR 6.1-20.0CM,EAPG,DEF,,,,,NA,NA,NA,E,
="11922",CORRECT SKIN COLOR EA 20.0CM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="11922",CORRECT SKIN COLOR EA 20.0CM,EAPG,DEF,,,,,NA,NA,NA,E,
="11950",TX CONTOUR DEFECTS 1 CC/<,PRXOVR,DEF,,,,,NA,NA,NA,E,
="11950",TX CONTOUR DEFECTS 1 CC/<,EAPG,DEF,,,,,NA,NA,NA,E,
="11951",TX CONTOUR DEFECTS 1.1-5.0CC,PRXOVR,DEF,,,,,NA,NA,NA,E,
="11951",TX CONTOUR DEFECTS 1.1-5.0CC,EAPG,DEF,,,,,NA,NA,NA,E,
="11952",TX CONTOUR DEFECTS 5.1-10CC,PRXOVR,DEF,,,,,NA,NA,NA,E,
="11952",TX CONTOUR DEFECTS 5.1-10CC,EAPG,DEF,,,,,NA,NA,NA,E,
="11954",TX CONTOUR DEFECTS >10.0 CC,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="11954",TX CONTOUR DEFECTS >10.0 CC,EAPG,DEF,,,,,NA,NA,NA,Y,
="11960",INSERT TISSUE EXPANDER(S),PRXOVR,DEF,,,,,NA,NA,NA,Y,
="11960",INSERT TISSUE EXPANDER(S),EAPG,DEF,,,,,NA,NA,NA,Y,
="11970",RPLCMT TISS XPNDR PERM IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="11970",RPLCMT TISS XPNDR PERM IMPLT,EAPG,DEF,,,,,NA,NA,NA,Y,
="11971",RMVL TIS XPNDR WO INSJ IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11971",RMVL TIS XPNDR WO INSJ IMPLT,EAPG,DEF,,,,,NA,NA,NA,N,
="11976",REMOVE CONTRACEPTIVE CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11976",REMOVE CONTRACEPTIVE CAPSULE,EAPG,DEF,,,,,NA,NA,NA,N,
="11980",IMPLANT HORMONE PELLET(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="11980",IMPLANT HORMONE PELLET(S),EAPG,DEF,,,,,NA,NA,NA,N,
="11981",INSERTION DRUG DLVR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11981",INSERTION DRUG DLVR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="11982",REMOVE DRUG IMPLANT DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11982",REMOVE DRUG IMPLANT DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="11983",REMOVE/INSERT DRUG IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="11983",REMOVE/INSERT DRUG IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="12001",RPR S/N/AX/GEN/TRNK 2.5CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12001",RPR S/N/AX/GEN/TRNK 2.5CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="12002",RPR S/N/AX/GEN/TRNK2.6-7.5CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12002",RPR S/N/AX/GEN/TRNK2.6-7.5CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12004",RPR S/N/AX/GEN/TRK7.6-12.5CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12004",RPR S/N/AX/GEN/TRK7.6-12.5CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12005",RPR S/N/A/GEN/TRK12.6-20.0CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12005",RPR S/N/A/GEN/TRK12.6-20.0CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12006",RPR S/N/A/GEN/TRK20.1-30.0CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12006",RPR S/N/A/GEN/TRK20.1-30.0CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12007",RPR S/N/AX/GEN/TRNK >30.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12007",RPR S/N/AX/GEN/TRNK >30.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12011",RPR F/E/E/N/L/M 2.5 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12011",RPR F/E/E/N/L/M 2.5 CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="12013",RPR F/E/E/N/L/M 2.6-5.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12013",RPR F/E/E/N/L/M 2.6-5.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12014",RPR F/E/E/N/L/M 5.1-7.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12014",RPR F/E/E/N/L/M 5.1-7.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12015",RPR F/E/E/N/L/M 7.6-12.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12015",RPR F/E/E/N/L/M 7.6-12.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12016",RPR FE/E/EN/L/M 12.6-20.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12016",RPR FE/E/EN/L/M 12.6-20.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12017",RPR FE/E/EN/L/M 20.1-30.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12017",RPR FE/E/EN/L/M 20.1-30.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12018",RPR F/E/E/N/L/M >30.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12018",RPR F/E/E/N/L/M >30.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12020",CLOSURE OF SPLIT WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12020",CLOSURE OF SPLIT WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="12021",CLOSURE OF SPLIT WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12021",CLOSURE OF SPLIT WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="12031",INTMD RPR S/A/T/EXT 2.5 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12031",INTMD RPR S/A/T/EXT 2.5 CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="12032",INTMD RPR S/A/T/EXT 2.6-7.5,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12032",INTMD RPR S/A/T/EXT 2.6-7.5,EAPG,DEF,,,,,NA,NA,NA,N,
="12034",INTMD RPR S/TR/EXT 7.6-12.5,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12034",INTMD RPR S/TR/EXT 7.6-12.5,EAPG,DEF,,,,,NA,NA,NA,N,
="12035",INTMD RPR S/A/T/EXT 12.6-20,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12035",INTMD RPR S/A/T/EXT 12.6-20,EAPG,DEF,,,,,NA,NA,NA,N,
="12036",INTMD RPR S/A/T/EXT 20.1-30,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12036",INTMD RPR S/A/T/EXT 20.1-30,EAPG,DEF,,,,,NA,NA,NA,N,
="12037",INTMD RPR S/TR/EXT >30.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12037",INTMD RPR S/TR/EXT >30.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12041",INTMD RPR N-HF/GENIT 2.5CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12041",INTMD RPR N-HF/GENIT 2.5CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="12042",INTMD RPR N-HF/GENIT2.6-7.5,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12042",INTMD RPR N-HF/GENIT2.6-7.5,EAPG,DEF,,,,,NA,NA,NA,N,
="12044",INTMD RPR N-HF/GENIT7.6-12.5,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12044",INTMD RPR N-HF/GENIT7.6-12.5,EAPG,DEF,,,,,NA,NA,NA,N,
="12045",INTMD RPR N-HF/GENIT12.6-20,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12045",INTMD RPR N-HF/GENIT12.6-20,EAPG,DEF,,,,,NA,NA,NA,N,
="12046",INTMD RPR N-HF/GENIT20.1-30,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12046",INTMD RPR N-HF/GENIT20.1-30,EAPG,DEF,,,,,NA,NA,NA,N,
="12047",INTMD RPR N-HF/GENIT >30.0CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12047",INTMD RPR N-HF/GENIT >30.0CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12051",INTMD RPR FACE/MM 2.5 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12051",INTMD RPR FACE/MM 2.5 CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="12052",INTMD RPR FACE/MM 2.6-5.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12052",INTMD RPR FACE/MM 2.6-5.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12053",INTMD RPR FACE/MM 5.1-7.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12053",INTMD RPR FACE/MM 5.1-7.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12054",INTMD RPR FACE/MM 7.6-12.5CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12054",INTMD RPR FACE/MM 7.6-12.5CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12055",INTMD RPR FACE/MM 12.6-20 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12055",INTMD RPR FACE/MM 12.6-20 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="12056",INTMD RPR FACE/MM 20.1-30.0,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12056",INTMD RPR FACE/MM 20.1-30.0,EAPG,DEF,,,,,NA,NA,NA,N,
="12057",INTMD RPR FACE/MM >30.0 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="12057",INTMD RPR FACE/MM >30.0 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="13100",CMPLX RPR TRUNK 1.1-2.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13100",CMPLX RPR TRUNK 1.1-2.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="13101",CMPLX RPR TRUNK 2.6-7.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13101",CMPLX RPR TRUNK 2.6-7.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="13102",CMPLX RPR TRUNK ADDL 5CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13102",CMPLX RPR TRUNK ADDL 5CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="13120",CMPLX RPR S/A/L 1.1-2.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13120",CMPLX RPR S/A/L 1.1-2.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="13121",CMPLX RPR S/A/L 2.6-7.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13121",CMPLX RPR S/A/L 2.6-7.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="13122",CMPLX RPR S/A/L ADDL 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13122",CMPLX RPR S/A/L ADDL 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="13131",CMPLX RPR F/C/C/M/N/AX/G/H/F,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13131",CMPLX RPR F/C/C/M/N/AX/G/H/F,EAPG,DEF,,,,,NA,NA,NA,N,
="13132",CMPLX RPR F/C/C/M/N/AX/G/H/F,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13132",CMPLX RPR F/C/C/M/N/AX/G/H/F,EAPG,DEF,,,,,NA,NA,NA,N,
="13133",CMPLX RPR F/C/C/M/N/AX/G/H/F,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13133",CMPLX RPR F/C/C/M/N/AX/G/H/F,EAPG,DEF,,,,,NA,NA,NA,N,
="13150",CMPLX RPR E/N/E/L 1.0 CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13150",CMPLX RPR E/N/E/L 1.0 CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="13151",CMPLX RPR E/N/E/L 1.1-2.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13151",CMPLX RPR E/N/E/L 1.1-2.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="13152",CMPLX RPR E/N/E/L 2.6-7.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13152",CMPLX RPR E/N/E/L 2.6-7.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="13153",CMPLX RPR E/N/E/L ADDL 5CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13153",CMPLX RPR E/N/E/L ADDL 5CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="13160",LATE CLOSURE OF WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13160",LATE CLOSURE OF WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="13300",REPAIR OF WOUND OR LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="13300",REPAIR OF WOUND OR LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="14000",TIS TRNFR TRUNK 10 SQ CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14000",TIS TRNFR TRUNK 10 SQ CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="14001",TIS TRNFR TRUNK 10.1-30SQCM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14001",TIS TRNFR TRUNK 10.1-30SQCM,EAPG,DEF,,,,,NA,NA,NA,N,
="14020",TIS TRNFR S/A/L 10 SQ CM/<,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="14020",TIS TRNFR S/A/L 10 SQ CM/<,EAPG,DEF,,,,,NA,NA,NA,Y,
="14021",TIS TRNFR S/A/L 10.1-30 SQCM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14021",TIS TRNFR S/A/L 10.1-30 SQCM,EAPG,DEF,,,,,NA,NA,NA,N,
="14040",TIS TRNFR F/C/C/M/N/A/G/H/F,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14040",TIS TRNFR F/C/C/M/N/A/G/H/F,EAPG,DEF,,,,,NA,NA,NA,N,
="14041",TIS TRNFR F/C/C/M/N/A/G/H/F,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14041",TIS TRNFR F/C/C/M/N/A/G/H/F,EAPG,DEF,,,,,NA,NA,NA,N,
="14060",TIS TRNFR E/N/E/L 10 SQ CM/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14060",TIS TRNFR E/N/E/L 10 SQ CM/<,EAPG,DEF,,,,,NA,NA,NA,N,
="14061",TIS TRNFR E/N/E/L10.1-30SQCM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14061",TIS TRNFR E/N/E/L10.1-30SQCM,EAPG,DEF,,,,,NA,NA,NA,N,
="14300",SKIN TISSUE REARRANGEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14300",SKIN TISSUE REARRANGEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="14301",TIS TRNFR ANY 30.1-60 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14301",TIS TRNFR ANY 30.1-60 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="14302",TIS TRNFR ADDL 30 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14302",TIS TRNFR ADDL 30 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="14350",FILLETED FINGER/TOE FLAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="14350",FILLETED FINGER/TOE FLAP,EAPG,DEF,,,,,NA,NA,NA,N,
="15000",WOUND PREP; 1ST 100 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15000",WOUND PREP; 1ST 100 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="15002",WOUND PREP TRK/ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15002",WOUND PREP TRK/ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15003",WOUND PREP ADDL 100 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15003",WOUND PREP ADDL 100 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="15004",WOUND PREP F/N/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15004",WOUND PREP F/N/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15005",WND PREP F/N/HF/G ADDL CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15005",WND PREP F/N/HF/G ADDL CM,EAPG,DEF,,,,,NA,NA,NA,N,
="15040",HARVEST CULTURED SKIN GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15040",HARVEST CULTURED SKIN GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15050",SKIN PINCH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15050",SKIN PINCH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15100",SKIN SPLT GRFT TRNK/ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15100",SKIN SPLT GRFT TRNK/ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15101",SKIN SPLT GRFT T/A/L ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15101",SKIN SPLT GRFT T/A/L ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15110",EPIDRM AUTOGRFT TRNK/ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15110",EPIDRM AUTOGRFT TRNK/ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15111",EPIDRM AUTOGRFT T/A/L ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15111",EPIDRM AUTOGRFT T/A/L ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15115",EPIDRM A-GRFT FACE/NCK/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15115",EPIDRM A-GRFT FACE/NCK/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15116",EPIDRM A-GRFT F/N/HF/G ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15116",EPIDRM A-GRFT F/N/HF/G ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="15120",SKN SPLT A-GRFT FAC/NCK/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15120",SKN SPLT A-GRFT FAC/NCK/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15121",SKN SPLT A-GRFT F/N/HF/G ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15121",SKN SPLT A-GRFT F/N/HF/G ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15130",DERM AUTOGRAFT TRNK/ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15130",DERM AUTOGRAFT TRNK/ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15131",DERM AUTOGRAFT T/A/L ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15131",DERM AUTOGRAFT T/A/L ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15135",DERM AUTOGRAFT FACE/NCK/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15135",DERM AUTOGRAFT FACE/NCK/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15136",DERM AUTOGRAFT F/N/HF/G ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15136",DERM AUTOGRAFT F/N/HF/G ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15150",CULT SKIN GRFT T/ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15150",CULT SKIN GRFT T/ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15151",CULT SKIN GRFT T/A/L ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15151",CULT SKIN GRFT T/A/L ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="15152",CULT SKIN GRAFT T/A/L +%,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15152",CULT SKIN GRAFT T/A/L +%,EAPG,DEF,,,,,NA,NA,NA,N,
="15155",CULT SKIN GRAFT F/N/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15155",CULT SKIN GRAFT F/N/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15156",CULT SKIN GRFT F/N/HFG ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15156",CULT SKIN GRFT F/N/HFG ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15157",CULT EPIDERM GRFT F/N/HFG +%,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15157",CULT EPIDERM GRFT F/N/HFG +%,EAPG,DEF,,,,,NA,NA,NA,N,
="15200",SKIN FULL GRAFT TRUNK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15200",SKIN FULL GRAFT TRUNK,EAPG,DEF,,,,,NA,NA,NA,N,
="15201",SKIN FULL GRAFT TRUNK ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15201",SKIN FULL GRAFT TRUNK ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15220",SKIN FULL GRAFT SCLP/ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15220",SKIN FULL GRAFT SCLP/ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15221",SKIN FULL GRAFT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15221",SKIN FULL GRAFT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15240",SKIN FULL GRFT FACE/GENIT/HF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15240",SKIN FULL GRFT FACE/GENIT/HF,EAPG,DEF,,,,,NA,NA,NA,N,
="15241",SKIN FULL GRAFT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15241",SKIN FULL GRAFT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15260",SKIN FULL GRAFT EEN & LIPS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15260",SKIN FULL GRAFT EEN & LIPS,EAPG,DEF,,,,,NA,NA,NA,N,
="15261",SKIN FULL GRAFT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15261",SKIN FULL GRAFT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15271",SKIN SUB GRAFT TRNK/ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15271",SKIN SUB GRAFT TRNK/ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15272",SKIN SUB GRAFT T/A/L ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15272",SKIN SUB GRAFT T/A/L ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15273",SKIN SUB GRFT T/ARM/LG CHILD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15273",SKIN SUB GRFT T/ARM/LG CHILD,EAPG,DEF,,,,,NA,NA,NA,N,
="15274",SKN SUB GRFT T/A/L CHILD ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15274",SKN SUB GRFT T/A/L CHILD ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15275",SKIN SUB GRAFT FACE/NK/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15275",SKIN SUB GRAFT FACE/NK/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15276",SKIN SUB GRAFT F/N/HF/G ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15276",SKIN SUB GRAFT F/N/HF/G ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="15277",SKN SUB GRFT F/N/HF/G CHILD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15277",SKN SUB GRFT F/N/HF/G CHILD,EAPG,DEF,,,,,NA,NA,NA,N,
="15278",SKN SUB GRFT F/N/HF/G CH ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15278",SKN SUB GRFT F/N/HF/G CH ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15300",APPLY SKINALLOGRFT T/ARM/LG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15300",APPLY SKINALLOGRFT T/ARM/LG,EAPG,DEF,,,,,NA,NA,NA,N,
="15301",APPLY SKNALLOGRFT T/A/L ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15301",APPLY SKNALLOGRFT T/A/L ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="15320",APPLY SKIN ALLOGRFT F/N/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15320",APPLY SKIN ALLOGRFT F/N/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15321",APLY SKNALLOGRFT F/N/HFG ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15321",APLY SKNALLOGRFT F/N/HFG ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15330",APLY ACELL ALOGRFT T/ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15330",APLY ACELL ALOGRFT T/ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15331",APLY ACELL GRFT T/A/L ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15331",APLY ACELL GRFT T/A/L ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15335",APPLY ACELL GRAFT F/N/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15335",APPLY ACELL GRAFT F/N/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15336",APLY ACELL GRFT F/N/HF/G ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15336",APLY ACELL GRFT F/N/HF/G ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15350",SKIN HOMOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15350",SKIN HOMOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15351",SKIN HOMOGRAFT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15351",SKIN HOMOGRAFT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15400",APPLY SKIN XENOGRAFT T/A/L,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15400",APPLY SKIN XENOGRAFT T/A/L,EAPG,DEF,,,,,NA,NA,NA,N,
="15401",APPLY SKN XENOGRFT T/A/L ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15401",APPLY SKN XENOGRFT T/A/L ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15420",APPLY SKIN XGRAFT F/N/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15420",APPLY SKIN XGRAFT F/N/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="15421",APPLY SKN XGRFT F/N/HF/G ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15421",APPLY SKN XGRFT F/N/HF/G ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15430",APPLY ACELLULAR XENOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15430",APPLY ACELLULAR XENOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15431",APPLY ACELLULAR XGRAFT ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15431",APPLY ACELLULAR XGRAFT ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="15570",SKIN PEDICLE FLAP TRUNK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15570",SKIN PEDICLE FLAP TRUNK,EAPG,DEF,,,,,NA,NA,NA,N,
="15572",SKIN PEDICLE FLAP ARMS/LEGS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15572",SKIN PEDICLE FLAP ARMS/LEGS,EAPG,DEF,,,,,NA,NA,NA,N,
="15574",PEDCLE FH/CH/CH/M/N/AX/G/H/F,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15574",PEDCLE FH/CH/CH/M/N/AX/G/H/F,EAPG,DEF,,,,,NA,NA,NA,N,
="15576",PEDICLE E/N/E/L/NTRORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15576",PEDICLE E/N/E/L/NTRORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="15580",ATTACH SKIN PEDICLE GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15580",ATTACH SKIN PEDICLE GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15600",DELAY FLAP TRUNK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15600",DELAY FLAP TRUNK,EAPG,DEF,,,,,NA,NA,NA,N,
="15610",DELAY FLAP ARMS/LEGS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15610",DELAY FLAP ARMS/LEGS,EAPG,DEF,,,,,NA,NA,NA,N,
="15620",DELAY FLAP F/C/C/N/AX/G/H/F,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15620",DELAY FLAP F/C/C/N/AX/G/H/F,EAPG,DEF,,,,,NA,NA,NA,N,
="15625",SKIN GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15625",SKIN GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15630",DELAY FLAP EYE/NOS/EAR/LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15630",DELAY FLAP EYE/NOS/EAR/LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="15650",TRANSFER SKIN PEDICLE FLAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15650",TRANSFER SKIN PEDICLE FLAP,EAPG,DEF,,,,,NA,NA,NA,N,
="15730",MDFC FLAP W/PRSRV VASC PEDCL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15730",MDFC FLAP W/PRSRV VASC PEDCL,EAPG,DEF,,,,,NA,NA,NA,N,
="15731",FOREHEAD FLAP W/VASC PEDICLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15731",FOREHEAD FLAP W/VASC PEDICLE,EAPG,DEF,,,,,NA,NA,NA,N,
="15732",MUSCLE-SKIN GRAFT HEAD/NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15732",MUSCLE-SKIN GRAFT HEAD/NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="15733",MUSC MYOQ/FSCQ FLP H&N PEDCL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15733",MUSC MYOQ/FSCQ FLP H&N PEDCL,EAPG,DEF,,,,,NA,NA,NA,N,
="15734",MUSCLE-SKIN GRAFT TRUNK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15734",MUSCLE-SKIN GRAFT TRUNK,EAPG,DEF,,,,,NA,NA,NA,N,
="15736",MUSCLE-SKIN GRAFT ARM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15736",MUSCLE-SKIN GRAFT ARM,EAPG,DEF,,,,,NA,NA,NA,N,
="15738",MUSCLE-SKIN GRAFT LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15738",MUSCLE-SKIN GRAFT LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="15740",ISLAND PEDICLE FLAP GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15740",ISLAND PEDICLE FLAP GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15750",NEUROVASCULAR PEDICLE FLAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15750",NEUROVASCULAR PEDICLE FLAP,EAPG,DEF,,,,,NA,NA,NA,N,
="15755",MICROVASCULAR FLAP GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15755",MICROVASCULAR FLAP GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15760",COMPOSITE SKIN GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15760",COMPOSITE SKIN GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15769",GRFG AUTOL SOFT TISS DIR EXC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15769",GRFG AUTOL SOFT TISS DIR EXC,EAPG,DEF,,,,,NA,NA,NA,N,
="15770",DERMA-FAT-FASCIA GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15770",DERMA-FAT-FASCIA GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15771",GRFG AUTOL FAT LIPO 50 CC/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15771",GRFG AUTOL FAT LIPO 50 CC/<,EAPG,DEF,,,,,NA,NA,NA,N,
="15772",GRFG AUTOL FAT LIPO EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15772",GRFG AUTOL FAT LIPO EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="15773",GRFG AUTOL FAT LIPO 25 CC/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15773",GRFG AUTOL FAT LIPO 25 CC/<,EAPG,DEF,,,,,NA,NA,NA,N,
="15774",GFRG AUTOL FAT LIPO EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15774",GFRG AUTOL FAT LIPO EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="15775",HAIR TRNSPL 1-15 PUNCH GRFTS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15775",HAIR TRNSPL 1-15 PUNCH GRFTS,EAPG,DEF,,,,,NA,NA,NA,E,
="15776",HAIR TRNSPL >15 PUNCH GRAFTS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15776",HAIR TRNSPL >15 PUNCH GRAFTS,EAPG,DEF,,,,,NA,NA,NA,E,
="15777",ACELLULAR DERM MATRIX IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15777",ACELLULAR DERM MATRIX IMPLT,EAPG,DEF,,,,,NA,NA,NA,N,
="15778",IMPL ABSRB MSH/PRSTH DLY CLS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15778",IMPL ABSRB MSH/PRSTH DLY CLS,EAPG,DEF,,,,,NA,NA,NA,N,
="15780",DERMABRASION TOTAL FACE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15780",DERMABRASION TOTAL FACE,EAPG,DEF,,,,,NA,NA,NA,E,
="15781",DERMABRASION SEGMENTAL FACE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15781",DERMABRASION SEGMENTAL FACE,EAPG,DEF,,,,,NA,NA,NA,E,
="15782",DERMABRASION OTHER THAN FACE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15782",DERMABRASION OTHER THAN FACE,EAPG,DEF,,,,,NA,NA,NA,E,
="15783",DERMABRASION SUPRFL ANY SITE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15783",DERMABRASION SUPRFL ANY SITE,EAPG,DEF,,,,,NA,NA,NA,E,
="15786",ABRASION LESION SINGLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15786",ABRASION LESION SINGLE,EAPG,DEF,,,,,NA,NA,NA,N,
="15787",ABRASION LESIONS ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15787",ABRASION LESIONS ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="15788",CHEMICAL PEEL FACE EPIDERM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15788",CHEMICAL PEEL FACE EPIDERM,EAPG,DEF,,,,,NA,NA,NA,E,
="15789",CHEMICAL PEEL FACE DERMAL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15789",CHEMICAL PEEL FACE DERMAL,EAPG,DEF,,,,,NA,NA,NA,E,
="15792",CHEMICAL PEEL NONFACIAL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15792",CHEMICAL PEEL NONFACIAL,EAPG,DEF,,,,,NA,NA,NA,E,
="15793",CHEMICAL PEEL NONFACIAL,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15793",CHEMICAL PEEL NONFACIAL,EAPG,DEF,,,,,NA,NA,NA,E,
="15819",PLASTIC SURGERY NECK,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15819",PLASTIC SURGERY NECK,EAPG,DEF,,,,,NA,NA,NA,E,
="15820",REVISION OF LOWER EYELID,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15820",REVISION OF LOWER EYELID,EAPG,DEF,,,,,NA,NA,NA,E,
="15821",REVISION OF LOWER EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15821",REVISION OF LOWER EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="15822",REVISION OF UPPER EYELID,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15822",REVISION OF UPPER EYELID,EAPG,DEF,,,,,NA,NA,NA,E,
="15823",REVISION OF UPPER EYELID,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15823",REVISION OF UPPER EYELID,EAPG,DEF,,,,,NA,NA,NA,E,
="15824",REMOVAL OF FOREHEAD WRINKLES,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15824",REMOVAL OF FOREHEAD WRINKLES,EAPG,DEF,,,,,NA,NA,NA,E,
="15825",REMOVAL OF NECK WRINKLES,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15825",REMOVAL OF NECK WRINKLES,EAPG,DEF,,,,,NA,NA,NA,E,
="15826",REMOVAL OF BROW WRINKLES,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15826",REMOVAL OF BROW WRINKLES,EAPG,DEF,,,,,NA,NA,NA,E,
="15828",REMOVAL OF FACE WRINKLES,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15828",REMOVAL OF FACE WRINKLES,EAPG,DEF,,,,,NA,NA,NA,E,
="15829",REMOVAL OF SKIN WRINKLES,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15829",REMOVAL OF SKIN WRINKLES,EAPG,DEF,,,,,NA,NA,NA,E,
="15830",EXC SKIN ABD,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15830",EXC SKIN ABD,EAPG,DEF,,,,,NA,NA,NA,E,
="15832",EXCISE EXCESSIVE SKIN THIGH,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15832",EXCISE EXCESSIVE SKIN THIGH,EAPG,DEF,,,,,NA,NA,NA,E,
="15833",EXCISE EXCESSIVE SKIN LEG,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15833",EXCISE EXCESSIVE SKIN LEG,EAPG,DEF,,,,,NA,NA,NA,E,
="15834",EXCISE EXCESSIVE SKIN HIP,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15834",EXCISE EXCESSIVE SKIN HIP,EAPG,DEF,,,,,NA,NA,NA,E,
="15835",EXCISE EXCESSIVE SKIN BUTTCK,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15835",EXCISE EXCESSIVE SKIN BUTTCK,EAPG,DEF,,,,,NA,NA,NA,E,
="15836",EXCISE EXCESSIVE SKIN ARM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15836",EXCISE EXCESSIVE SKIN ARM,EAPG,DEF,,,,,NA,NA,NA,E,
="15837",EXCISE EXCESS SKIN ARM/HAND,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15837",EXCISE EXCESS SKIN ARM/HAND,EAPG,DEF,,,,,NA,NA,NA,E,
="15838",EXCISE EXCESS SKIN FAT PAD,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15838",EXCISE EXCESS SKIN FAT PAD,EAPG,DEF,,,,,NA,NA,NA,E,
="15839",EXCISE EXCESS SKIN & TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15839",EXCISE EXCESS SKIN & TISSUE,EAPG,DEF,,,,,NA,NA,NA,E,
="15840",NERVE PALSY FASCIAL GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15840",NERVE PALSY FASCIAL GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15841",NERVE PALSY MUSCLE GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15841",NERVE PALSY MUSCLE GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15842",NERVE PALSY MICROSURG GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15842",NERVE PALSY MICROSURG GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15845",SKIN AND MUSCLE REPAIR FACE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15845",SKIN AND MUSCLE REPAIR FACE,EAPG,DEF,,,,,NA,NA,NA,N,
="15847",EXC SKIN ABD ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15847",EXC SKIN ABD ADD-ON,EAPG,DEF,,,,,NA,NA,NA,E,
="15850",REMOVE SUTURES SAME SURGEON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15850",REMOVE SUTURES SAME SURGEON,EAPG,DEF,,,,,NA,NA,NA,N,
="15851",REMOVAL SUTR/STAPLE REQ ANES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15851",REMOVAL SUTR/STAPLE REQ ANES,EAPG,DEF,,,,,NA,NA,NA,N,
="15852",DRESSING CHANGE NOT FOR BURN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15852",DRESSING CHANGE NOT FOR BURN,EAPG,DEF,,,,,NA,NA,NA,N,
="15853",REMOVAL SUTR/STAPL XREQ ANES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15853",REMOVAL SUTR/STAPL XREQ ANES,EAPG,DEF,,,,,NA,NA,NA,N,
="15854",REMOVAL SUTR&STAPL XREQ ANES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15854",REMOVAL SUTR&STAPL XREQ ANES,EAPG,DEF,,,,,NA,NA,NA,N,
="15860",TEST FOR BLOOD FLOW IN GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15860",TEST FOR BLOOD FLOW IN GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="15876",SUCTION LIPECTOMY HEAD&NECK,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15876",SUCTION LIPECTOMY HEAD&NECK,EAPG,DEF,,,,,NA,NA,NA,E,
="15877",SUCTION LIPECTOMY TRUNK,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15877",SUCTION LIPECTOMY TRUNK,EAPG,DEF,,,,,NA,NA,NA,E,
="15878",SUCTION LIPECTOMY UPR EXTREM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15878",SUCTION LIPECTOMY UPR EXTREM,EAPG,DEF,,,,,NA,NA,NA,E,
="15879",SUCTION LIPECTOMY LWR EXTREM,PRXOVR,DEF,,,,,NA,NA,NA,E,
="15879",SUCTION LIPECTOMY LWR EXTREM,EAPG,DEF,,,,,NA,NA,NA,E,
="15920",REMOVAL OF TAIL BONE ULCER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15920",REMOVAL OF TAIL BONE ULCER,EAPG,DEF,,,,,NA,NA,NA,N,
="15922",REMOVAL OF TAIL BONE ULCER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15922",REMOVAL OF TAIL BONE ULCER,EAPG,DEF,,,,,NA,NA,NA,N,
="15931",REMOVE SACRUM PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15931",REMOVE SACRUM PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15933",REMOVE SACRUM PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15933",REMOVE SACRUM PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15934",REMOVE SACRUM PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15934",REMOVE SACRUM PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15935",REMOVE SACRUM PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15935",REMOVE SACRUM PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15936",REMOVE SACRUM PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15936",REMOVE SACRUM PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15937",REMOVE SACRUM PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15937",REMOVE SACRUM PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15940",REMOVE HIP PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15940",REMOVE HIP PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15941",REMOVE HIP PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15941",REMOVE HIP PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15944",REMOVE HIP PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15944",REMOVE HIP PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15945",REMOVE HIP PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15945",REMOVE HIP PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15946",REMOVE HIP PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15946",REMOVE HIP PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15950",REMOVE THIGH PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15950",REMOVE THIGH PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15951",REMOVE THIGH PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15951",REMOVE THIGH PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15952",REMOVE THIGH PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15952",REMOVE THIGH PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15953",REMOVE THIGH PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15953",REMOVE THIGH PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15956",REMOVE THIGH PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15956",REMOVE THIGH PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="15958",REMOVE THIGH PRESSURE SORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="15958",REMOVE THIGH PRESSURE SORE,EAPG,DEF,,,,,NA,NA,NA,N,
="16000",INITIAL TREATMENT OF BURN(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="16000",INITIAL TREATMENT OF BURN(S),EAPG,DEF,,,,,NA,NA,NA,N,
="16015",TREATMENT OF BURN(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="16015",TREATMENT OF BURN(S),EAPG,DEF,,,,,NA,NA,NA,N,
="16020",DRESS/DEBRID P-THICK BURN S,PRXOVR,DEF,,,,,NA,NA,NA,N,
="16020",DRESS/DEBRID P-THICK BURN S,EAPG,DEF,,,,,NA,NA,NA,N,
="16025",DRESS/DEBRID P-THICK BURN M,PRXOVR,DEF,,,,,NA,NA,NA,N,
="16025",DRESS/DEBRID P-THICK BURN M,EAPG,DEF,,,,,NA,NA,NA,N,
="16030",DRESS/DEBRID P-THICK BURN L,PRXOVR,DEF,,,,,NA,NA,NA,N,
="16030",DRESS/DEBRID P-THICK BURN L,EAPG,DEF,,,,,NA,NA,NA,N,
="16035",INCISION OF BURN SCAB INITI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="16035",INCISION OF BURN SCAB INITI,EAPG,DEF,,,,,NA,NA,NA,N,
="17000",DESTRUCT PREMALG LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17000",DESTRUCT PREMALG LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="17003",DESTRUCT PREMALG LES 2-14,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17003",DESTRUCT PREMALG LES 2-14,EAPG,DEF,,,,,NA,NA,NA,N,
="17004",DESTROY PREMAL LESIONS 15/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17004",DESTROY PREMAL LESIONS 15/>,EAPG,DEF,,,,,NA,NA,NA,N,
="17106",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17106",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17107",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17107",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17108",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17108",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17110",DESTRUCT B9 LESION 1-14,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17110",DESTRUCT B9 LESION 1-14,EAPG,DEF,,,,,NA,NA,NA,N,
="17111",DESTRUCT LESION 15 OR MORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17111",DESTRUCT LESION 15 OR MORE,EAPG,DEF,,,,,NA,NA,NA,N,
="17250",CHEM CAUT OF GRANLTJ TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17250",CHEM CAUT OF GRANLTJ TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="17260",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17260",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17261",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17261",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17262",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17262",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17263",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17263",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17264",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17264",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17266",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17266",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17270",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17270",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17271",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17271",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17272",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17272",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17273",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17273",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17274",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17274",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17276",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17276",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17280",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17280",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17281",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17281",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17282",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17282",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17283",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17283",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17284",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17284",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17286",DESTRUCTION OF SKIN LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17286",DESTRUCTION OF SKIN LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="17311",MOHS 1 STAGE H/N/HF/G,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17311",MOHS 1 STAGE H/N/HF/G,EAPG,DEF,,,,,NA,NA,NA,N,
="17312",MOHS ADDL STAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17312",MOHS ADDL STAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="17313",MOHS 1 STAGE T/A/L,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17313",MOHS 1 STAGE T/A/L,EAPG,DEF,,,,,NA,NA,NA,N,
="17314",MOHS ADDL STAGE T/A/L,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17314",MOHS ADDL STAGE T/A/L,EAPG,DEF,,,,,NA,NA,NA,N,
="17315",MOHS SURG ADDL BLOCK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17315",MOHS SURG ADDL BLOCK,EAPG,DEF,,,,,NA,NA,NA,N,
="17340",CRYOTHERAPY OF SKIN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="17340",CRYOTHERAPY OF SKIN,EAPG,DEF,,,,,NA,NA,NA,E,
="17360",SKIN PEEL THERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="17360",SKIN PEEL THERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="17380",HAIR REMOVAL BY ELECTROLYSIS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="17380",HAIR REMOVAL BY ELECTROLYSIS,EAPG,DEF,,,,,NA,NA,NA,E,
="19000",DRAINAGE OF BREAST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19000",DRAINAGE OF BREAST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="19001",DRAIN BREAST LESION ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19001",DRAIN BREAST LESION ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="19020",INCISION OF BREAST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19020",INCISION OF BREAST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="19030",INJECTION FOR BREAST X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19030",INJECTION FOR BREAST X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="19081",BX BREAST 1ST LESION STRTCTC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19081",BX BREAST 1ST LESION STRTCTC,EAPG,DEF,,,,,NA,NA,NA,N,
="19082",BX BREAST ADD LESION STRTCTC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19082",BX BREAST ADD LESION STRTCTC,EAPG,DEF,,,,,NA,NA,NA,N,
="19083",BX BREAST 1ST LESION US IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19083",BX BREAST 1ST LESION US IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="19084",BX BREAST ADD LESION US IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19084",BX BREAST ADD LESION US IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="19085",BX BREAST 1ST LESION MR IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19085",BX BREAST 1ST LESION MR IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="19086",BX BREAST ADD LESION MR IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19086",BX BREAST ADD LESION MR IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="19100",BX BREAST PERCUT W/O IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19100",BX BREAST PERCUT W/O IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="19101",BIOPSY OF BREAST OPEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19101",BIOPSY OF BREAST OPEN,EAPG,DEF,,,,,NA,NA,NA,N,
="19102",BX BREAST PERCUT W/IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19102",BX BREAST PERCUT W/IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="19103",BX BREAST PERCUT W/DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19103",BX BREAST PERCUT W/DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="19105",CRYOSURG ABLATE FA EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19105",CRYOSURG ABLATE FA EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="19110",NIPPLE EXPLORATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19110",NIPPLE EXPLORATION,EAPG,DEF,,,,,NA,NA,NA,N,
="19112",EXCISE BREAST DUCT FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19112",EXCISE BREAST DUCT FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="19120",REMOVAL OF BREAST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19120",REMOVAL OF BREAST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="19125",EXCISION BREAST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19125",EXCISION BREAST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="19126",EXCISION ADDL BREAST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19126",EXCISION ADDL BREAST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="19140",REMOVAL OF BREAST TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19140",REMOVAL OF BREAST TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="19160",PARTIAL MASTECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19160",PARTIAL MASTECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="19162",P-MASTECTOMY W/LN REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19162",P-MASTECTOMY W/LN REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="19180",REMOVAL OF BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19180",REMOVAL OF BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="19182",REMOVAL OF BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19182",REMOVAL OF BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="19281",PERQ DEVICE BREAST 1ST IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19281",PERQ DEVICE BREAST 1ST IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="19282",PERQ DEVICE BREAST EA IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19282",PERQ DEVICE BREAST EA IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="19283",PERQ DEV BREAST 1ST STRTCTC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19283",PERQ DEV BREAST 1ST STRTCTC,EAPG,DEF,,,,,NA,NA,NA,N,
="19284",PERQ DEV BREAST ADD STRTCTC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19284",PERQ DEV BREAST ADD STRTCTC,EAPG,DEF,,,,,NA,NA,NA,N,
="19285",PERQ DEV BREAST 1ST US IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19285",PERQ DEV BREAST 1ST US IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="19286",PERQ DEV BREAST ADD US IMAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19286",PERQ DEV BREAST ADD US IMAG,EAPG,DEF,,,,,NA,NA,NA,N,
="19287",PERQ DEV BREAST 1ST MR GUIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19287",PERQ DEV BREAST 1ST MR GUIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="19288",PERQ DEV BREAST ADD MR GUIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19288",PERQ DEV BREAST ADD MR GUIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="19290",PLACE NEEDLE WIRE BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19290",PLACE NEEDLE WIRE BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="19291",PLACE NEEDLE WIRE BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19291",PLACE NEEDLE WIRE BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="19294",PREPJ TUM CAV IORT PRTL MAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19294",PREPJ TUM CAV IORT PRTL MAST,EAPG,DEF,,,,,NA,NA,NA,N,
="19295",PLACE BREAST CLIP PERCUT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19295",PLACE BREAST CLIP PERCUT,EAPG,DEF,,,,,NA,NA,NA,N,
="19296",PLACE PO BREAST CATH FOR RAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19296",PLACE PO BREAST CATH FOR RAD,EAPG,DEF,,,,,NA,NA,NA,N,
="19297",PLACE BREAST CATH FOR RAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19297",PLACE BREAST CATH FOR RAD,EAPG,DEF,,,,,NA,NA,NA,N,
="19298",PLACE BREAST RAD TUBE/CATHS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19298",PLACE BREAST RAD TUBE/CATHS,EAPG,DEF,,,,,NA,NA,NA,N,
="19300",REMOVAL OF BREAST TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19300",REMOVAL OF BREAST TISSUE,EAPG,DEF,,,,,NA,NA,NA,Y,
="19301",PARTIAL MASTECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19301",PARTIAL MASTECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="19302",P-MASTECTOMY W/LN REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19302",P-MASTECTOMY W/LN REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="19303",MAST SIMPLE COMPLETE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19303",MAST SIMPLE COMPLETE,EAPG,DEF,,,,,NA,NA,NA,N,
="19304",MAST SUBQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19304",MAST SUBQ,EAPG,DEF,,,,,NA,NA,NA,N,
="19316",SUSPENSION OF BREAST,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19316",SUSPENSION OF BREAST,EAPG,DEF,,,,,NA,NA,NA,Y,
="19318",BREAST REDUCTION,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19318",BREAST REDUCTION,EAPG,DEF,,,,,NA,NA,NA,Y,
="19324",ENLARGE BREAST,PRXOVR,DEF,,,,,NA,NA,NA,E,
="19324",ENLARGE BREAST,EAPG,DEF,,,,,NA,NA,NA,E,
="19325",BREAST AUGMENTATION W/IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,E,
="19325",BREAST AUGMENTATION W/IMPLT,EAPG,DEF,,,,,NA,NA,NA,E,
="19328",RMVL INTACT BREAST IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19328",RMVL INTACT BREAST IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="19330",RMVL RUPTURED BREAST IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="19330",RMVL RUPTURED BREAST IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="19340",INSJ BREAST IMPLT SM D MAST,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19340",INSJ BREAST IMPLT SM D MAST,EAPG,DEF,,,,,NA,NA,NA,Y,
="19342",INSJ/RPLCMT BRST IMPLT SEP D,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19342",INSJ/RPLCMT BRST IMPLT SEP D,EAPG,DEF,,,,,NA,NA,NA,Y,
="19350",BREAST RECONSTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19350",BREAST RECONSTRUCTION,EAPG,DEF,,,,,NA,NA,NA,Y,
="19355",CORRECT INVERTED NIPPLE(S),PRXOVR,DEF,,,,,NA,NA,NA,E,
="19355",CORRECT INVERTED NIPPLE(S),EAPG,DEF,,,,,NA,NA,NA,E,
="19357",TISS XPNDR PLMT BRST RCNSTJ,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19357",TISS XPNDR PLMT BRST RCNSTJ,EAPG,DEF,,,,,NA,NA,NA,Y,
="19366",BREAST RECONSTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19366",BREAST RECONSTRUCTION,EAPG,DEF,,,,,NA,NA,NA,Y,
="19370",REVJ PERI-IMPLT CAPSULE BRST,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19370",REVJ PERI-IMPLT CAPSULE BRST,EAPG,DEF,,,,,NA,NA,NA,Y,
="19371",PERI-IMPLT CAPSLC BRST COMPL,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19371",PERI-IMPLT CAPSLC BRST COMPL,EAPG,DEF,,,,,NA,NA,NA,Y,
="19380",REVJ RECONSTRUCTED BREAST,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19380",REVJ RECONSTRUCTED BREAST,EAPG,DEF,,,,,NA,NA,NA,Y,
="19396",DESIGN CUSTOM BREAST IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="19396",DESIGN CUSTOM BREAST IMPLANT,EAPG,DEF,,,,,NA,NA,NA,Y,
="20005",I&D ABSCESS SUBFASCIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20005",I&D ABSCESS SUBFASCIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="20103",EXPLORE WOUND EXTREMITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20103",EXPLORE WOUND EXTREMITY,EAPG,DEF,,,,,NA,NA,NA,N,
="20150",EXCISE EPIPHYSEAL BAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20150",EXCISE EPIPHYSEAL BAR,EAPG,DEF,,,,,NA,NA,NA,N,
="20200",MUSCLE BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20200",MUSCLE BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="20205",DEEP MUSCLE BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20205",DEEP MUSCLE BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="20206",NEEDLE BIOPSY MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20206",NEEDLE BIOPSY MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="20220",BONE BIOPSY TROCAR/NEEDLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20220",BONE BIOPSY TROCAR/NEEDLE,EAPG,DEF,,,,,NA,NA,NA,N,
="20225",BONE BIOPSY TROCAR/NEEDLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20225",BONE BIOPSY TROCAR/NEEDLE,EAPG,DEF,,,,,NA,NA,NA,N,
="20240",BONE BIOPSY OPEN SUPERFICIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20240",BONE BIOPSY OPEN SUPERFICIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="20245",BONE BIOPSY OPEN DEEP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20245",BONE BIOPSY OPEN DEEP,EAPG,DEF,,,,,NA,NA,NA,N,
="20250",OPEN BONE BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20250",OPEN BONE BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="20251",OPEN BONE BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20251",OPEN BONE BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="20500",INJECTION OF SINUS TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20500",INJECTION OF SINUS TRACT,EAPG,DEF,,,,,NA,NA,NA,N,
="20501",INJECT SINUS TRACT FOR X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20501",INJECT SINUS TRACT FOR X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="20520",REMOVAL OF FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20520",REMOVAL OF FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="20525",REMOVAL OF FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20525",REMOVAL OF FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="20526",THER INJECTION CARP TUNNEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20526",THER INJECTION CARP TUNNEL,EAPG,DEF,,,,,NA,NA,NA,N,
="20527",INJ DUPUYTREN CORD W/ENZYME,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20527",INJ DUPUYTREN CORD W/ENZYME,EAPG,DEF,,,,,NA,NA,NA,N,
="20550",INJ TENDON SHEATH/LIGAMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20550",INJ TENDON SHEATH/LIGAMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="20551",INJ TENDON ORIGIN/INSERTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20551",INJ TENDON ORIGIN/INSERTION,EAPG,DEF,,,,,NA,NA,NA,N,
="20552",INJ TRIGGER POINT 1/2 MUSCL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20552",INJ TRIGGER POINT 1/2 MUSCL,EAPG,DEF,,,,,NA,NA,NA,N,
="20553",INJECT TRIGGER POINTS 3/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20553",INJECT TRIGGER POINTS 3/>,EAPG,DEF,,,,,NA,NA,NA,N,
="20555",PLACE NDL MUSC/TIS FOR RT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20555",PLACE NDL MUSC/TIS FOR RT,EAPG,DEF,,,,,NA,NA,NA,N,
="20600",DRAIN/INJ JOINT/BURSA W/O US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20600",DRAIN/INJ JOINT/BURSA W/O US,EAPG,DEF,,,,,NA,NA,NA,N,
="20604",DRAIN/INJ JOINT/BURSA W/US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20604",DRAIN/INJ JOINT/BURSA W/US,EAPG,DEF,,,,,NA,NA,NA,N,
="20605",DRAIN/INJ JOINT/BURSA W/O US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20605",DRAIN/INJ JOINT/BURSA W/O US,EAPG,DEF,,,,,NA,NA,NA,N,
="20606",DRAIN/INJ JOINT/BURSA W/US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20606",DRAIN/INJ JOINT/BURSA W/US,EAPG,DEF,,,,,NA,NA,NA,N,
="20610",DRAIN/INJ JOINT/BURSA W/O US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20610",DRAIN/INJ JOINT/BURSA W/O US,EAPG,DEF,,,,,NA,NA,NA,N,
="20611",DRAIN/INJ JOINT/BURSA W/US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20611",DRAIN/INJ JOINT/BURSA W/US,EAPG,DEF,,,,,NA,NA,NA,N,
="20612",ASPIRATE/INJ GANGLION CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20612",ASPIRATE/INJ GANGLION CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="20615",TREATMENT OF BONE CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20615",TREATMENT OF BONE CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="20650",INSERT AND REMOVE BONE PIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20650",INSERT AND REMOVE BONE PIN,EAPG,DEF,,,,,NA,NA,NA,N,
="20662",APPLICATION OF PELVIS BRACE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20662",APPLICATION OF PELVIS BRACE,EAPG,DEF,,,,,NA,NA,NA,N,
="20663",APPLICATION OF THIGH BRACE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20663",APPLICATION OF THIGH BRACE,EAPG,DEF,,,,,NA,NA,NA,N,
="20665",REMOVAL OF FIXATION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20665",REMOVAL OF FIXATION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="20670",REMOVAL OF SUPPORT IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20670",REMOVAL OF SUPPORT IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="20680",REMOVAL OF SUPPORT IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20680",REMOVAL OF SUPPORT IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="20690",APPLY BONE FIXATION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20690",APPLY BONE FIXATION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="20692",APPLY BONE FIXATION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20692",APPLY BONE FIXATION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="20693",ADJUST BONE FIXATION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20693",ADJUST BONE FIXATION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="20694",REMOVE BONE FIXATION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20694",REMOVE BONE FIXATION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="20696",COMP MULTIPLANE EXT FIXATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20696",COMP MULTIPLANE EXT FIXATION,EAPG,DEF,,,,,NA,NA,NA,N,
="20697",COMP EXT FIXATE STRUT CHANGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20697",COMP EXT FIXATE STRUT CHANGE,EAPG,DEF,,,,,NA,NA,NA,N,
="20700",MNL PREP&INSJ DP RX DLVR DEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20700",MNL PREP&INSJ DP RX DLVR DEV,EAPG,DEF,,,,,NA,NA,NA,N,
="20701",RMVL DEEP RX DELIVERY DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20701",RMVL DEEP RX DELIVERY DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="20702",MNL PREP&INSJ IMED RX DEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20702",MNL PREP&INSJ IMED RX DEV,EAPG,DEF,,,,,NA,NA,NA,N,
="20703",RMVL IMED RX DELIVERY DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20703",RMVL IMED RX DELIVERY DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="20704",MNL PREP&INSJ I-ARTIC RX DEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20704",MNL PREP&INSJ I-ARTIC RX DEV,EAPG,DEF,,,,,NA,NA,NA,N,
="20705",RMVL I-ARTIC RX DELIVERY DEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20705",RMVL I-ARTIC RX DELIVERY DEV,EAPG,DEF,,,,,NA,NA,NA,N,
="20822",REPLANTATION DIGIT COMPLETE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20822",REPLANTATION DIGIT COMPLETE,EAPG,DEF,,,,,NA,NA,NA,N,
="20900",REMOVAL OF BONE FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20900",REMOVAL OF BONE FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="20902",REMOVAL OF BONE FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20902",REMOVAL OF BONE FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="20910",REMOVE CARTILAGE FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20910",REMOVE CARTILAGE FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="20912",REMOVE CARTILAGE FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20912",REMOVE CARTILAGE FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="20920",REMOVAL OF FASCIA FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20920",REMOVAL OF FASCIA FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="20922",REMOVAL OF FASCIA FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20922",REMOVAL OF FASCIA FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="20924",REMOVAL OF TENDON FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20924",REMOVAL OF TENDON FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="20926",REMOVAL OF TISSUE FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20926",REMOVAL OF TISSUE FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="20930",SP BONE ALGRFT MORSEL ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20930",SP BONE ALGRFT MORSEL ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="20931",SP BONE ALGRFT STRUCT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20931",SP BONE ALGRFT STRUCT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="20932",OSTEOART ALGRFT W/SURF & B1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20932",OSTEOART ALGRFT W/SURF & B1,EAPG,DEF,,,,,NA,NA,NA,N,
="20933",HEMICRT INTRCLRY ALGRFT PRTL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20933",HEMICRT INTRCLRY ALGRFT PRTL,EAPG,DEF,,,,,NA,NA,NA,N,
="20934",INTERCALARY ALGRFT COMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20934",INTERCALARY ALGRFT COMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="20936",SP BONE AGRFT LOCAL ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20936",SP BONE AGRFT LOCAL ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="20937",SP BONE AGRFT MORSEL ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20937",SP BONE AGRFT MORSEL ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="20938",SP BONE AGRFT STRUCT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20938",SP BONE AGRFT STRUCT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="20939",BONE MARROW ASPIR BONE GRFG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20939",BONE MARROW ASPIR BONE GRFG,EAPG,DEF,,,,,NA,NA,NA,N,
="20950",FLUID PRESSURE MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20950",FLUID PRESSURE MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="20972",BONE/SKIN GRAFT METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20972",BONE/SKIN GRAFT METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="20973",BONE/SKIN GRAFT GREAT TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20973",BONE/SKIN GRAFT GREAT TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="20975",ELECTRICAL BONE STIMULATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20975",ELECTRICAL BONE STIMULATION,EAPG,DEF,,,,,NA,NA,NA,N,
="20979",US BONE STIMULATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20979",US BONE STIMULATION,EAPG,DEF,,,,,NA,NA,NA,N,
="20982",ABLATE BONE TUMOR(S) PERQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20982",ABLATE BONE TUMOR(S) PERQ,EAPG,DEF,,,,,NA,NA,NA,N,
="20983",ABLATE BONE TUMOR(S) PERQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20983",ABLATE BONE TUMOR(S) PERQ,EAPG,DEF,,,,,NA,NA,NA,N,
="20985",CPTR-ASST DIR MS PX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="20985",CPTR-ASST DIR MS PX,EAPG,DEF,,,,,NA,NA,NA,N,
="21010",INCISION OF JAW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21010",INCISION OF JAW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="21011",EXC FACE LES SC <2 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21011",EXC FACE LES SC <2 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21012",EXC FACE LES SBQ 2 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21012",EXC FACE LES SBQ 2 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="21013",EXC FACE TUM DEEP < 2 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21013",EXC FACE TUM DEEP < 2 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21014",EXC FACE TUM DEEP 2 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21014",EXC FACE TUM DEEP 2 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="21015",RESECT FACE/SCALP TUM < 2 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21015",RESECT FACE/SCALP TUM < 2 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21016",RESECT FACE/SCALP TUM 2 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21016",RESECT FACE/SCALP TUM 2 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="21025",EXCISION OF BONE LOWER JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21025",EXCISION OF BONE LOWER JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21026",EXCISION OF FACIAL BONE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="21026",EXCISION OF FACIAL BONE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="21029",CONTOUR OF FACE BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21029",CONTOUR OF FACE BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="21030",EXCISE MAX/ZYGOMA B9 TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21030",EXCISE MAX/ZYGOMA B9 TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="21031",REMOVE EXOSTOSIS MANDIBLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21031",REMOVE EXOSTOSIS MANDIBLE,EAPG,DEF,,,,,NA,NA,NA,N,
="21032",REMOVE EXOSTOSIS MAXILLA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21032",REMOVE EXOSTOSIS MAXILLA,EAPG,DEF,,,,,NA,NA,NA,N,
="21034",EXCISE MAX/ZYGOMA MAL TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21034",EXCISE MAX/ZYGOMA MAL TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="21040",EXCISE MANDIBLE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21040",EXCISE MANDIBLE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="21044",REMOVAL OF JAW BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21044",REMOVAL OF JAW BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="21046",REMOVE MANDIBLE CYST COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21046",REMOVE MANDIBLE CYST COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="21047",EXCISE LWR JAW CYST W/REPAIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21047",EXCISE LWR JAW CYST W/REPAIR,EAPG,DEF,,,,,NA,NA,NA,N,
="21048",REMOVE MAXILLA CYST COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21048",REMOVE MAXILLA CYST COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="21050",REMOVAL OF JAW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21050",REMOVAL OF JAW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="21060",REMOVE JAW JOINT CARTILAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21060",REMOVE JAW JOINT CARTILAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="21070",REMOVE CORONOID PROCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21070",REMOVE CORONOID PROCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="21073",MNPJ OF TMJ W/ANESTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21073",MNPJ OF TMJ W/ANESTH,EAPG,DEF,,,,,NA,NA,NA,N,
="21076",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21076",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21077",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21077",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21079",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21079",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21080",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21080",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21081",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21081",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21082",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21082",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21083",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21083",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21084",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21084",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21085",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21085",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21086",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21086",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21087",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21087",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21088",PREPARE FACE/ORAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21088",PREPARE FACE/ORAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="21100",MAXILLOFACIAL FIXATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21100",MAXILLOFACIAL FIXATION,EAPG,DEF,,,,,NA,NA,NA,N,
="21110",INTERDENTAL FIXATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21110",INTERDENTAL FIXATION,EAPG,DEF,,,,,NA,NA,NA,N,
="21116",INJECTION JAW JOINT X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21116",INJECTION JAW JOINT X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="21120",RECONSTRUCTION OF CHIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21120",RECONSTRUCTION OF CHIN,EAPG,DEF,,,,,NA,NA,NA,N,
="21121",RECONSTRUCTION OF CHIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21121",RECONSTRUCTION OF CHIN,EAPG,DEF,,,,,NA,NA,NA,N,
="21122",RECONSTRUCTION OF CHIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21122",RECONSTRUCTION OF CHIN,EAPG,DEF,,,,,NA,NA,NA,N,
="21123",RECONSTRUCTION OF CHIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21123",RECONSTRUCTION OF CHIN,EAPG,DEF,,,,,NA,NA,NA,N,
="21125",AUGMENTATION LOWER JAW BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21125",AUGMENTATION LOWER JAW BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="21127",AUGMENTATION LOWER JAW BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21127",AUGMENTATION LOWER JAW BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="21137",REDUCTION OF FOREHEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21137",REDUCTION OF FOREHEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="21138",REDUCTION OF FOREHEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21138",REDUCTION OF FOREHEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="21139",REDUCTION OF FOREHEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21139",REDUCTION OF FOREHEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="21150",LEFORT II ANTERIOR INTRUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21150",LEFORT II ANTERIOR INTRUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="21181",CONTOUR CRANIAL BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21181",CONTOUR CRANIAL BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="21198",RECONSTR LWR JAW SEGMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21198",RECONSTR LWR JAW SEGMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="21199",RECONSTR LWR JAW W/ADVANCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21199",RECONSTR LWR JAW W/ADVANCE,EAPG,DEF,,,,,NA,NA,NA,N,
="21206",RECONSTRUCT UPPER JAW BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21206",RECONSTRUCT UPPER JAW BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="21208",AUGMENTATION OF FACIAL BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21208",AUGMENTATION OF FACIAL BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="21209",REDUCTION OF FACIAL BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21209",REDUCTION OF FACIAL BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="21210",FACE BONE GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21210",FACE BONE GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="21215",LOWER JAW BONE GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21215",LOWER JAW BONE GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="21230",RIB CARTILAGE GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21230",RIB CARTILAGE GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="21235",EAR CARTILAGE GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21235",EAR CARTILAGE GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="21240",RECONSTRUCTION OF JAW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21240",RECONSTRUCTION OF JAW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="21242",RECONSTRUCTION OF JAW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21242",RECONSTRUCTION OF JAW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="21243",RECONSTRUCTION OF JAW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21243",RECONSTRUCTION OF JAW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="21244",RECONSTRUCTION OF LOWER JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21244",RECONSTRUCTION OF LOWER JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21245",RECONSTRUCTION OF JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21245",RECONSTRUCTION OF JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21246",RECONSTRUCTION OF JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21246",RECONSTRUCTION OF JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21248",RECONSTRUCTION OF JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21248",RECONSTRUCTION OF JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21249",RECONSTRUCTION OF JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21249",RECONSTRUCTION OF JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21260",REVISE EYE SOCKETS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21260",REVISE EYE SOCKETS,EAPG,DEF,,,,,NA,NA,NA,N,
="21267",REVISE EYE SOCKETS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21267",REVISE EYE SOCKETS,EAPG,DEF,,,,,NA,NA,NA,N,
="21270",AUGMENTATION CHEEK BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21270",AUGMENTATION CHEEK BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="21275",REVISION ORBITOFACIAL BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21275",REVISION ORBITOFACIAL BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="21280",REVISION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21280",REVISION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="21282",REVISION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21282",REVISION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="21295",REVISION OF JAW MUSCLE/BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21295",REVISION OF JAW MUSCLE/BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="21296",REVISION OF JAW MUSCLE/BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21296",REVISION OF JAW MUSCLE/BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="21300",TREATMENT OF SKULL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21300",TREATMENT OF SKULL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21310",CLOSED TX NOSE FX W/O MANJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21310",CLOSED TX NOSE FX W/O MANJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21315",CLSD TX NSL FX MNPJ WO STBLJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21315",CLSD TX NSL FX MNPJ WO STBLJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21320",CLSD TX NSL FX W/MNPJ&STABLJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21320",CLSD TX NSL FX W/MNPJ&STABLJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21325",OPEN TX NOSE FX UNCOMPLICATD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21325",OPEN TX NOSE FX UNCOMPLICATD,EAPG,DEF,,,,,NA,NA,NA,N,
="21330",OPEN TX NOSE FX W/SKELE FIXJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21330",OPEN TX NOSE FX W/SKELE FIXJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21335",OPEN TX NOSE & SEPTAL FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21335",OPEN TX NOSE & SEPTAL FX,EAPG,DEF,,,,,NA,NA,NA,N,
="21336",OPEN TX SEPTAL FX W/WO STABJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21336",OPEN TX SEPTAL FX W/WO STABJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21337",CLOSED TX SEPTAL&NOSE FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21337",CLOSED TX SEPTAL&NOSE FX,EAPG,DEF,,,,,NA,NA,NA,N,
="21338",OPEN NASOETHMOID FX W/O FIXJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21338",OPEN NASOETHMOID FX W/O FIXJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21339",OPEN NASOETHMOID FX W/ FIXJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21339",OPEN NASOETHMOID FX W/ FIXJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21340",PERQ TX NASOETHMOID FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21340",PERQ TX NASOETHMOID FX,EAPG,DEF,,,,,NA,NA,NA,N,
="21345",CLOSED TX NOSE/JAW FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21345",CLOSED TX NOSE/JAW FX,EAPG,DEF,,,,,NA,NA,NA,N,
="21355",PERQ TX MALAR FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21355",PERQ TX MALAR FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21356",OPN TX DPRSD ZYGOMATIC ARCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21356",OPN TX DPRSD ZYGOMATIC ARCH,EAPG,DEF,,,,,NA,NA,NA,N,
="21360",OPN TX DPRSD MALAR FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21360",OPN TX DPRSD MALAR FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21390",OPN TX ORBIT PERIORBTL IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21390",OPN TX ORBIT PERIORBTL IMPLT,EAPG,DEF,,,,,NA,NA,NA,N,
="21400",CLOSED TX ORBIT W/O MANIPULJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21400",CLOSED TX ORBIT W/O MANIPULJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21401",CLOSED TX ORBIT W/MANIPULJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21401",CLOSED TX ORBIT W/MANIPULJ,EAPG,DEF,,,,,NA,NA,NA,N,
="21406",OPN TX ORBIT FX W/O IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21406",OPN TX ORBIT FX W/O IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="21407",OPN TX ORBIT FX W/IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21407",OPN TX ORBIT FX W/IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="21421",TREAT MOUTH ROOF FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21421",TREAT MOUTH ROOF FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21440",TREAT DENTAL RIDGE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21440",TREAT DENTAL RIDGE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21445",TREAT DENTAL RIDGE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21445",TREAT DENTAL RIDGE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21450",TREAT LOWER JAW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21450",TREAT LOWER JAW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21451",TREAT LOWER JAW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21451",TREAT LOWER JAW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21452",TREAT LOWER JAW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21452",TREAT LOWER JAW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21453",TREAT LOWER JAW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21453",TREAT LOWER JAW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21454",TREAT LOWER JAW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21454",TREAT LOWER JAW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21461",TREAT LOWER JAW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21461",TREAT LOWER JAW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21462",TREAT LOWER JAW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21462",TREAT LOWER JAW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21465",TREAT LOWER JAW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21465",TREAT LOWER JAW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21480",RESET DISLOCATED JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21480",RESET DISLOCATED JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21485",RESET DISLOCATED JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21485",RESET DISLOCATED JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21490",REPAIR DISLOCATED JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21490",REPAIR DISLOCATED JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="21493",TREAT HYOID BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21493",TREAT HYOID BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21494",TREAT HYOID BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21494",TREAT HYOID BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21495",TREAT HYOID BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21495",TREAT HYOID BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21497",INTERDENTAL WIRING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21497",INTERDENTAL WIRING,EAPG,DEF,,,,,NA,NA,NA,N,
="21501",DRAIN NECK/CHEST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21501",DRAIN NECK/CHEST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="21502",DRAIN CHEST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21502",DRAIN CHEST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="21550",BIOPSY OF NECK/CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21550",BIOPSY OF NECK/CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="21552",EXC NECK LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21552",EXC NECK LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="21554",EXC NECK TUM DEEP 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21554",EXC NECK TUM DEEP 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="21555",EXC NECK LES SC < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21555",EXC NECK LES SC < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21556",EXC NECK TUM DEEP < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21556",EXC NECK TUM DEEP < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21557",RESECT NECK THORAX TUMOR<5CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21557",RESECT NECK THORAX TUMOR<5CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21558",RESECT NECK TUMOR 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21558",RESECT NECK TUMOR 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="21600",PARTIAL REMOVAL OF RIB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21600",PARTIAL REMOVAL OF RIB,EAPG,DEF,,,,,NA,NA,NA,N,
="21610",PARTIAL REMOVAL OF RIB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21610",PARTIAL REMOVAL OF RIB,EAPG,DEF,,,,,NA,NA,NA,N,
="21685",HYOID MYOTOMY & SUSPENSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21685",HYOID MYOTOMY & SUSPENSION,EAPG,DEF,,,,,NA,NA,NA,N,
="21700",REVISION OF NECK MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21700",REVISION OF NECK MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="21720",REVISION OF NECK MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21720",REVISION OF NECK MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="21725",REVISION OF NECK MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21725",REVISION OF NECK MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="21800",TREATMENT OF RIB FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21800",TREATMENT OF RIB FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21805",TREATMENT OF RIB FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21805",TREATMENT OF RIB FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21820",TREAT STERNUM FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21820",TREAT STERNUM FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="21920",BIOPSY SOFT TISSUE OF BACK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21920",BIOPSY SOFT TISSUE OF BACK,EAPG,DEF,,,,,NA,NA,NA,N,
="21925",BIOPSY SOFT TISSUE OF BACK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21925",BIOPSY SOFT TISSUE OF BACK,EAPG,DEF,,,,,NA,NA,NA,N,
="21930",EXC BACK LES SC < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21930",EXC BACK LES SC < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21931",EXC BACK LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21931",EXC BACK LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="21932",EXC BACK TUM DEEP < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21932",EXC BACK TUM DEEP < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21933",EXC BACK TUM DEEP 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21933",EXC BACK TUM DEEP 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="21935",RESECT BACK TUM < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21935",RESECT BACK TUM < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="21936",RESECT BACK TUM 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="21936",RESECT BACK TUM 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="22102",REMOVE PART LUMBAR VERTEBRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22102",REMOVE PART LUMBAR VERTEBRA,EAPG,DEF,,,,,NA,NA,NA,N,
="22103",REMOVE EXTRA SPINE SEGMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22103",REMOVE EXTRA SPINE SEGMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="22305",CLOSED TX SPINE PROCESS FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22305",CLOSED TX SPINE PROCESS FX,EAPG,DEF,,,,,NA,NA,NA,N,
="22310",CLOSED TX VERT FX W/O MANJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22310",CLOSED TX VERT FX W/O MANJ,EAPG,DEF,,,,,NA,NA,NA,N,
="22315",CLOSED TX VERT FX W/MANJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22315",CLOSED TX VERT FX W/MANJ,EAPG,DEF,,,,,NA,NA,NA,N,
="22505",MANIPULATION OF SPINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22505",MANIPULATION OF SPINE,EAPG,DEF,,,,,NA,NA,NA,N,
="22510",PERQ CERVICOTHORACIC INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22510",PERQ CERVICOTHORACIC INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="22511",PERQ LUMBOSACRAL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22511",PERQ LUMBOSACRAL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="22512",VERTEBROPLASTY ADDL INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22512",VERTEBROPLASTY ADDL INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="22513",PERQ VERTEBRAL AUGMENTATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22513",PERQ VERTEBRAL AUGMENTATION,EAPG,DEF,,,,,NA,NA,NA,N,
="22514",PERQ VERTEBRAL AUGMENTATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22514",PERQ VERTEBRAL AUGMENTATION,EAPG,DEF,,,,,NA,NA,NA,N,
="22515",PERQ VERTEBRAL AUGMENTATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22515",PERQ VERTEBRAL AUGMENTATION,EAPG,DEF,,,,,NA,NA,NA,N,
="22520",PERCUT VERTEBROPLASTY THOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22520",PERCUT VERTEBROPLASTY THOR,EAPG,DEF,,,,,NA,NA,NA,N,
="22521",PERCUT VERTEBROPLASTY LUMB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22521",PERCUT VERTEBROPLASTY LUMB,EAPG,DEF,,,,,NA,NA,NA,N,
="22522",PERCUT VERTEBROPLASTY ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22522",PERCUT VERTEBROPLASTY ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="22523",PERCUT KYPHOPLASTY THOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22523",PERCUT KYPHOPLASTY THOR,EAPG,DEF,,,,,NA,NA,NA,N,
="22524",PERCUT KYPHOPLASTY LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22524",PERCUT KYPHOPLASTY LUMBAR,EAPG,DEF,,,,,NA,NA,NA,N,
="22525",PERCUT KYPHOPLASTY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22525",PERCUT KYPHOPLASTY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="22526",IDET SINGLE LEVEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22526",IDET SINGLE LEVEL,EAPG,DEF,,,,,NA,NA,NA,N,
="22527",IDET 1 OR MORE LEVELS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22527",IDET 1 OR MORE LEVELS,EAPG,DEF,,,,,NA,NA,NA,N,
="22551",ARTHRD ANT NTRBDY CERVICAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22551",ARTHRD ANT NTRBDY CERVICAL,EAPG,DEF,,,,,NA,NA,NA,N,
="22552",ARTHRD ANT NTRBD CERVICAL EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22552",ARTHRD ANT NTRBD CERVICAL EA,EAPG,DEF,,,,,NA,NA,NA,N,
="22554",ARTHRD ANT NTRBD MIN DSC CRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22554",ARTHRD ANT NTRBD MIN DSC CRV,EAPG,DEF,,,,,NA,NA,NA,N,
="22585",ARTHRD ANT NTRBD MIN DSC EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22585",ARTHRD ANT NTRBD MIN DSC EA,EAPG,DEF,,,,,NA,NA,NA,N,
="22612",ARTHRD PST TQ 1NTRSPC LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22612",ARTHRD PST TQ 1NTRSPC LUMBAR,EAPG,DEF,,,,,NA,NA,NA,N,
="22614",ARTHRD PST TQ 1NTRSPC EA ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22614",ARTHRD PST TQ 1NTRSPC EA ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="22840",INSERT SPINE FIXATION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22840",INSERT SPINE FIXATION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="22842",INSERT SPINE FIXATION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22842",INSERT SPINE FIXATION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="22845",INSERT SPINE FIXATION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22845",INSERT SPINE FIXATION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="22853",INSJ BIOMECHANICAL DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22853",INSJ BIOMECHANICAL DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="22854",INSJ BIOMECHANICAL DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22854",INSJ BIOMECHANICAL DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="22856",TOT DISC ARTHRP 1NTRSPC CRV,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="22856",TOT DISC ARTHRP 1NTRSPC CRV,EAPG,DEF,,,,,NA,NA,NA,Y,
="22859",INSJ BIOMECHANICAL DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22859",INSJ BIOMECHANICAL DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="22867",INSJ STABLJ DEV W/DCMPRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22867",INSJ STABLJ DEV W/DCMPRN,EAPG,DEF,,,,,NA,NA,NA,N,
="22868",INSJ STABLJ DEV W/DCMPRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22868",INSJ STABLJ DEV W/DCMPRN,EAPG,DEF,,,,,NA,NA,NA,N,
="22869",INSJ STABLJ DEV W/O DCMPRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22869",INSJ STABLJ DEV W/O DCMPRN,EAPG,DEF,,,,,NA,NA,NA,N,
="22870",INSJ STABLJ DEV W/O DCMPRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22870",INSJ STABLJ DEV W/O DCMPRN,EAPG,DEF,,,,,NA,NA,NA,N,
="22900",EXC ABDL TUM DEEP < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22900",EXC ABDL TUM DEEP < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="22901",EXC ABDL TUM DEEP 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22901",EXC ABDL TUM DEEP 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="22902",EXC ABD LES SC < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22902",EXC ABD LES SC < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="22903",EXC ABD LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22903",EXC ABD LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="22904",RADICAL RESECT ABD TUMOR<5CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22904",RADICAL RESECT ABD TUMOR<5CM,EAPG,DEF,,,,,NA,NA,NA,N,
="22905",RAD RESECT ABD TUMOR 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="22905",RAD RESECT ABD TUMOR 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="23000",REMOVAL OF CALCIUM DEPOSITS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23000",REMOVAL OF CALCIUM DEPOSITS,EAPG,DEF,,,,,NA,NA,NA,N,
="23020",RELEASE SHOULDER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23020",RELEASE SHOULDER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="23030",DRAIN SHOULDER LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23030",DRAIN SHOULDER LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23031",DRAIN SHOULDER BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23031",DRAIN SHOULDER BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="23035",DRAIN SHOULDER BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23035",DRAIN SHOULDER BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23040",EXPLORATORY SHOULDER SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23040",EXPLORATORY SHOULDER SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="23044",EXPLORATORY SHOULDER SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23044",EXPLORATORY SHOULDER SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="23065",BIOPSY SHOULDER TISSUES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23065",BIOPSY SHOULDER TISSUES,EAPG,DEF,,,,,NA,NA,NA,N,
="23066",BIOPSY SHOULDER TISSUES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23066",BIOPSY SHOULDER TISSUES,EAPG,DEF,,,,,NA,NA,NA,N,
="23071",EXC SHOULDER LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23071",EXC SHOULDER LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="23073",EXC SHOULDER TUM DEEP 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23073",EXC SHOULDER TUM DEEP 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="23075",EXC SHOULDER LES SC < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23075",EXC SHOULDER LES SC < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="23076",EXC SHOULDER TUM DEEP < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23076",EXC SHOULDER TUM DEEP < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="23077",RESECT SHOULDER TUMOR < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23077",RESECT SHOULDER TUMOR < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="23078",RESECT SHOULDER TUMOR 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23078",RESECT SHOULDER TUMOR 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="23100",BIOPSY OF SHOULDER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23100",BIOPSY OF SHOULDER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="23101",SHOULDER JOINT SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23101",SHOULDER JOINT SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="23105",REMOVE SHOULDER JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23105",REMOVE SHOULDER JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="23106",INCISION OF COLLARBONE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23106",INCISION OF COLLARBONE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="23107",EXPLORE TREAT SHOULDER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23107",EXPLORE TREAT SHOULDER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="23120",PARTIAL REMOVAL COLLAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23120",PARTIAL REMOVAL COLLAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="23125",REMOVAL OF COLLAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23125",REMOVAL OF COLLAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="23130",REMOVE SHOULDER BONE PART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23130",REMOVE SHOULDER BONE PART,EAPG,DEF,,,,,NA,NA,NA,N,
="23140",REMOVAL OF BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23140",REMOVAL OF BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23145",REMOVAL OF BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23145",REMOVAL OF BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23146",REMOVAL OF BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23146",REMOVAL OF BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23150",REMOVAL OF HUMERUS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23150",REMOVAL OF HUMERUS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23155",REMOVAL OF HUMERUS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23155",REMOVAL OF HUMERUS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23156",REMOVAL OF HUMERUS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23156",REMOVAL OF HUMERUS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23170",REMOVE COLLAR BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23170",REMOVE COLLAR BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23172",REMOVE SHOULDER BLADE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23172",REMOVE SHOULDER BLADE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23174",REMOVE HUMERUS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23174",REMOVE HUMERUS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23180",REMOVE COLLAR BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23180",REMOVE COLLAR BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23182",REMOVE SHOULDER BLADE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23182",REMOVE SHOULDER BLADE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23184",REMOVE HUMERUS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23184",REMOVE HUMERUS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="23190",PARTIAL REMOVAL OF SCAPULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23190",PARTIAL REMOVAL OF SCAPULA,EAPG,DEF,,,,,NA,NA,NA,N,
="23195",REMOVAL OF HEAD OF HUMERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23195",REMOVAL OF HEAD OF HUMERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="23330",REMOVE SHOULDER FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23330",REMOVE SHOULDER FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="23331",REMOVE SHOULDER FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23331",REMOVE SHOULDER FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="23333",REMOVE SHOULDER FB DEEP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23333",REMOVE SHOULDER FB DEEP,EAPG,DEF,,,,,NA,NA,NA,N,
="23334",SHOULDER PROSTHESIS REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23334",SHOULDER PROSTHESIS REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="23350",INJECTION FOR SHOULDER X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23350",INJECTION FOR SHOULDER X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="23395",MUSCLE TRANSFER SHOULDER/ARM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23395",MUSCLE TRANSFER SHOULDER/ARM,EAPG,DEF,,,,,NA,NA,NA,N,
="23397",MUSCLE TRANSFERS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23397",MUSCLE TRANSFERS,EAPG,DEF,,,,,NA,NA,NA,N,
="23400",FIXATION OF SHOULDER BLADE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23400",FIXATION OF SHOULDER BLADE,EAPG,DEF,,,,,NA,NA,NA,N,
="23405",INCISION OF TENDON & MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23405",INCISION OF TENDON & MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="23406",INCISE TENDON(S) & MUSCLE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="23406",INCISE TENDON(S) & MUSCLE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="23410",REPAIR ROTATOR CUFF ACUTE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23410",REPAIR ROTATOR CUFF ACUTE,EAPG,DEF,,,,,NA,NA,NA,N,
="23412",REPAIR ROTATOR CUFF CHRONIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23412",REPAIR ROTATOR CUFF CHRONIC,EAPG,DEF,,,,,NA,NA,NA,N,
="23415",RELEASE OF SHOULDER LIGAMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23415",RELEASE OF SHOULDER LIGAMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="23420",REPAIR OF SHOULDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23420",REPAIR OF SHOULDER,EAPG,DEF,,,,,NA,NA,NA,N,
="23430",REPAIR BICEPS TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23430",REPAIR BICEPS TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="23440",REMOVE/TRANSPLANT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23440",REMOVE/TRANSPLANT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="23450",REPAIR SHOULDER CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23450",REPAIR SHOULDER CAPSULE,EAPG,DEF,,,,,NA,NA,NA,N,
="23455",REPAIR SHOULDER CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23455",REPAIR SHOULDER CAPSULE,EAPG,DEF,,,,,NA,NA,NA,N,
="23460",REPAIR SHOULDER CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23460",REPAIR SHOULDER CAPSULE,EAPG,DEF,,,,,NA,NA,NA,N,
="23462",REPAIR SHOULDER CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23462",REPAIR SHOULDER CAPSULE,EAPG,DEF,,,,,NA,NA,NA,N,
="23465",REPAIR SHOULDER CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23465",REPAIR SHOULDER CAPSULE,EAPG,DEF,,,,,NA,NA,NA,N,
="23466",REPAIR SHOULDER CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23466",REPAIR SHOULDER CAPSULE,EAPG,DEF,,,,,NA,NA,NA,N,
="23480",REVISION OF COLLAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23480",REVISION OF COLLAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="23485",REVISION OF COLLAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23485",REVISION OF COLLAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="23490",REINFORCE CLAVICLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23490",REINFORCE CLAVICLE,EAPG,DEF,,,,,NA,NA,NA,N,
="23491",REINFORCE SHOULDER BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23491",REINFORCE SHOULDER BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="23500",CLTX CLAVICULAR FX W/O MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23500",CLTX CLAVICULAR FX W/O MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23505",CLTX CLAVICULAR FX W/MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23505",CLTX CLAVICULAR FX W/MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23515",OPTX CLAVICULAR FX W/INT FIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23515",OPTX CLAVICULAR FX W/INT FIX,EAPG,DEF,,,,,NA,NA,NA,N,
="23520",CLTX STRNCLAV DISLC W/O MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23520",CLTX STRNCLAV DISLC W/O MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23525",CLTX STRNCLAV DISLC W/MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23525",CLTX STRNCLAV DISLC W/MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23530",OPTX STRNCLAV DISLC AQT/CHRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23530",OPTX STRNCLAV DISLC AQT/CHRN,EAPG,DEF,,,,,NA,NA,NA,N,
="23532",OPTX STRCLV DSLC AQ/CHRN GRF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23532",OPTX STRCLV DSLC AQ/CHRN GRF,EAPG,DEF,,,,,NA,NA,NA,N,
="23540",CLTX ACROMCLAV DISLC WO MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23540",CLTX ACROMCLAV DISLC WO MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23545",CLTX ACROMCLAV DISLC W/MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23545",CLTX ACROMCLAV DISLC W/MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23550",OPTX ACROMCLV DISLC AQT/CHRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23550",OPTX ACROMCLV DISLC AQT/CHRN,EAPG,DEF,,,,,NA,NA,NA,N,
="23552",OPTX ACRCLV DSLC AQ/CHRN GRF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23552",OPTX ACRCLV DSLC AQ/CHRN GRF,EAPG,DEF,,,,,NA,NA,NA,N,
="23570",CLTX SCAPULAR FX W/O MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23570",CLTX SCAPULAR FX W/O MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23575",CLTX SCAP FX W/MNPJ +-TRACTJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23575",CLTX SCAP FX W/MNPJ +-TRACTJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23585",OPTX SCAPULAR FX W/INT FIXJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23585",OPTX SCAPULAR FX W/INT FIXJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23600",CLTX PROX HUMRL FX W/O MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23600",CLTX PROX HUMRL FX W/O MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23605",CLTX PRX HMRL FX MNPJ+-TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23605",CLTX PRX HMRL FX MNPJ+-TRACT,EAPG,DEF,,,,,NA,NA,NA,N,
="23615",OPTX PROX HUMRL FX W/INT FIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23615",OPTX PROX HUMRL FX W/INT FIX,EAPG,DEF,,,,,NA,NA,NA,N,
="23616",OPTX PRX HMRL FX FIX RPR RPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23616",OPTX PRX HMRL FX FIX RPR RPL,EAPG,DEF,,,,,NA,NA,NA,N,
="23620",CLTX GR HMRL TBRS FX WO MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23620",CLTX GR HMRL TBRS FX WO MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23625",CLTX GR HMRL TBRS FX W/MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23625",CLTX GR HMRL TBRS FX W/MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23630",OPTX GR HMRL TBRS FX INT FIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23630",OPTX GR HMRL TBRS FX INT FIX,EAPG,DEF,,,,,NA,NA,NA,N,
="23650",CLTX SHO DSLC W/MNPJ WO ANES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23650",CLTX SHO DSLC W/MNPJ WO ANES,EAPG,DEF,,,,,NA,NA,NA,N,
="23655",CLTX SHO DSLC W/MNPJ W/ANES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23655",CLTX SHO DSLC W/MNPJ W/ANES,EAPG,DEF,,,,,NA,NA,NA,N,
="23660",OPTX ACUTE SHOULDER DISLC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23660",OPTX ACUTE SHOULDER DISLC,EAPG,DEF,,,,,NA,NA,NA,N,
="23665",CLTX SHO DSLC FX GR HMRL TBR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23665",CLTX SHO DSLC FX GR HMRL TBR,EAPG,DEF,,,,,NA,NA,NA,N,
="23670",OPTX SHO DISLC FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23670",OPTX SHO DISLC FX,EAPG,DEF,,,,,NA,NA,NA,N,
="23675",CLTX SHO DISLC NECK FX MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23675",CLTX SHO DISLC NECK FX MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23680",OPTX SHO DISLC NECK FX FIXJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23680",OPTX SHO DISLC NECK FX FIXJ,EAPG,DEF,,,,,NA,NA,NA,N,
="23700",MNPJ ANES SHO JT FIXJ APRATS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23700",MNPJ ANES SHO JT FIXJ APRATS,EAPG,DEF,,,,,NA,NA,NA,N,
="23800",ARTHRODESIS GLENOHUMERAL JT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23800",ARTHRODESIS GLENOHUMERAL JT,EAPG,DEF,,,,,NA,NA,NA,N,
="23802",ARTHRD GLENOHUMERAL JT W/GRF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23802",ARTHRD GLENOHUMERAL JT W/GRF,EAPG,DEF,,,,,NA,NA,NA,N,
="23921",DISARTICULATION SHO SEC CLSR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23921",DISARTICULATION SHO SEC CLSR,EAPG,DEF,,,,,NA,NA,NA,N,
="23930",I&D UPR A/E DP ABSC/HMTMA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23930",I&D UPR A/E DP ABSC/HMTMA,EAPG,DEF,,,,,NA,NA,NA,N,
="23931",I&D UPR A/E BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23931",I&D UPR A/E BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="23935",INC DP OPN B1 CRTX HUM/ELBW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="23935",INC DP OPN B1 CRTX HUM/ELBW,EAPG,DEF,,,,,NA,NA,NA,N,
="24000",ARTHRT ELBW EXPL DRG/RMVL FB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24000",ARTHRT ELBW EXPL DRG/RMVL FB,EAPG,DEF,,,,,NA,NA,NA,N,
="24006",ARTHRT ELBW CAPSL EXC RLS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24006",ARTHRT ELBW CAPSL EXC RLS,EAPG,DEF,,,,,NA,NA,NA,N,
="24065",BIOPSY ARM/ELBOW SOFT TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24065",BIOPSY ARM/ELBOW SOFT TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="24066",BIOPSY ARM/ELBOW SOFT TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24066",BIOPSY ARM/ELBOW SOFT TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="24071",EXC ARM/ELBOW LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24071",EXC ARM/ELBOW LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="24073",EX ARM/ELBOW TUM DEEP 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24073",EX ARM/ELBOW TUM DEEP 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="24075",EXC ARM/ELBOW LES SC < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24075",EXC ARM/ELBOW LES SC < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="24076",EX ARM/ELBOW TUM DEEP < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24076",EX ARM/ELBOW TUM DEEP < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="24077",RAD RESCJ TUM TISS A/E <5CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24077",RAD RESCJ TUM TISS A/E <5CM,EAPG,DEF,,,,,NA,NA,NA,N,
="24079",RAD RESCJ TUM TISS A/E 5 CM+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24079",RAD RESCJ TUM TISS A/E 5 CM+,EAPG,DEF,,,,,NA,NA,NA,N,
="24100",ARTHRT ELBW SYNOVIAL BX ONLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24100",ARTHRT ELBW SYNOVIAL BX ONLY,EAPG,DEF,,,,,NA,NA,NA,N,
="24101",ARTHRT ELBW JT EXPL BX RMVL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24101",ARTHRT ELBW JT EXPL BX RMVL,EAPG,DEF,,,,,NA,NA,NA,N,
="24102",ARTHRT ELBOW W/SYNOVECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24102",ARTHRT ELBOW W/SYNOVECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="24105",EXCISION OLECRANON BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24105",EXCISION OLECRANON BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="24110",EXC/CURTG B1 CST/B9 TUM HUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24110",EXC/CURTG B1 CST/B9 TUM HUM,EAPG,DEF,,,,,NA,NA,NA,N,
="24115",EXC/CRTG B1 CST/TUM HUM AGRF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24115",EXC/CRTG B1 CST/TUM HUM AGRF,EAPG,DEF,,,,,NA,NA,NA,N,
="24116",EXC/CRTG B1 CST/TUM HUM ALGR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24116",EXC/CRTG B1 CST/TUM HUM ALGR,EAPG,DEF,,,,,NA,NA,NA,N,
="24120",EXC/CRTG B1 CST/B9 TUM RDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24120",EXC/CRTG B1 CST/B9 TUM RDS,EAPG,DEF,,,,,NA,NA,NA,N,
="24125",EXC/CRTG B1 CST/TUM RDS AGRF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24125",EXC/CRTG B1 CST/TUM RDS AGRF,EAPG,DEF,,,,,NA,NA,NA,N,
="24126",EXC/CRTG B1 CST/TUM RDS ALGR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24126",EXC/CRTG B1 CST/TUM RDS ALGR,EAPG,DEF,,,,,NA,NA,NA,N,
="24130",EXCISION RADIAL HEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24130",EXCISION RADIAL HEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="24134",SEQUESTRECTOMY SHFT/DSTL HUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24134",SEQUESTRECTOMY SHFT/DSTL HUM,EAPG,DEF,,,,,NA,NA,NA,N,
="24136",SEQUESTRECTOMY RADIAL H/N,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24136",SEQUESTRECTOMY RADIAL H/N,EAPG,DEF,,,,,NA,NA,NA,N,
="24138",SEQUESTRECTOMY OLECRN PROCES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24138",SEQUESTRECTOMY OLECRN PROCES,EAPG,DEF,,,,,NA,NA,NA,N,
="24140",PARTIAL EXC BONE HUMERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24140",PARTIAL EXC BONE HUMERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="24145",PRTL EXC BONE RADIAL H/N,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24145",PRTL EXC BONE RADIAL H/N,EAPG,DEF,,,,,NA,NA,NA,N,
="24147",PRTL EXC BONE OLECRN PROCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24147",PRTL EXC BONE OLECRN PROCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="24149",RADICAL RESECTION OF ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24149",RADICAL RESECTION OF ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="24152",RAD RESECTION TUM RADIAL H/N,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24152",RAD RESECTION TUM RADIAL H/N,EAPG,DEF,,,,,NA,NA,NA,N,
="24153",EXTENSIVE RADIUS SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24153",EXTENSIVE RADIUS SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="24155",RESECTION OF ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24155",RESECTION OF ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24160",RMVL PROSTHHUMRL&ULNAR CMPNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24160",RMVL PROSTHHUMRL&ULNAR CMPNT,EAPG,DEF,,,,,NA,NA,NA,N,
="24164",REMOVAL PROSTH RADIAL HEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24164",REMOVAL PROSTH RADIAL HEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="24200",RMVL FB UPPER ARM/ELBW SUBQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24200",RMVL FB UPPER ARM/ELBW SUBQ,EAPG,DEF,,,,,NA,NA,NA,N,
="24201",RMVL FB UPPER ARM/ELBW DEEP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24201",RMVL FB UPPER ARM/ELBW DEEP,EAPG,DEF,,,,,NA,NA,NA,N,
="24220",INJECTION PX FOR ELBOW ARTHG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24220",INJECTION PX FOR ELBOW ARTHG,EAPG,DEF,,,,,NA,NA,NA,N,
="24300",MNPJ ELBOW UNDER ANES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24300",MNPJ ELBOW UNDER ANES,EAPG,DEF,,,,,NA,NA,NA,N,
="24301",MUSC/TDN TRANSFER UPR A/E 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24301",MUSC/TDN TRANSFER UPR A/E 1,EAPG,DEF,,,,,NA,NA,NA,N,
="24305",TENDON LNGTH UPR A/E EA TDN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24305",TENDON LNGTH UPR A/E EA TDN,EAPG,DEF,,,,,NA,NA,NA,N,
="24310",TNOT OPN ELBW TO SHO EA TDN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24310",TNOT OPN ELBW TO SHO EA TDN,EAPG,DEF,,,,,NA,NA,NA,N,
="24320",TENOPLASTY ELBOW TO SHO 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24320",TENOPLASTY ELBOW TO SHO 1,EAPG,DEF,,,,,NA,NA,NA,N,
="24330",FLEXOR-PLASTY ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24330",FLEXOR-PLASTY ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="24331",FLEXOR-PLASTY ELBW W/ADVMNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24331",FLEXOR-PLASTY ELBW W/ADVMNT,EAPG,DEF,,,,,NA,NA,NA,N,
="24332",TENOLYSIS TRICEPS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24332",TENOLYSIS TRICEPS,EAPG,DEF,,,,,NA,NA,NA,N,
="24340",TENODESIS BICEPS TDN AT ELBW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24340",TENODESIS BICEPS TDN AT ELBW,EAPG,DEF,,,,,NA,NA,NA,N,
="24341",RPR TDN/MUSC UPR A/E EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24341",RPR TDN/MUSC UPR A/E EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="24342",REPAIR OF RUPTURED TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24342",REPAIR OF RUPTURED TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="24343",REPR ELBOW LAT LIGMNT W/TISS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24343",REPR ELBOW LAT LIGMNT W/TISS,EAPG,DEF,,,,,NA,NA,NA,N,
="24344",RECONSTRUCT ELBOW LAT LIGMNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24344",RECONSTRUCT ELBOW LAT LIGMNT,EAPG,DEF,,,,,NA,NA,NA,N,
="24345",REPR ELBW MED LIGMNT W/TISSU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24345",REPR ELBW MED LIGMNT W/TISSU,EAPG,DEF,,,,,NA,NA,NA,N,
="24346",RECONSTRUCT ELBOW MED LIGMNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24346",RECONSTRUCT ELBOW MED LIGMNT,EAPG,DEF,,,,,NA,NA,NA,N,
="24350",REPAIR OF TENNIS ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24350",REPAIR OF TENNIS ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="24351",REPAIR OF TENNIS ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24351",REPAIR OF TENNIS ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="24352",REPAIR OF TENNIS ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24352",REPAIR OF TENNIS ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="24354",REPAIR OF TENNIS ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24354",REPAIR OF TENNIS ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="24356",REVISION OF TENNIS ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24356",REVISION OF TENNIS ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="24357",REPAIR ELBOW PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24357",REPAIR ELBOW PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="24358",REPAIR ELBOW W/DEB OPEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24358",REPAIR ELBOW W/DEB OPEN,EAPG,DEF,,,,,NA,NA,NA,N,
="24359",REPAIR ELBOW DEB/ATTCH OPEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24359",REPAIR ELBOW DEB/ATTCH OPEN,EAPG,DEF,,,,,NA,NA,NA,N,
="24360",RECONSTRUCT ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24360",RECONSTRUCT ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24361",RECONSTRUCT ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24361",RECONSTRUCT ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24362",RECONSTRUCT ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24362",RECONSTRUCT ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24363",REPLACE ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24363",REPLACE ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24365",RECONSTRUCT HEAD OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24365",RECONSTRUCT HEAD OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="24366",RECONSTRUCT HEAD OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24366",RECONSTRUCT HEAD OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="24370",REVISE RECONST ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24370",REVISE RECONST ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24371",REVISE RECONST ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24371",REVISE RECONST ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24400",REVISION OF HUMERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24400",REVISION OF HUMERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="24410",REVISION OF HUMERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24410",REVISION OF HUMERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="24420",REVISION OF HUMERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24420",REVISION OF HUMERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="24430",REPAIR OF HUMERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24430",REPAIR OF HUMERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="24435",REPAIR HUMERUS WITH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24435",REPAIR HUMERUS WITH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="24470",REVISION OF ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24470",REVISION OF ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24495",DECOMPRESSION OF FOREARM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24495",DECOMPRESSION OF FOREARM,EAPG,DEF,,,,,NA,NA,NA,N,
="24498",REINFORCE HUMERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24498",REINFORCE HUMERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="24500",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24500",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24505",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24505",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24515",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24515",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24516",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24516",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24530",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24530",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24535",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24535",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24538",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24538",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24545",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24545",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24546",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24546",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24560",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24560",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24565",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24565",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24566",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24566",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24575",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24575",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24576",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24576",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24577",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24577",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24579",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24579",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24582",TREAT HUMERUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24582",TREAT HUMERUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24586",TREAT ELBOW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24586",TREAT ELBOW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24587",TREAT ELBOW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24587",TREAT ELBOW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24600",TREAT ELBOW DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24600",TREAT ELBOW DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="24605",TREAT ELBOW DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24605",TREAT ELBOW DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="24615",TREAT ELBOW DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24615",TREAT ELBOW DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="24620",TREAT ELBOW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24620",TREAT ELBOW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24635",TREAT ELBOW FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24635",TREAT ELBOW FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24640",TREAT ELBOW DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24640",TREAT ELBOW DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="24650",TREAT RADIUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24650",TREAT RADIUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24655",TREAT RADIUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24655",TREAT RADIUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24665",TREAT RADIUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24665",TREAT RADIUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24666",TREAT RADIUS FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24666",TREAT RADIUS FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24670",TREAT ULNAR FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24670",TREAT ULNAR FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24675",TREAT ULNAR FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24675",TREAT ULNAR FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24685",TREAT ULNAR FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24685",TREAT ULNAR FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="24800",FUSION OF ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24800",FUSION OF ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24802",FUSION/GRAFT OF ELBOW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24802",FUSION/GRAFT OF ELBOW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="24925",AMPUTATION FOLLOW-UP SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="24925",AMPUTATION FOLLOW-UP SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="25000",INCISION OF TENDON SHEATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25000",INCISION OF TENDON SHEATH,EAPG,DEF,,,,,NA,NA,NA,N,
="25001",INCISE FLEXOR CARPI RADIALIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25001",INCISE FLEXOR CARPI RADIALIS,EAPG,DEF,,,,,NA,NA,NA,N,
="25020",DECOMPRESS FOREARM 1 SPACE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25020",DECOMPRESS FOREARM 1 SPACE,EAPG,DEF,,,,,NA,NA,NA,N,
="25023",DECOMPRESS FOREARM 1 SPACE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25023",DECOMPRESS FOREARM 1 SPACE,EAPG,DEF,,,,,NA,NA,NA,N,
="25024",DECOMPRESS FOREARM 2 SPACES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25024",DECOMPRESS FOREARM 2 SPACES,EAPG,DEF,,,,,NA,NA,NA,N,
="25025",DECOMPRESS FOREARM 2 SPACES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25025",DECOMPRESS FOREARM 2 SPACES,EAPG,DEF,,,,,NA,NA,NA,N,
="25028",DRAINAGE OF FOREARM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25028",DRAINAGE OF FOREARM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25031",DRAINAGE OF FOREARM BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25031",DRAINAGE OF FOREARM BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="25035",TREAT FOREARM BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25035",TREAT FOREARM BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25040",EXPLORE/TREAT WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25040",EXPLORE/TREAT WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25065",BIOPSY FOREARM SOFT TISSUES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25065",BIOPSY FOREARM SOFT TISSUES,EAPG,DEF,,,,,NA,NA,NA,N,
="25066",BIOPSY FOREARM SOFT TISSUES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25066",BIOPSY FOREARM SOFT TISSUES,EAPG,DEF,,,,,NA,NA,NA,N,
="25071",EXC FOREARM LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25071",EXC FOREARM LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="25073",EXC FOREARM TUM DEEP 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25073",EXC FOREARM TUM DEEP 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="25075",EXC FOREARM LES SC < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25075",EXC FOREARM LES SC < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="25076",EXC FOREARM TUM DEEP < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25076",EXC FOREARM TUM DEEP < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="25077",RESECT FOREARM/WRIST TUM<3CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25077",RESECT FOREARM/WRIST TUM<3CM,EAPG,DEF,,,,,NA,NA,NA,N,
="25078",RESECT FORARM/WRIST TUM 3CM>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25078",RESECT FORARM/WRIST TUM 3CM>,EAPG,DEF,,,,,NA,NA,NA,N,
="25085",INCISION OF WRIST CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25085",INCISION OF WRIST CAPSULE,EAPG,DEF,,,,,NA,NA,NA,N,
="25100",BIOPSY OF WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25100",BIOPSY OF WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25101",EXPLORE/TREAT WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25101",EXPLORE/TREAT WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25105",REMOVE WRIST JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25105",REMOVE WRIST JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="25107",REMOVE WRIST JOINT CARTILAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25107",REMOVE WRIST JOINT CARTILAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="25109",EXCISE TENDON FOREARM/WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25109",EXCISE TENDON FOREARM/WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="25110",REMOVE WRIST TENDON LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25110",REMOVE WRIST TENDON LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25111",REMOVE WRIST TENDON LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25111",REMOVE WRIST TENDON LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25112",REREMOVE WRIST TENDON LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25112",REREMOVE WRIST TENDON LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25115",REMOVE WRIST/FOREARM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25115",REMOVE WRIST/FOREARM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25116",REMOVE WRIST/FOREARM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25116",REMOVE WRIST/FOREARM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25118",EXCISE WRIST TENDON SHEATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25118",EXCISE WRIST TENDON SHEATH,EAPG,DEF,,,,,NA,NA,NA,N,
="25119",PARTIAL REMOVAL OF ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25119",PARTIAL REMOVAL OF ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25120",REMOVAL OF FOREARM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25120",REMOVAL OF FOREARM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25125",REMOVE/GRAFT FOREARM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25125",REMOVE/GRAFT FOREARM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25126",REMOVE/GRAFT FOREARM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25126",REMOVE/GRAFT FOREARM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25130",REMOVAL OF WRIST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25130",REMOVAL OF WRIST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25135",REMOVE & GRAFT WRIST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25135",REMOVE & GRAFT WRIST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25136",REMOVE & GRAFT WRIST LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25136",REMOVE & GRAFT WRIST LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25145",REMOVE FOREARM BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25145",REMOVE FOREARM BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="25150",PARTIAL REMOVAL OF ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25150",PARTIAL REMOVAL OF ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25151",PARTIAL REMOVAL OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25151",PARTIAL REMOVAL OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25210",REMOVAL OF WRIST BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25210",REMOVAL OF WRIST BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="25215",REMOVAL OF WRIST BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25215",REMOVAL OF WRIST BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="25230",PARTIAL REMOVAL OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25230",PARTIAL REMOVAL OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25240",PARTIAL REMOVAL OF ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25240",PARTIAL REMOVAL OF ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25246",INJECTION FOR WRIST X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25246",INJECTION FOR WRIST X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="25248",REMOVE FOREARM FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25248",REMOVE FOREARM FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="25250",REMOVAL OF WRIST PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25250",REMOVAL OF WRIST PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="25251",REMOVAL OF WRIST PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25251",REMOVAL OF WRIST PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="25259",MANIPULATE WRIST W/ANESTHES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25259",MANIPULATE WRIST W/ANESTHES,EAPG,DEF,,,,,NA,NA,NA,N,
="25260",REPAIR FOREARM TENDON/MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25260",REPAIR FOREARM TENDON/MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="25263",REPAIR FOREARM TENDON/MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25263",REPAIR FOREARM TENDON/MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="25265",REPAIR FOREARM TENDON/MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25265",REPAIR FOREARM TENDON/MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="25270",REPAIR FOREARM TENDON/MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25270",REPAIR FOREARM TENDON/MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="25272",REPAIR FOREARM TENDON/MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25272",REPAIR FOREARM TENDON/MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="25274",REPAIR FOREARM TENDON/MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25274",REPAIR FOREARM TENDON/MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="25275",REPAIR FOREARM TENDON SHEATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25275",REPAIR FOREARM TENDON SHEATH,EAPG,DEF,,,,,NA,NA,NA,N,
="25280",REVISE WRIST/FOREARM TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25280",REVISE WRIST/FOREARM TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="25290",INCISE WRIST/FOREARM TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25290",INCISE WRIST/FOREARM TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="25295",RELEASE WRIST/FOREARM TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25295",RELEASE WRIST/FOREARM TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="25300",FUSION OF TENDONS AT WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25300",FUSION OF TENDONS AT WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="25301",FUSION OF TENDONS AT WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25301",FUSION OF TENDONS AT WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="25310",TRANSPLANT FOREARM TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25310",TRANSPLANT FOREARM TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="25312",TRANSPLANT FOREARM TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25312",TRANSPLANT FOREARM TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="25315",REVISE PALSY HAND TENDON(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="25315",REVISE PALSY HAND TENDON(S),EAPG,DEF,,,,,NA,NA,NA,N,
="25316",REVISE PALSY HAND TENDON(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="25316",REVISE PALSY HAND TENDON(S),EAPG,DEF,,,,,NA,NA,NA,N,
="25320",REPAIR/REVISE WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25320",REPAIR/REVISE WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25332",REVISE WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25332",REVISE WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25335",REALIGNMENT OF HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25335",REALIGNMENT OF HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="25337",RECONSTRUCT ULNA/RADIOULNAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25337",RECONSTRUCT ULNA/RADIOULNAR,EAPG,DEF,,,,,NA,NA,NA,N,
="25350",REVISION OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25350",REVISION OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25355",REVISION OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25355",REVISION OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25360",REVISION OF ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25360",REVISION OF ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25365",REVISE RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25365",REVISE RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25370",REVISE RADIUS OR ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25370",REVISE RADIUS OR ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25375",REVISE RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25375",REVISE RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25390",SHORTEN RADIUS OR ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25390",SHORTEN RADIUS OR ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25391",LENGTHEN RADIUS OR ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25391",LENGTHEN RADIUS OR ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25392",SHORTEN RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25392",SHORTEN RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25393",LENGTHEN RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25393",LENGTHEN RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25394",REPAIR CARPAL BONE SHORTEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25394",REPAIR CARPAL BONE SHORTEN,EAPG,DEF,,,,,NA,NA,NA,N,
="25400",REPAIR RADIUS OR ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25400",REPAIR RADIUS OR ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25405",REPAIR/GRAFT RADIUS OR ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25405",REPAIR/GRAFT RADIUS OR ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25415",REPAIR RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25415",REPAIR RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25420",REPAIR/GRAFT RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25420",REPAIR/GRAFT RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25425",REPAIR/GRAFT RADIUS OR ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25425",REPAIR/GRAFT RADIUS OR ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25426",REPAIR/GRAFT RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25426",REPAIR/GRAFT RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25430",VASC GRAFT INTO CARPAL BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25430",VASC GRAFT INTO CARPAL BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="25431",REPAIR NONUNION CARPAL BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25431",REPAIR NONUNION CARPAL BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="25440",REPAIR/GRAFT WRIST BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25440",REPAIR/GRAFT WRIST BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="25441",RECONSTRUCT WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25441",RECONSTRUCT WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25442",RECONSTRUCT WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25442",RECONSTRUCT WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25443",RECONSTRUCT WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25443",RECONSTRUCT WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25444",RECONSTRUCT WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25444",RECONSTRUCT WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25445",RECONSTRUCT WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25445",RECONSTRUCT WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25446",WRIST REPLACEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25446",WRIST REPLACEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="25447",REPAIR WRIST JOINTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25447",REPAIR WRIST JOINTS,EAPG,DEF,,,,,NA,NA,NA,N,
="25449",REMOVE WRIST JOINT IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25449",REMOVE WRIST JOINT IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="25450",REVISION OF WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25450",REVISION OF WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25455",REVISION OF WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25455",REVISION OF WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25490",REINFORCE RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25490",REINFORCE RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25491",REINFORCE ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25491",REINFORCE ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25492",REINFORCE RADIUS AND ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25492",REINFORCE RADIUS AND ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25500",TREAT FRACTURE OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25500",TREAT FRACTURE OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25505",TREAT FRACTURE OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25505",TREAT FRACTURE OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25515",TREAT FRACTURE OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25515",TREAT FRACTURE OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25520",TREAT FRACTURE OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25520",TREAT FRACTURE OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25525",TREAT FRACTURE OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25525",TREAT FRACTURE OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25526",TREAT FRACTURE OF RADIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25526",TREAT FRACTURE OF RADIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="25530",TREAT FRACTURE OF ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25530",TREAT FRACTURE OF ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25535",TREAT FRACTURE OF ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25535",TREAT FRACTURE OF ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25545",TREAT FRACTURE OF ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25545",TREAT FRACTURE OF ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25560",TREAT FRACTURE RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25560",TREAT FRACTURE RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25565",TREAT FRACTURE RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25565",TREAT FRACTURE RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25574",TREAT FRACTURE RADIUS & ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25574",TREAT FRACTURE RADIUS & ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25575",TREAT FRACTURE RADIUS/ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25575",TREAT FRACTURE RADIUS/ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25600",TREAT FRACTURE RADIUS/ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25600",TREAT FRACTURE RADIUS/ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25605",TREAT FRACTURE RADIUS/ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25605",TREAT FRACTURE RADIUS/ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25606",TREAT FX DISTAL RADIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25606",TREAT FX DISTAL RADIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="25607",TREAT FX RAD EXTRA-ARTICUL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25607",TREAT FX RAD EXTRA-ARTICUL,EAPG,DEF,,,,,NA,NA,NA,N,
="25608",TREAT FX RAD INTRA-ARTICUL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25608",TREAT FX RAD INTRA-ARTICUL,EAPG,DEF,,,,,NA,NA,NA,N,
="25609",TREAT FX RADIAL 3+ FRAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25609",TREAT FX RADIAL 3+ FRAG,EAPG,DEF,,,,,NA,NA,NA,N,
="25611",TREAT FRACTURE RADIUS/ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25611",TREAT FRACTURE RADIUS/ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25620",TREAT FRACTURE RADIUS/ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25620",TREAT FRACTURE RADIUS/ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25622",TREAT WRIST BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25622",TREAT WRIST BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25624",TREAT WRIST BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25624",TREAT WRIST BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25628",TREAT WRIST BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25628",TREAT WRIST BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25630",TREAT WRIST BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25630",TREAT WRIST BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25635",TREAT WRIST BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25635",TREAT WRIST BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25645",TREAT WRIST BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25645",TREAT WRIST BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25650",TREAT WRIST BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25650",TREAT WRIST BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25651",PIN ULNAR STYLOID FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25651",PIN ULNAR STYLOID FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25652",TREAT FRACTURE ULNAR STYLOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25652",TREAT FRACTURE ULNAR STYLOID,EAPG,DEF,,,,,NA,NA,NA,N,
="25660",TREAT WRIST DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25660",TREAT WRIST DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="25670",TREAT WRIST DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25670",TREAT WRIST DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="25671",PIN RADIOULNAR DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25671",PIN RADIOULNAR DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="25675",TREAT WRIST DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25675",TREAT WRIST DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="25676",TREAT WRIST DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25676",TREAT WRIST DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="25680",TREAT WRIST FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25680",TREAT WRIST FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25685",TREAT WRIST FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25685",TREAT WRIST FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="25690",TREAT WRIST DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25690",TREAT WRIST DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="25695",TREAT WRIST DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25695",TREAT WRIST DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="25800",FUSION OF WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25800",FUSION OF WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25805",FUSION/GRAFT OF WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25805",FUSION/GRAFT OF WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25810",FUSION/GRAFT OF WRIST JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25810",FUSION/GRAFT OF WRIST JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="25820",FUSION OF HAND BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25820",FUSION OF HAND BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="25825",FUSE HAND BONES WITH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25825",FUSE HAND BONES WITH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="25830",FUSION RADIOULNAR JNT/ULNA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25830",FUSION RADIOULNAR JNT/ULNA,EAPG,DEF,,,,,NA,NA,NA,N,
="25907",AMPUTATION FOLLOW-UP SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25907",AMPUTATION FOLLOW-UP SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="25922",AMPUTATE HAND AT WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25922",AMPUTATE HAND AT WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="25929",AMPUTATION FOLLOW-UP SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25929",AMPUTATION FOLLOW-UP SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="25931",AMPUTATION FOLLOW-UP SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="25931",AMPUTATION FOLLOW-UP SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="26010",DRAINAGE OF FINGER ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26010",DRAINAGE OF FINGER ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="26011",DRAINAGE OF FINGER ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26011",DRAINAGE OF FINGER ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="26020",DRAIN HAND TENDON SHEATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26020",DRAIN HAND TENDON SHEATH,EAPG,DEF,,,,,NA,NA,NA,N,
="26025",DRAINAGE OF PALM BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26025",DRAINAGE OF PALM BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="26030",DRAINAGE OF PALM BURSAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26030",DRAINAGE OF PALM BURSAS,EAPG,DEF,,,,,NA,NA,NA,N,
="26034",TREAT HAND BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26034",TREAT HAND BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="26035",DECOMPRESS FINGERS/HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26035",DECOMPRESS FINGERS/HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="26037",DECOMPRESS FINGERS/HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26037",DECOMPRESS FINGERS/HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="26040",RELEASE PALM CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26040",RELEASE PALM CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26045",RELEASE PALM CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26045",RELEASE PALM CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26055",INCISE FINGER TENDON SHEATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26055",INCISE FINGER TENDON SHEATH,EAPG,DEF,,,,,NA,NA,NA,N,
="26060",INCISION OF FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26060",INCISION OF FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26070",EXPLORE/TREAT HAND JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26070",EXPLORE/TREAT HAND JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26075",EXPLORE/TREAT FINGER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26075",EXPLORE/TREAT FINGER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26080",EXPLORE/TREAT FINGER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26080",EXPLORE/TREAT FINGER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26100",BIOPSY HAND JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26100",BIOPSY HAND JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="26105",BIOPSY FINGER JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26105",BIOPSY FINGER JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="26110",BIOPSY FINGER JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26110",BIOPSY FINGER JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="26111",EXC HAND LES SC 1.5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26111",EXC HAND LES SC 1.5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="26113",EXC HAND TUM DEEP 1.5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26113",EXC HAND TUM DEEP 1.5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="26115",EXC HAND LES SC < 1.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26115",EXC HAND LES SC < 1.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="26116",EXC HAND TUM DEEP < 1.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26116",EXC HAND TUM DEEP < 1.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="26117",RAD RESECT HAND TUMOR < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26117",RAD RESECT HAND TUMOR < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="26118",RAD RESECT HAND TUMOR 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26118",RAD RESECT HAND TUMOR 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="26121",RELEASE PALM CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26121",RELEASE PALM CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26123",RELEASE PALM CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26123",RELEASE PALM CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26125",RELEASE PALM CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26125",RELEASE PALM CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26130",REMOVE WRIST JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26130",REMOVE WRIST JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="26135",REVISE FINGER JOINT EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26135",REVISE FINGER JOINT EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26140",REVISE FINGER JOINT EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26140",REVISE FINGER JOINT EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26145",TENDON EXCISION PALM/FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26145",TENDON EXCISION PALM/FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="26160",REMOVE TENDON SHEATH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26160",REMOVE TENDON SHEATH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="26170",REMOVAL OF PALM TENDON EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26170",REMOVAL OF PALM TENDON EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26180",REMOVAL OF FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26180",REMOVAL OF FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26185",REMOVE FINGER BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26185",REMOVE FINGER BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="26200",REMOVE HAND BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26200",REMOVE HAND BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="26205",REMOVE/GRAFT BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26205",REMOVE/GRAFT BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="26210",REMOVAL OF FINGER LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26210",REMOVAL OF FINGER LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="26215",REMOVE/GRAFT FINGER LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26215",REMOVE/GRAFT FINGER LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="26230",PARTIAL REMOVAL OF HAND BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26230",PARTIAL REMOVAL OF HAND BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="26235",PARTIAL REMOVAL FINGER BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26235",PARTIAL REMOVAL FINGER BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="26236",PARTIAL REMOVAL FINGER BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26236",PARTIAL REMOVAL FINGER BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="26250",EXTENSIVE HAND SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26250",EXTENSIVE HAND SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="26255",EXTENSIVE HAND SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26255",EXTENSIVE HAND SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="26260",RESECT PROX FINGER TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26260",RESECT PROX FINGER TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="26261",EXTENSIVE FINGER SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26261",EXTENSIVE FINGER SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="26262",RESECT DISTAL FINGER TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26262",RESECT DISTAL FINGER TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="26320",REMOVAL OF IMPLANT FROM HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26320",REMOVAL OF IMPLANT FROM HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="26340",MANIPULATE FINGER W/ANESTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26340",MANIPULATE FINGER W/ANESTH,EAPG,DEF,,,,,NA,NA,NA,N,
="26341",MANIPULAT PALM CORD POST INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26341",MANIPULAT PALM CORD POST INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="26350",REPAIR FINGER/HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26350",REPAIR FINGER/HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26352",REPAIR/GRAFT HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26352",REPAIR/GRAFT HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26356",REPAIR FINGER/HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26356",REPAIR FINGER/HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26357",REPAIR FINGER/HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26357",REPAIR FINGER/HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26358",REPAIR/GRAFT HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26358",REPAIR/GRAFT HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26370",REPAIR FINGER/HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26370",REPAIR FINGER/HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26372",REPAIR/GRAFT HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26372",REPAIR/GRAFT HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26373",REPAIR FINGER/HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26373",REPAIR FINGER/HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26390",REVISE HAND/FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26390",REVISE HAND/FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26392",REPAIR/GRAFT HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26392",REPAIR/GRAFT HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26410",REPAIR HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26410",REPAIR HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26412",REPAIR/GRAFT HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26412",REPAIR/GRAFT HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26415",EXCISION HAND/FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26415",EXCISION HAND/FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26416",GRAFT HAND OR FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26416",GRAFT HAND OR FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26418",REPAIR FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26418",REPAIR FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26420",REPAIR/GRAFT FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26420",REPAIR/GRAFT FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26426",REPAIR FINGER/HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26426",REPAIR FINGER/HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26428",REPAIR/GRAFT FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26428",REPAIR/GRAFT FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26432",REPAIR FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26432",REPAIR FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26433",REPAIR FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26433",REPAIR FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26434",REPAIR/GRAFT FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26434",REPAIR/GRAFT FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26437",REALIGNMENT OF TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26437",REALIGNMENT OF TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="26440",RELEASE PALM/FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26440",RELEASE PALM/FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26442",RELEASE PALM & FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26442",RELEASE PALM & FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26445",RELEASE HAND/FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26445",RELEASE HAND/FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26449",RELEASE FOREARM/HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26449",RELEASE FOREARM/HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26450",INCISION OF PALM TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26450",INCISION OF PALM TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26455",INCISION OF FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26455",INCISION OF FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26460",INCISE HAND/FINGER TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26460",INCISE HAND/FINGER TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26471",FUSION OF FINGER TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26471",FUSION OF FINGER TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="26474",FUSION OF FINGER TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26474",FUSION OF FINGER TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="26476",TENDON LENGTHENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26476",TENDON LENGTHENING,EAPG,DEF,,,,,NA,NA,NA,N,
="26477",TENDON SHORTENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26477",TENDON SHORTENING,EAPG,DEF,,,,,NA,NA,NA,N,
="26478",LENGTHENING OF HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26478",LENGTHENING OF HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26479",SHORTENING OF HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26479",SHORTENING OF HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26480",TRANSPLANT HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26480",TRANSPLANT HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26483",TRANSPLANT/GRAFT HAND TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26483",TRANSPLANT/GRAFT HAND TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26485",TRANSPLANT PALM TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26485",TRANSPLANT PALM TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26489",TRANSPLANT/GRAFT PALM TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26489",TRANSPLANT/GRAFT PALM TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26490",REVISE THUMB TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26490",REVISE THUMB TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26492",TENDON TRANSFER WITH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26492",TENDON TRANSFER WITH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="26494",HAND TENDON/MUSCLE TRANSFER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26494",HAND TENDON/MUSCLE TRANSFER,EAPG,DEF,,,,,NA,NA,NA,N,
="26496",REVISE THUMB TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26496",REVISE THUMB TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="26497",FINGER TENDON TRANSFER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26497",FINGER TENDON TRANSFER,EAPG,DEF,,,,,NA,NA,NA,N,
="26498",FINGER TENDON TRANSFER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26498",FINGER TENDON TRANSFER,EAPG,DEF,,,,,NA,NA,NA,N,
="26499",REVISION OF FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26499",REVISION OF FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="26500",HAND TENDON RECONSTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26500",HAND TENDON RECONSTRUCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="26502",HAND TENDON RECONSTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26502",HAND TENDON RECONSTRUCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="26504",HAND TENDON RECONSTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26504",HAND TENDON RECONSTRUCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="26508",RELEASE THUMB CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26508",RELEASE THUMB CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26510",THUMB TENDON TRANSFER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26510",THUMB TENDON TRANSFER,EAPG,DEF,,,,,NA,NA,NA,N,
="26516",FUSION OF KNUCKLE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26516",FUSION OF KNUCKLE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26517",FUSION OF KNUCKLE JOINTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26517",FUSION OF KNUCKLE JOINTS,EAPG,DEF,,,,,NA,NA,NA,N,
="26518",FUSION OF KNUCKLE JOINTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26518",FUSION OF KNUCKLE JOINTS,EAPG,DEF,,,,,NA,NA,NA,N,
="26520",RELEASE KNUCKLE CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26520",RELEASE KNUCKLE CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26525",RELEASE FINGER CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26525",RELEASE FINGER CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26530",REVISE KNUCKLE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26530",REVISE KNUCKLE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26531",REVISE KNUCKLE WITH IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26531",REVISE KNUCKLE WITH IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="26535",REVISE FINGER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26535",REVISE FINGER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26536",REVISE/IMPLANT FINGER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26536",REVISE/IMPLANT FINGER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26540",REPAIR HAND JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26540",REPAIR HAND JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26541",REPAIR HAND JOINT WITH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26541",REPAIR HAND JOINT WITH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="26542",REPAIR HAND JOINT WITH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26542",REPAIR HAND JOINT WITH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="26545",RECONSTRUCT FINGER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26545",RECONSTRUCT FINGER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26546",REPAIR NONUNION HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26546",REPAIR NONUNION HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="26548",RECONSTRUCT FINGER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26548",RECONSTRUCT FINGER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26550",CONSTRUCT THUMB REPLACEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26550",CONSTRUCT THUMB REPLACEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="26555",POSITIONAL CHANGE OF FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26555",POSITIONAL CHANGE OF FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="26560",REPAIR OF WEB FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26560",REPAIR OF WEB FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="26561",REPAIR OF WEB FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26561",REPAIR OF WEB FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="26562",REPAIR OF WEB FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26562",REPAIR OF WEB FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="26565",CORRECT METACARPAL FLAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26565",CORRECT METACARPAL FLAW,EAPG,DEF,,,,,NA,NA,NA,N,
="26567",CORRECT FINGER DEFORMITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26567",CORRECT FINGER DEFORMITY,EAPG,DEF,,,,,NA,NA,NA,N,
="26568",LENGTHEN METACARPAL/FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26568",LENGTHEN METACARPAL/FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="26580",REPAIR HAND DEFORMITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26580",REPAIR HAND DEFORMITY,EAPG,DEF,,,,,NA,NA,NA,N,
="26585",REPAIR FINGER DEFORMITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26585",REPAIR FINGER DEFORMITY,EAPG,DEF,,,,,NA,NA,NA,N,
="26587",RECONSTRUCT EXTRA FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26587",RECONSTRUCT EXTRA FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="26590",REPAIR FINGER DEFORMITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26590",REPAIR FINGER DEFORMITY,EAPG,DEF,,,,,NA,NA,NA,N,
="26591",REPAIR MUSCLES OF HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26591",REPAIR MUSCLES OF HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="26593",RELEASE MUSCLES OF HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26593",RELEASE MUSCLES OF HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="26596",EXCISION CONSTRICTING TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26596",EXCISION CONSTRICTING TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="26597",RELEASE OF SCAR CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26597",RELEASE OF SCAR CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26600",TREAT METACARPAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26600",TREAT METACARPAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26605",TREAT METACARPAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26605",TREAT METACARPAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26607",TREAT METACARPAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26607",TREAT METACARPAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26608",TREAT METACARPAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26608",TREAT METACARPAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26615",TREAT METACARPAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26615",TREAT METACARPAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26641",TREAT THUMB DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26641",TREAT THUMB DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26645",TREAT THUMB FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26645",TREAT THUMB FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26650",TREAT THUMB FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26650",TREAT THUMB FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26665",TREAT THUMB FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26665",TREAT THUMB FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="26670",TREAT HAND DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26670",TREAT HAND DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26675",TREAT HAND DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26675",TREAT HAND DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26676",PIN HAND DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26676",PIN HAND DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26685",TREAT HAND DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26685",TREAT HAND DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26686",TREAT HAND DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26686",TREAT HAND DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26700",TREAT KNUCKLE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26700",TREAT KNUCKLE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26705",TREAT KNUCKLE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26705",TREAT KNUCKLE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26706",PIN KNUCKLE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26706",PIN KNUCKLE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26715",TREAT KNUCKLE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26715",TREAT KNUCKLE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26720",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26720",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26725",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26725",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26727",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26727",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26735",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26735",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26740",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26740",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26742",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26742",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26746",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26746",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26750",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26750",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26755",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26755",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26756",PIN FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26756",PIN FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26765",TREAT FINGER FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26765",TREAT FINGER FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="26770",TREAT FINGER DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26770",TREAT FINGER DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26775",TREAT FINGER DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26775",TREAT FINGER DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26776",PIN FINGER DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26776",PIN FINGER DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26785",TREAT FINGER DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26785",TREAT FINGER DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="26820",THUMB FUSION WITH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26820",THUMB FUSION WITH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="26841",FUSION OF THUMB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26841",FUSION OF THUMB,EAPG,DEF,,,,,NA,NA,NA,N,
="26842",THUMB FUSION WITH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26842",THUMB FUSION WITH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="26843",FUSION OF HAND JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26843",FUSION OF HAND JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26844",FUSION/GRAFT OF HAND JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26844",FUSION/GRAFT OF HAND JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26850",FUSION OF KNUCKLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26850",FUSION OF KNUCKLE,EAPG,DEF,,,,,NA,NA,NA,N,
="26852",FUSION OF KNUCKLE WITH GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26852",FUSION OF KNUCKLE WITH GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="26860",FUSION OF FINGER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26860",FUSION OF FINGER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26861",FUSION OF FINGER JNT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26861",FUSION OF FINGER JNT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="26862",FUSION/GRAFT OF FINGER JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26862",FUSION/GRAFT OF FINGER JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26863",FUSE/GRAFT ADDED JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26863",FUSE/GRAFT ADDED JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="26910",AMPUTATE METACARPAL BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26910",AMPUTATE METACARPAL BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="26951",AMPUTATION OF FINGER/THUMB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26951",AMPUTATION OF FINGER/THUMB,EAPG,DEF,,,,,NA,NA,NA,N,
="26952",AMPUTATION OF FINGER/THUMB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26952",AMPUTATION OF FINGER/THUMB,EAPG,DEF,,,,,NA,NA,NA,N,
="26990",DRAINAGE OF PELVIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26990",DRAINAGE OF PELVIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="26991",DRAINAGE OF PELVIS BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="26991",DRAINAGE OF PELVIS BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="27000",INCISION OF HIP TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27000",INCISION OF HIP TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27001",INCISION OF HIP TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27001",INCISION OF HIP TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27003",INCISION OF HIP TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27003",INCISION OF HIP TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27033",EXPLORATION OF HIP JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27033",EXPLORATION OF HIP JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27035",DENERVATION OF HIP JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27035",DENERVATION OF HIP JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27040",BIOPSY OF SOFT TISSUES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27040",BIOPSY OF SOFT TISSUES,EAPG,DEF,,,,,NA,NA,NA,N,
="27041",BIOPSY OF SOFT TISSUES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27041",BIOPSY OF SOFT TISSUES,EAPG,DEF,,,,,NA,NA,NA,N,
="27043",EXC HIP PELVIS LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27043",EXC HIP PELVIS LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27045",EXC HIP/PELV TUM DEEP 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27045",EXC HIP/PELV TUM DEEP 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27047",EXC HIP/PELVIS LES SC < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27047",EXC HIP/PELVIS LES SC < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27048",EXC HIP/PELV TUM DEEP < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27048",EXC HIP/PELV TUM DEEP < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27049",RESECT HIP/PELV TUM < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27049",RESECT HIP/PELV TUM < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27050",BIOPSY OF SACROILIAC JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27050",BIOPSY OF SACROILIAC JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27052",BIOPSY OF HIP JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27052",BIOPSY OF HIP JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27059",RESECT HIP/PELV TUM 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27059",RESECT HIP/PELV TUM 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27060",REMOVAL OF ISCHIAL BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27060",REMOVAL OF ISCHIAL BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="27062",REMOVE FEMUR LESION/BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27062",REMOVE FEMUR LESION/BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="27065",REMOVE HIP BONE LES SUPER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27065",REMOVE HIP BONE LES SUPER,EAPG,DEF,,,,,NA,NA,NA,N,
="27066",REMOVE HIP BONE LES DEEP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27066",REMOVE HIP BONE LES DEEP,EAPG,DEF,,,,,NA,NA,NA,N,
="27067",REMOVE/GRAFT HIP BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27067",REMOVE/GRAFT HIP BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27080",REMOVAL OF TAIL BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27080",REMOVAL OF TAIL BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="27086",REMOVE HIP FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27086",REMOVE HIP FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="27087",REMOVE HIP FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27087",REMOVE HIP FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="27093",INJECTION FOR HIP X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27093",INJECTION FOR HIP X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="27095",INJECTION FOR HIP X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27095",INJECTION FOR HIP X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="27097",REVISION OF HIP TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27097",REVISION OF HIP TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27098",TRANSFER TENDON TO PELVIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27098",TRANSFER TENDON TO PELVIS,EAPG,DEF,,,,,NA,NA,NA,N,
="27100",TRANSFER OF ABDOMINAL MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27100",TRANSFER OF ABDOMINAL MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="27105",TRANSFER OF SPINAL MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27105",TRANSFER OF SPINAL MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="27110",TRANSFER OF ILIOPSOAS MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27110",TRANSFER OF ILIOPSOAS MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="27111",TRANSFER OF ILIOPSOAS MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27111",TRANSFER OF ILIOPSOAS MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="27193",TREAT PELVIC RING FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27193",TREAT PELVIC RING FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27194",TREAT PELVIC RING FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27194",TREAT PELVIC RING FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27197",CLSD TX PELVIC RING FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27197",CLSD TX PELVIC RING FX,EAPG,DEF,,,,,NA,NA,NA,N,
="27198",CLSD TX PELVIC RING FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27198",CLSD TX PELVIC RING FX,EAPG,DEF,,,,,NA,NA,NA,N,
="27200",TREAT TAIL BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27200",TREAT TAIL BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27202",TREAT TAIL BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27202",TREAT TAIL BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27220",TREAT HIP SOCKET FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27220",TREAT HIP SOCKET FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27230",TREAT THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27230",TREAT THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27238",TREAT THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27238",TREAT THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27246",TREAT THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27246",TREAT THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27250",TREAT HIP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27250",TREAT HIP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27252",TREAT HIP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27252",TREAT HIP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27256",TREAT HIP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27256",TREAT HIP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27257",TREAT HIP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27257",TREAT HIP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27265",TREAT HIP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27265",TREAT HIP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27266",TREAT HIP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27266",TREAT HIP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27267",CLTX THIGH FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27267",CLTX THIGH FX,EAPG,DEF,,,,,NA,NA,NA,N,
="27275",MANIPULATION OF HIP JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27275",MANIPULATION OF HIP JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27279",ARTHRD SI JT PERQ/MIN NVAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27279",ARTHRD SI JT PERQ/MIN NVAS,EAPG,DEF,,,,,NA,NA,NA,N,
="27301",DRAIN THIGH/KNEE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27301",DRAIN THIGH/KNEE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27305",INCISE THIGH TENDON & FASCIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27305",INCISE THIGH TENDON & FASCIA,EAPG,DEF,,,,,NA,NA,NA,N,
="27306",INCISION OF THIGH TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27306",INCISION OF THIGH TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27307",INCISION OF THIGH TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27307",INCISION OF THIGH TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27310",EXPLORATION OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27310",EXPLORATION OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27315",PARTIAL REMOVAL; THIGH NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27315",PARTIAL REMOVAL; THIGH NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="27320",PARTIAL REMOVAL; THIGH NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27320",PARTIAL REMOVAL; THIGH NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="27323",BIOPSY THIGH SOFT TISSUES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27323",BIOPSY THIGH SOFT TISSUES,EAPG,DEF,,,,,NA,NA,NA,N,
="27324",BIOPSY THIGH SOFT TISSUES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27324",BIOPSY THIGH SOFT TISSUES,EAPG,DEF,,,,,NA,NA,NA,N,
="27325",NEURECTOMY HAMSTRING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27325",NEURECTOMY HAMSTRING,EAPG,DEF,,,,,NA,NA,NA,N,
="27326",NEURECTOMY POPLITEAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27326",NEURECTOMY POPLITEAL,EAPG,DEF,,,,,NA,NA,NA,N,
="27327",EXC THIGH/KNEE LES SC < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27327",EXC THIGH/KNEE LES SC < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27328",EXC THIGH/KNEE TUM DEEP <5CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27328",EXC THIGH/KNEE TUM DEEP <5CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27329",RESECT THIGH/KNEE TUM < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27329",RESECT THIGH/KNEE TUM < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27330",BIOPSY KNEE JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27330",BIOPSY KNEE JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="27331",EXPLORE/TREAT KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27331",EXPLORE/TREAT KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27332",REMOVAL OF KNEE CARTILAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27332",REMOVAL OF KNEE CARTILAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="27333",REMOVAL OF KNEE CARTILAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27333",REMOVAL OF KNEE CARTILAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="27334",REMOVE KNEE JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27334",REMOVE KNEE JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="27335",REMOVE KNEE JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27335",REMOVE KNEE JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="27337",EXC THIGH/KNEE LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27337",EXC THIGH/KNEE LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27339",EXC THIGH/KNEE TUM DEP 5CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27339",EXC THIGH/KNEE TUM DEP 5CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27340",REMOVAL OF KNEECAP BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27340",REMOVAL OF KNEECAP BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="27345",REMOVAL OF KNEE CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27345",REMOVAL OF KNEE CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="27347",REMOVE KNEE CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27347",REMOVE KNEE CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="27350",REMOVAL OF KNEECAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27350",REMOVAL OF KNEECAP,EAPG,DEF,,,,,NA,NA,NA,N,
="27355",REMOVE FEMUR LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27355",REMOVE FEMUR LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27356",REMOVE FEMUR LESION/GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27356",REMOVE FEMUR LESION/GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="27357",REMOVE FEMUR LESION/GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27357",REMOVE FEMUR LESION/GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="27358",REMOVE FEMUR LESION/FIXATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27358",REMOVE FEMUR LESION/FIXATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27360",PARTIAL REMOVAL LEG BONE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="27360",PARTIAL REMOVAL LEG BONE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="27364",RESECT THIGH/KNEE TUM 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27364",RESECT THIGH/KNEE TUM 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27369",NJX CNTRST KNE ARTHG/CT/MRI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27369",NJX CNTRST KNE ARTHG/CT/MRI,EAPG,DEF,,,,,NA,NA,NA,N,
="27370",INJECTION FOR KNEE X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27370",INJECTION FOR KNEE X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="27372",REMOVAL OF FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27372",REMOVAL OF FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="27380",REPAIR OF KNEECAP TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27380",REPAIR OF KNEECAP TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27381",REPAIR/GRAFT KNEECAP TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27381",REPAIR/GRAFT KNEECAP TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27385",REPAIR OF THIGH MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27385",REPAIR OF THIGH MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="27386",REPAIR/GRAFT OF THIGH MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27386",REPAIR/GRAFT OF THIGH MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="27390",INCISION OF THIGH TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27390",INCISION OF THIGH TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27391",INCISION OF THIGH TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27391",INCISION OF THIGH TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27392",INCISION OF THIGH TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27392",INCISION OF THIGH TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27393",LENGTHENING OF THIGH TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27393",LENGTHENING OF THIGH TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27394",LENGTHENING OF THIGH TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27394",LENGTHENING OF THIGH TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27395",LENGTHENING OF THIGH TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27395",LENGTHENING OF THIGH TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27396",TRANSPLANT OF THIGH TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27396",TRANSPLANT OF THIGH TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27397",TRANSPLANTS OF THIGH TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27397",TRANSPLANTS OF THIGH TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27400",REVISE THIGH MUSCLES/TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27400",REVISE THIGH MUSCLES/TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27403",REPAIR OF KNEE CARTILAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27403",REPAIR OF KNEE CARTILAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="27405",REPAIR OF KNEE LIGAMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27405",REPAIR OF KNEE LIGAMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="27407",REPAIR OF KNEE LIGAMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27407",REPAIR OF KNEE LIGAMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="27409",REPAIR OF KNEE LIGAMENTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27409",REPAIR OF KNEE LIGAMENTS,EAPG,DEF,,,,,NA,NA,NA,N,
="27415",OSTEOCHONDRAL KNEE ALLOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27415",OSTEOCHONDRAL KNEE ALLOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="27416",OSTEOCHONDRAL KNEE AUTOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27416",OSTEOCHONDRAL KNEE AUTOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="27418",REPAIR DEGENERATED KNEECAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27418",REPAIR DEGENERATED KNEECAP,EAPG,DEF,,,,,NA,NA,NA,N,
="27420",REVISION OF UNSTABLE KNEECAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27420",REVISION OF UNSTABLE KNEECAP,EAPG,DEF,,,,,NA,NA,NA,N,
="27422",REVISION OF UNSTABLE KNEECAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27422",REVISION OF UNSTABLE KNEECAP,EAPG,DEF,,,,,NA,NA,NA,N,
="27424",REVISION/REMOVAL OF KNEECAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27424",REVISION/REMOVAL OF KNEECAP,EAPG,DEF,,,,,NA,NA,NA,N,
="27425",LAT RETINACULAR RELEASE OPEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27425",LAT RETINACULAR RELEASE OPEN,EAPG,DEF,,,,,NA,NA,NA,N,
="27427",RECONSTRUCTION KNEE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27427",RECONSTRUCTION KNEE,EAPG,DEF,,,,,NA,NA,NA,N,
="27428",RECONSTRUCTION KNEE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27428",RECONSTRUCTION KNEE,EAPG,DEF,,,,,NA,NA,NA,N,
="27429",RECONSTRUCTION KNEE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27429",RECONSTRUCTION KNEE,EAPG,DEF,,,,,NA,NA,NA,N,
="27430",REVISION OF THIGH MUSCLES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27430",REVISION OF THIGH MUSCLES,EAPG,DEF,,,,,NA,NA,NA,N,
="27435",INCISION OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27435",INCISION OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27437",REVISE KNEECAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27437",REVISE KNEECAP,EAPG,DEF,,,,,NA,NA,NA,N,
="27438",REVISE KNEECAP WITH IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27438",REVISE KNEECAP WITH IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="27440",REVISION OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27440",REVISION OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27441",REVISION OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27441",REVISION OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27442",REVISION OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27442",REVISION OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27443",REVISION OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27443",REVISION OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27446",REVISION OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27446",REVISION OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27447",TOTAL KNEE ARTHROPLASTY,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="27447",TOTAL KNEE ARTHROPLASTY,EAPG,DEF,,,,,NA,NA,NA,Y,
="27475",SURGERY TO STOP LEG GROWTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27475",SURGERY TO STOP LEG GROWTH,EAPG,DEF,,,,,NA,NA,NA,N,
="27479",SURGERY TO STOP LEG GROWTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27479",SURGERY TO STOP LEG GROWTH,EAPG,DEF,,,,,NA,NA,NA,N,
="27496",DECOMPRESSION OF THIGH/KNEE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27496",DECOMPRESSION OF THIGH/KNEE,EAPG,DEF,,,,,NA,NA,NA,N,
="27497",DECOMPRESSION OF THIGH/KNEE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27497",DECOMPRESSION OF THIGH/KNEE,EAPG,DEF,,,,,NA,NA,NA,N,
="27498",DECOMPRESSION OF THIGH/KNEE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27498",DECOMPRESSION OF THIGH/KNEE,EAPG,DEF,,,,,NA,NA,NA,N,
="27499",DECOMPRESSION OF THIGH/KNEE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27499",DECOMPRESSION OF THIGH/KNEE,EAPG,DEF,,,,,NA,NA,NA,N,
="27500",TREATMENT OF THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27500",TREATMENT OF THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27501",TREATMENT OF THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27501",TREATMENT OF THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27502",TREATMENT OF THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27502",TREATMENT OF THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27503",TREATMENT OF THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27503",TREATMENT OF THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27508",TREATMENT OF THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27508",TREATMENT OF THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27509",TREATMENT OF THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27509",TREATMENT OF THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27510",TREATMENT OF THIGH FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27510",TREATMENT OF THIGH FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27516",TREAT THIGH FX GROWTH PLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27516",TREAT THIGH FX GROWTH PLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="27517",TREAT THIGH FX GROWTH PLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27517",TREAT THIGH FX GROWTH PLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="27520",TREAT KNEECAP FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27520",TREAT KNEECAP FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27524",TREAT KNEECAP FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27524",TREAT KNEECAP FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27530",TREAT KNEE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27530",TREAT KNEE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27532",TREAT KNEE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27532",TREAT KNEE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27538",TREAT KNEE FRACTURE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="27538",TREAT KNEE FRACTURE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="27550",TREAT KNEE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27550",TREAT KNEE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27552",TREAT KNEE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27552",TREAT KNEE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27560",TREAT KNEECAP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27560",TREAT KNEECAP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27562",TREAT KNEECAP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27562",TREAT KNEECAP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27566",TREAT KNEECAP DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27566",TREAT KNEECAP DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27570",FIXATION OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27570",FIXATION OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27594",AMPUTATION FOLLOW-UP SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27594",AMPUTATION FOLLOW-UP SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="27600",DECOMPRESSION OF LOWER LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27600",DECOMPRESSION OF LOWER LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="27601",DECOMPRESSION OF LOWER LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27601",DECOMPRESSION OF LOWER LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="27602",DECOMPRESSION OF LOWER LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27602",DECOMPRESSION OF LOWER LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="27603",DRAIN LOWER LEG LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27603",DRAIN LOWER LEG LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27604",DRAIN LOWER LEG BURSA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27604",DRAIN LOWER LEG BURSA,EAPG,DEF,,,,,NA,NA,NA,N,
="27605",INCISION OF ACHILLES TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27605",INCISION OF ACHILLES TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27606",INCISION OF ACHILLES TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27606",INCISION OF ACHILLES TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27607",TREAT LOWER LEG BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27607",TREAT LOWER LEG BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27610",EXPLORE/TREAT ANKLE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27610",EXPLORE/TREAT ANKLE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27612",EXPLORATION OF ANKLE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27612",EXPLORATION OF ANKLE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27613",BIOPSY LOWER LEG SOFT TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27613",BIOPSY LOWER LEG SOFT TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="27614",BIOPSY LOWER LEG SOFT TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27614",BIOPSY LOWER LEG SOFT TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="27615",RESECT LEG/ANKLE TUM < 5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27615",RESECT LEG/ANKLE TUM < 5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27616",RESECT LEG/ANKLE TUM 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27616",RESECT LEG/ANKLE TUM 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27618",EXC LEG/ANKLE TUM < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27618",EXC LEG/ANKLE TUM < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27619",EXC LEG/ANKLE TUM DEEP <5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27619",EXC LEG/ANKLE TUM DEEP <5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="27620",EXPLORE/TREAT ANKLE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27620",EXPLORE/TREAT ANKLE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27625",REMOVE ANKLE JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27625",REMOVE ANKLE JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="27626",REMOVE ANKLE JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27626",REMOVE ANKLE JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="27630",REMOVAL OF TENDON LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27630",REMOVAL OF TENDON LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27632",EXC LEG/ANKLE LES SC 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27632",EXC LEG/ANKLE LES SC 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27634",EXC LEG/ANKLE TUM DEP 5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27634",EXC LEG/ANKLE TUM DEP 5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="27635",REMOVE LOWER LEG BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27635",REMOVE LOWER LEG BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27637",REMOVE/GRAFT LEG BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27637",REMOVE/GRAFT LEG BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27638",REMOVE/GRAFT LEG BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27638",REMOVE/GRAFT LEG BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="27640",PARTIAL REMOVAL OF TIBIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27640",PARTIAL REMOVAL OF TIBIA,EAPG,DEF,,,,,NA,NA,NA,N,
="27641",PARTIAL REMOVAL OF FIBULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27641",PARTIAL REMOVAL OF FIBULA,EAPG,DEF,,,,,NA,NA,NA,N,
="27647",RESECT TALUS/CALCANEUS TUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27647",RESECT TALUS/CALCANEUS TUM,EAPG,DEF,,,,,NA,NA,NA,N,
="27648",INJECTION FOR ANKLE X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27648",INJECTION FOR ANKLE X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="27650",REPAIR ACHILLES TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27650",REPAIR ACHILLES TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27652",REPAIR/GRAFT ACHILLES TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27652",REPAIR/GRAFT ACHILLES TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27654",REPAIR OF ACHILLES TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27654",REPAIR OF ACHILLES TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27656",REPAIR LEG FASCIA DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27656",REPAIR LEG FASCIA DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="27658",REPAIR OF LEG TENDON EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27658",REPAIR OF LEG TENDON EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="27659",REPAIR OF LEG TENDON EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27659",REPAIR OF LEG TENDON EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="27664",REPAIR OF LEG TENDON EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27664",REPAIR OF LEG TENDON EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="27665",REPAIR OF LEG TENDON EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27665",REPAIR OF LEG TENDON EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="27675",REPAIR LOWER LEG TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27675",REPAIR LOWER LEG TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27676",REPAIR LOWER LEG TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27676",REPAIR LOWER LEG TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27680",RELEASE OF LOWER LEG TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27680",RELEASE OF LOWER LEG TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27681",RELEASE OF LOWER LEG TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27681",RELEASE OF LOWER LEG TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27685",REVISION OF LOWER LEG TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27685",REVISION OF LOWER LEG TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27686",REVISE LOWER LEG TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27686",REVISE LOWER LEG TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="27687",REVISION OF CALF TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27687",REVISION OF CALF TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27690",REVISE LOWER LEG TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27690",REVISE LOWER LEG TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27691",REVISE LOWER LEG TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27691",REVISE LOWER LEG TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27692",REVISE ADDITIONAL LEG TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27692",REVISE ADDITIONAL LEG TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="27695",REPAIR OF ANKLE LIGAMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27695",REPAIR OF ANKLE LIGAMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="27696",REPAIR OF ANKLE LIGAMENTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27696",REPAIR OF ANKLE LIGAMENTS,EAPG,DEF,,,,,NA,NA,NA,N,
="27698",REPAIR OF ANKLE LIGAMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27698",REPAIR OF ANKLE LIGAMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="27700",REVISION OF ANKLE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27700",REVISION OF ANKLE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27704",REMOVAL OF ANKLE IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27704",REMOVAL OF ANKLE IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="27705",INCISION OF TIBIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27705",INCISION OF TIBIA,EAPG,DEF,,,,,NA,NA,NA,N,
="27707",INCISION OF FIBULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27707",INCISION OF FIBULA,EAPG,DEF,,,,,NA,NA,NA,N,
="27709",INCISION OF TIBIA & FIBULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27709",INCISION OF TIBIA & FIBULA,EAPG,DEF,,,,,NA,NA,NA,N,
="27720",REPAIR OF TIBIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27720",REPAIR OF TIBIA,EAPG,DEF,,,,,NA,NA,NA,N,
="27726",REPAIR FIBULA NONUNION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27726",REPAIR FIBULA NONUNION,EAPG,DEF,,,,,NA,NA,NA,N,
="27730",REPAIR OF TIBIA EPIPHYSIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27730",REPAIR OF TIBIA EPIPHYSIS,EAPG,DEF,,,,,NA,NA,NA,N,
="27732",REPAIR OF FIBULA EPIPHYSIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27732",REPAIR OF FIBULA EPIPHYSIS,EAPG,DEF,,,,,NA,NA,NA,N,
="27734",REPAIR LOWER LEG EPIPHYSES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27734",REPAIR LOWER LEG EPIPHYSES,EAPG,DEF,,,,,NA,NA,NA,N,
="27740",REPAIR OF LEG EPIPHYSES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27740",REPAIR OF LEG EPIPHYSES,EAPG,DEF,,,,,NA,NA,NA,N,
="27742",REPAIR OF LEG EPIPHYSES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27742",REPAIR OF LEG EPIPHYSES,EAPG,DEF,,,,,NA,NA,NA,N,
="27745",REINFORCE TIBIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27745",REINFORCE TIBIA,EAPG,DEF,,,,,NA,NA,NA,N,
="27750",TREATMENT OF TIBIA FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27750",TREATMENT OF TIBIA FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27752",TREATMENT OF TIBIA FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27752",TREATMENT OF TIBIA FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27756",TREATMENT OF TIBIA FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27756",TREATMENT OF TIBIA FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27758",TREATMENT OF TIBIA FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27758",TREATMENT OF TIBIA FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27759",TREATMENT OF TIBIA FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27759",TREATMENT OF TIBIA FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27760",CLTX MEDIAL ANKLE FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27760",CLTX MEDIAL ANKLE FX,EAPG,DEF,,,,,NA,NA,NA,N,
="27762",CLTX MED ANKLE FX W/MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27762",CLTX MED ANKLE FX W/MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="27766",OPTX MEDIAL ANKLE FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27766",OPTX MEDIAL ANKLE FX,EAPG,DEF,,,,,NA,NA,NA,N,
="27767",CLTX POST ANKLE FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27767",CLTX POST ANKLE FX,EAPG,DEF,,,,,NA,NA,NA,N,
="27768",CLTX POST ANKLE FX W/MNPJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27768",CLTX POST ANKLE FX W/MNPJ,EAPG,DEF,,,,,NA,NA,NA,N,
="27769",OPTX POST ANKLE FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27769",OPTX POST ANKLE FX,EAPG,DEF,,,,,NA,NA,NA,N,
="27780",TREATMENT OF FIBULA FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27780",TREATMENT OF FIBULA FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27781",TREATMENT OF FIBULA FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27781",TREATMENT OF FIBULA FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27784",TREATMENT OF FIBULA FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27784",TREATMENT OF FIBULA FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27786",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27786",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27788",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27788",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27792",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27792",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27808",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27808",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27810",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27810",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27814",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27814",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27816",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27816",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27818",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27818",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27822",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27822",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27823",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27823",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27824",TREAT LOWER LEG FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27824",TREAT LOWER LEG FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27825",TREAT LOWER LEG FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27825",TREAT LOWER LEG FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27826",TREAT LOWER LEG FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27826",TREAT LOWER LEG FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27827",TREAT LOWER LEG FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27827",TREAT LOWER LEG FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27828",TREAT LOWER LEG FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27828",TREAT LOWER LEG FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="27829",TREAT LOWER LEG JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27829",TREAT LOWER LEG JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27830",TREAT LOWER LEG DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27830",TREAT LOWER LEG DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27831",TREAT LOWER LEG DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27831",TREAT LOWER LEG DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27832",TREAT LOWER LEG DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27832",TREAT LOWER LEG DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27840",TREAT ANKLE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27840",TREAT ANKLE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27842",TREAT ANKLE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27842",TREAT ANKLE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27846",TREAT ANKLE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27846",TREAT ANKLE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27848",TREAT ANKLE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27848",TREAT ANKLE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="27860",FIXATION OF ANKLE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27860",FIXATION OF ANKLE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27870",FUSION OF ANKLE JOINT OPEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27870",FUSION OF ANKLE JOINT OPEN,EAPG,DEF,,,,,NA,NA,NA,N,
="27871",FUSION OF TIBIOFIBULAR JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27871",FUSION OF TIBIOFIBULAR JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="27884",AMPUTATION FOLLOW-UP SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27884",AMPUTATION FOLLOW-UP SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="27889",AMPUTATION OF FOOT AT ANKLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27889",AMPUTATION OF FOOT AT ANKLE,EAPG,DEF,,,,,NA,NA,NA,N,
="27892",DECOMPRESSION OF LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27892",DECOMPRESSION OF LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="27893",DECOMPRESSION OF LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27893",DECOMPRESSION OF LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="27894",DECOMPRESSION OF LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="27894",DECOMPRESSION OF LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="28001",DRAINAGE OF BURSA OF FOOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28001",DRAINAGE OF BURSA OF FOOT,EAPG,DEF,,,,,NA,NA,NA,N,
="28002",TREATMENT OF FOOT INFECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28002",TREATMENT OF FOOT INFECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="28003",TREATMENT OF FOOT INFECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28003",TREATMENT OF FOOT INFECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="28005",TREAT FOOT BONE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28005",TREAT FOOT BONE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28008",INCISION OF FOOT FASCIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28008",INCISION OF FOOT FASCIA,EAPG,DEF,,,,,NA,NA,NA,N,
="28010",INCISION OF TOE TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28010",INCISION OF TOE TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28011",INCISION OF TOE TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28011",INCISION OF TOE TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="28020",EXPLORATION OF FOOT JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28020",EXPLORATION OF FOOT JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="28022",EXPLORATION OF FOOT JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28022",EXPLORATION OF FOOT JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="28024",EXPLORATION OF TOE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28024",EXPLORATION OF TOE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="28030",REMOVAL OF FOOT NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28030",REMOVAL OF FOOT NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="28035",DECOMPRESSION OF TIBIA NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28035",DECOMPRESSION OF TIBIA NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="28039",EXC FOOT/TOE TUM SC 1.5 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28039",EXC FOOT/TOE TUM SC 1.5 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="28041",EXC FOOT/TOE TUM DEP 1.5CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28041",EXC FOOT/TOE TUM DEP 1.5CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="28043",EXC FOOT/TOE TUM SC < 1.5 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28043",EXC FOOT/TOE TUM SC < 1.5 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="28045",EXC FOOT/TOE TUM DEEP <1.5CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28045",EXC FOOT/TOE TUM DEEP <1.5CM,EAPG,DEF,,,,,NA,NA,NA,N,
="28046",RESECT FOOT/TOE TUMOR < 3 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28046",RESECT FOOT/TOE TUMOR < 3 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="28047",RESECT FOOT/TOE TUMOR 3 CM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28047",RESECT FOOT/TOE TUMOR 3 CM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="28050",BIOPSY OF FOOT JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28050",BIOPSY OF FOOT JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="28052",BIOPSY OF FOOT JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28052",BIOPSY OF FOOT JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="28054",BIOPSY OF TOE JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28054",BIOPSY OF TOE JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="28055",NEURECTOMY FOOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28055",NEURECTOMY FOOT,EAPG,DEF,,,,,NA,NA,NA,N,
="28060",PARTIAL REMOVAL FOOT FASCIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28060",PARTIAL REMOVAL FOOT FASCIA,EAPG,DEF,,,,,NA,NA,NA,N,
="28062",REMOVAL OF FOOT FASCIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28062",REMOVAL OF FOOT FASCIA,EAPG,DEF,,,,,NA,NA,NA,N,
="28070",REMOVAL OF FOOT JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28070",REMOVAL OF FOOT JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="28072",REMOVAL OF FOOT JOINT LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28072",REMOVAL OF FOOT JOINT LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="28080",REMOVAL OF FOOT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28080",REMOVAL OF FOOT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28086",EXCISE FOOT TENDON SHEATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28086",EXCISE FOOT TENDON SHEATH,EAPG,DEF,,,,,NA,NA,NA,N,
="28088",EXCISE FOOT TENDON SHEATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28088",EXCISE FOOT TENDON SHEATH,EAPG,DEF,,,,,NA,NA,NA,N,
="28090",REMOVAL OF FOOT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28090",REMOVAL OF FOOT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28092",REMOVAL OF TOE LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28092",REMOVAL OF TOE LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="28100",REMOVAL OF ANKLE/HEEL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28100",REMOVAL OF ANKLE/HEEL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28102",REMOVE/GRAFT FOOT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28102",REMOVE/GRAFT FOOT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28103",REMOVE/GRAFT FOOT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28103",REMOVE/GRAFT FOOT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28104",REMOVAL OF FOOT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28104",REMOVAL OF FOOT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28106",REMOVE/GRAFT FOOT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28106",REMOVE/GRAFT FOOT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28107",REMOVE/GRAFT FOOT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28107",REMOVE/GRAFT FOOT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="28108",REMOVAL OF TOE LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28108",REMOVAL OF TOE LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="28110",PART REMOVAL OF METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28110",PART REMOVAL OF METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28111",PART REMOVAL OF METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28111",PART REMOVAL OF METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28112",PART REMOVAL OF METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28112",PART REMOVAL OF METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28113",PART REMOVAL OF METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28113",PART REMOVAL OF METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28114",REMOVAL OF METATARSAL HEADS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28114",REMOVAL OF METATARSAL HEADS,EAPG,DEF,,,,,NA,NA,NA,N,
="28116",REVISION OF FOOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28116",REVISION OF FOOT,EAPG,DEF,,,,,NA,NA,NA,N,
="28118",REMOVAL OF HEEL BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28118",REMOVAL OF HEEL BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="28119",REMOVAL OF HEEL SPUR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28119",REMOVAL OF HEEL SPUR,EAPG,DEF,,,,,NA,NA,NA,N,
="28120",PART REMOVAL OF ANKLE/HEEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28120",PART REMOVAL OF ANKLE/HEEL,EAPG,DEF,,,,,NA,NA,NA,N,
="28122",PARTIAL REMOVAL OF FOOT BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28122",PARTIAL REMOVAL OF FOOT BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="28124",PARTIAL REMOVAL OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28124",PARTIAL REMOVAL OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28126",PARTIAL REMOVAL OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28126",PARTIAL REMOVAL OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28130",REMOVAL OF ANKLE BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28130",REMOVAL OF ANKLE BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="28140",REMOVAL OF METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28140",REMOVAL OF METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28150",REMOVAL OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28150",REMOVAL OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28153",PARTIAL REMOVAL OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28153",PARTIAL REMOVAL OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28160",PARTIAL REMOVAL OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28160",PARTIAL REMOVAL OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28171",RESECT TARSAL TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28171",RESECT TARSAL TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="28173",RESECT METATARSAL TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28173",RESECT METATARSAL TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="28175",RESECT PHALANX OF TOE TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28175",RESECT PHALANX OF TOE TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="28190",REMOVAL OF FOOT FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28190",REMOVAL OF FOOT FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="28192",REMOVAL OF FOOT FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28192",REMOVAL OF FOOT FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="28193",REMOVAL OF FOOT FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28193",REMOVAL OF FOOT FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="28200",REPAIR OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28200",REPAIR OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28202",REPAIR/GRAFT OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28202",REPAIR/GRAFT OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28208",REPAIR OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28208",REPAIR OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28210",REPAIR/GRAFT OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28210",REPAIR/GRAFT OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28220",RELEASE OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28220",RELEASE OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28222",RELEASE OF FOOT TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28222",RELEASE OF FOOT TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="28225",RELEASE OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28225",RELEASE OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28226",RELEASE OF FOOT TENDONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28226",RELEASE OF FOOT TENDONS,EAPG,DEF,,,,,NA,NA,NA,N,
="28230",INCISION OF FOOT TENDON(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="28230",INCISION OF FOOT TENDON(S),EAPG,DEF,,,,,NA,NA,NA,N,
="28232",INCISION OF TOE TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28232",INCISION OF TOE TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28234",INCISION OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28234",INCISION OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28238",REVISION OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28238",REVISION OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28240",RELEASE OF BIG TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28240",RELEASE OF BIG TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28250",REVISION OF FOOT FASCIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28250",REVISION OF FOOT FASCIA,EAPG,DEF,,,,,NA,NA,NA,N,
="28260",RELEASE OF MIDFOOT JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28260",RELEASE OF MIDFOOT JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="28261",REVISION OF FOOT TENDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28261",REVISION OF FOOT TENDON,EAPG,DEF,,,,,NA,NA,NA,N,
="28262",REVISION OF FOOT AND ANKLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28262",REVISION OF FOOT AND ANKLE,EAPG,DEF,,,,,NA,NA,NA,N,
="28264",RELEASE OF MIDFOOT JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28264",RELEASE OF MIDFOOT JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="28270",RELEASE OF FOOT CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28270",RELEASE OF FOOT CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28272",RELEASE OF TOE JOINT EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28272",RELEASE OF TOE JOINT EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="28280",FUSION OF TOES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28280",FUSION OF TOES,EAPG,DEF,,,,,NA,NA,NA,N,
="28285",REPAIR OF HAMMERTOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28285",REPAIR OF HAMMERTOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28286",REPAIR OF HAMMERTOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28286",REPAIR OF HAMMERTOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28288",PARTIAL REMOVAL OF FOOT BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28288",PARTIAL REMOVAL OF FOOT BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="28289",CORRJ HALUX RIGDUS W/O IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28289",CORRJ HALUX RIGDUS W/O IMPLT,EAPG,DEF,,,,,NA,NA,NA,N,
="28290",CORRECTION OF BUNION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28290",CORRECTION OF BUNION,EAPG,DEF,,,,,NA,NA,NA,N,
="28291",CORRJ HALUX RIGDUS W/IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28291",CORRJ HALUX RIGDUS W/IMPLT,EAPG,DEF,,,,,NA,NA,NA,N,
="28292",CORRECTION HALLUX VALGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28292",CORRECTION HALLUX VALGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="28293",CORRECTION OF BUNION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28293",CORRECTION OF BUNION,EAPG,DEF,,,,,NA,NA,NA,N,
="28294",CORRECTION OF BUNION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28294",CORRECTION OF BUNION,EAPG,DEF,,,,,NA,NA,NA,N,
="28295",CORRECTION HALLUX VALGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28295",CORRECTION HALLUX VALGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="28296",CORRECTION HALLUX VALGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28296",CORRECTION HALLUX VALGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="28297",CORRECTION HALLUX VALGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28297",CORRECTION HALLUX VALGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="28298",CORRECTION HALLUX VALGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28298",CORRECTION HALLUX VALGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="28299",CORRECTION HALLUX VALGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28299",CORRECTION HALLUX VALGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="28300",INCISION OF HEEL BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28300",INCISION OF HEEL BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="28302",INCISION OF ANKLE BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28302",INCISION OF ANKLE BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="28304",INCISION OF MIDFOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28304",INCISION OF MIDFOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28305",INCISE/GRAFT MIDFOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28305",INCISE/GRAFT MIDFOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28306",INCISION OF METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28306",INCISION OF METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28307",INCISION OF METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28307",INCISION OF METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28308",INCISION OF METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28308",INCISION OF METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28309",INCISION OF METATARSALS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28309",INCISION OF METATARSALS,EAPG,DEF,,,,,NA,NA,NA,N,
="28310",REVISION OF BIG TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28310",REVISION OF BIG TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28312",REVISION OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28312",REVISION OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28313",REPAIR DEFORMITY OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28313",REPAIR DEFORMITY OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28315",REMOVAL OF SESAMOID BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28315",REMOVAL OF SESAMOID BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="28320",REPAIR OF FOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28320",REPAIR OF FOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28322",REPAIR OF METATARSALS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28322",REPAIR OF METATARSALS,EAPG,DEF,,,,,NA,NA,NA,N,
="28340",RESECT ENLARGED TOE TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28340",RESECT ENLARGED TOE TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="28341",RESECT ENLARGED TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28341",RESECT ENLARGED TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28344",REPAIR EXTRA TOE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="28344",REPAIR EXTRA TOE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="28345",REPAIR WEBBED TOE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="28345",REPAIR WEBBED TOE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="28400",TREATMENT OF HEEL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28400",TREATMENT OF HEEL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28405",TREATMENT OF HEEL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28405",TREATMENT OF HEEL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28406",TREATMENT OF HEEL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28406",TREATMENT OF HEEL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28415",TREAT HEEL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28415",TREAT HEEL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28420",TREAT/GRAFT HEEL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28420",TREAT/GRAFT HEEL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28430",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28430",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28435",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28435",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28436",TREATMENT OF ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28436",TREATMENT OF ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28445",TREAT ANKLE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28445",TREAT ANKLE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28446",OSTEOCHONDRAL TALUS AUTOGRFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28446",OSTEOCHONDRAL TALUS AUTOGRFT,EAPG,DEF,,,,,NA,NA,NA,N,
="28450",TREAT MIDFOOT FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28450",TREAT MIDFOOT FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="28455",TREAT MIDFOOT FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28455",TREAT MIDFOOT FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="28456",TREAT MIDFOOT FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28456",TREAT MIDFOOT FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28465",TREAT MIDFOOT FRACTURE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28465",TREAT MIDFOOT FRACTURE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="28470",TREAT METATARSAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28470",TREAT METATARSAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28475",TREAT METATARSAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28475",TREAT METATARSAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28476",TREAT METATARSAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28476",TREAT METATARSAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28485",TREAT METATARSAL FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28485",TREAT METATARSAL FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28490",TREAT BIG TOE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28490",TREAT BIG TOE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28495",TREAT BIG TOE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28495",TREAT BIG TOE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28496",TREAT BIG TOE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28496",TREAT BIG TOE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28505",TREAT BIG TOE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28505",TREAT BIG TOE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28510",TREATMENT OF TOE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28510",TREATMENT OF TOE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28515",TREATMENT OF TOE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28515",TREATMENT OF TOE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28525",TREAT TOE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28525",TREAT TOE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28530",TREAT SESAMOID BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28530",TREAT SESAMOID BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28531",TREAT SESAMOID BONE FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28531",TREAT SESAMOID BONE FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="28540",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28540",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28545",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28545",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28546",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28546",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28555",REPAIR FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28555",REPAIR FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28570",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28570",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28575",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28575",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28576",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28576",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28585",REPAIR FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28585",REPAIR FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28600",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28600",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28605",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28605",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28606",TREAT FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28606",TREAT FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28615",REPAIR FOOT DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28615",REPAIR FOOT DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28630",TREAT TOE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28630",TREAT TOE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28635",TREAT TOE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28635",TREAT TOE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28636",TREAT TOE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28636",TREAT TOE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28645",REPAIR TOE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28645",REPAIR TOE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28660",TREAT TOE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28660",TREAT TOE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28665",TREAT TOE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28665",TREAT TOE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28666",TREAT TOE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28666",TREAT TOE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28675",REPAIR OF TOE DISLOCATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28675",REPAIR OF TOE DISLOCATION,EAPG,DEF,,,,,NA,NA,NA,N,
="28705",FUSION OF FOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28705",FUSION OF FOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28715",FUSION OF FOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28715",FUSION OF FOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28725",FUSION OF FOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28725",FUSION OF FOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28730",FUSION OF FOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28730",FUSION OF FOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28735",FUSION OF FOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28735",FUSION OF FOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28737",REVISION OF FOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28737",REVISION OF FOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28740",FUSION OF FOOT BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28740",FUSION OF FOOT BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="28750",FUSION OF BIG TOE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28750",FUSION OF BIG TOE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="28755",FUSION OF BIG TOE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28755",FUSION OF BIG TOE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="28760",FUSION OF BIG TOE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28760",FUSION OF BIG TOE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="28810",AMPUTATION TOE & METATARSAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28810",AMPUTATION TOE & METATARSAL,EAPG,DEF,,,,,NA,NA,NA,N,
="28820",AMPUTATION OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28820",AMPUTATION OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28825",PARTIAL AMPUTATION OF TOE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28825",PARTIAL AMPUTATION OF TOE,EAPG,DEF,,,,,NA,NA,NA,N,
="28890",HI ENRGY ESWT PLANTAR FASCIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="28890",HI ENRGY ESWT PLANTAR FASCIA,EAPG,DEF,,,,,NA,NA,NA,N,
="29000",APPLICATION OF BODY CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29000",APPLICATION OF BODY CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29010",APPLICATION OF BODY CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29010",APPLICATION OF BODY CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29015",APPLICATION OF BODY CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29015",APPLICATION OF BODY CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29035",APPLICATION OF BODY CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29035",APPLICATION OF BODY CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29040",APPLICATION OF BODY CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29040",APPLICATION OF BODY CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29044",APPLICATION OF BODY CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29044",APPLICATION OF BODY CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29046",APPLICATION OF BODY CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29046",APPLICATION OF BODY CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29049",APPLICATION OF FIGURE EIGHT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29049",APPLICATION OF FIGURE EIGHT,EAPG,DEF,,,,,NA,NA,NA,N,
="29055",APPLICATION OF SHOULDER CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29055",APPLICATION OF SHOULDER CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29058",APPLICATION OF SHOULDER CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29058",APPLICATION OF SHOULDER CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29065",APPLICATION OF LONG ARM CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29065",APPLICATION OF LONG ARM CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29075",APPLICATION OF FOREARM CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29075",APPLICATION OF FOREARM CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29085",APPLY HAND/WRIST CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29085",APPLY HAND/WRIST CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29086",APPLY FINGER CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29086",APPLY FINGER CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29105",APPLY LONG ARM SPLINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29105",APPLY LONG ARM SPLINT,EAPG,DEF,,,,,NA,NA,NA,N,
="29125",APPLY FOREARM SPLINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29125",APPLY FOREARM SPLINT,EAPG,DEF,,,,,NA,NA,NA,N,
="29126",APPLY FOREARM SPLINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29126",APPLY FOREARM SPLINT,EAPG,DEF,,,,,NA,NA,NA,N,
="29130",APPLICATION OF FINGER SPLINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29130",APPLICATION OF FINGER SPLINT,EAPG,DEF,,,,,NA,NA,NA,N,
="29131",APPLICATION OF FINGER SPLINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29131",APPLICATION OF FINGER SPLINT,EAPG,DEF,,,,,NA,NA,NA,N,
="29200",STRAPPING OF CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29200",STRAPPING OF CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="29240",STRAPPING OF SHOULDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29240",STRAPPING OF SHOULDER,EAPG,DEF,,,,,NA,NA,NA,N,
="29260",STRAPPING OF ELBOW OR WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29260",STRAPPING OF ELBOW OR WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="29280",STRAPPING OF HAND OR FINGER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29280",STRAPPING OF HAND OR FINGER,EAPG,DEF,,,,,NA,NA,NA,N,
="29305",APPLICATION OF HIP CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29305",APPLICATION OF HIP CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29325",APPLICATION OF HIP CASTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29325",APPLICATION OF HIP CASTS,EAPG,DEF,,,,,NA,NA,NA,N,
="29345",APPLICATION OF LONG LEG CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29345",APPLICATION OF LONG LEG CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29355",APPLICATION OF LONG LEG CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29355",APPLICATION OF LONG LEG CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29358",APPLY LONG LEG CAST BRACE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29358",APPLY LONG LEG CAST BRACE,EAPG,DEF,,,,,NA,NA,NA,N,
="29365",APPLICATION OF LONG LEG CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29365",APPLICATION OF LONG LEG CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29405",APPLY SHORT LEG CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29405",APPLY SHORT LEG CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29425",APPLY SHORT LEG CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29425",APPLY SHORT LEG CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29435",APPLY SHORT LEG CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29435",APPLY SHORT LEG CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29440",ADDITION OF WALKER TO CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29440",ADDITION OF WALKER TO CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29445",APPLY RIGID LEG CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29445",APPLY RIGID LEG CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29450",APPLICATION OF LEG CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29450",APPLICATION OF LEG CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29505",APPLICATION LONG LEG SPLINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29505",APPLICATION LONG LEG SPLINT,EAPG,DEF,,,,,NA,NA,NA,N,
="29515",APPLICATION LOWER LEG SPLINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29515",APPLICATION LOWER LEG SPLINT,EAPG,DEF,,,,,NA,NA,NA,N,
="29520",STRAPPING OF HIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29520",STRAPPING OF HIP,EAPG,DEF,,,,,NA,NA,NA,N,
="29530",STRAPPING OF KNEE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29530",STRAPPING OF KNEE,EAPG,DEF,,,,,NA,NA,NA,N,
="29540",STRAPPING OF ANKLE AND/OR FT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29540",STRAPPING OF ANKLE AND/OR FT,EAPG,DEF,,,,,NA,NA,NA,N,
="29550",STRAPPING OF TOES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29550",STRAPPING OF TOES,EAPG,DEF,,,,,NA,NA,NA,N,
="29580",APPLICATION OF PASTE BOOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29580",APPLICATION OF PASTE BOOT,EAPG,DEF,,,,,NA,NA,NA,N,
="29581",APPLY MULTLAY COMPRS LWR LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29581",APPLY MULTLAY COMPRS LWR LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="29582",APPLY MULTLAY COMPRS UPR LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29582",APPLY MULTLAY COMPRS UPR LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="29583",APPLY MULTLAY COMPRS UPR ARM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29583",APPLY MULTLAY COMPRS UPR ARM,EAPG,DEF,,,,,NA,NA,NA,N,
="29584",APPL MULTLAY COMPRS ARM/HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29584",APPL MULTLAY COMPRS ARM/HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="29700",REMOVAL/REVISION OF CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29700",REMOVAL/REVISION OF CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29705",REMOVAL/REVISION OF CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29705",REMOVAL/REVISION OF CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29710",REMOVAL/REVISION OF CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29710",REMOVAL/REVISION OF CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29720",REPAIR OF BODY CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29720",REPAIR OF BODY CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29730",WINDOWING OF CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29730",WINDOWING OF CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29740",WEDGING OF CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29740",WEDGING OF CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29750",WEDGING OF CLUBFOOT CAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29750",WEDGING OF CLUBFOOT CAST,EAPG,DEF,,,,,NA,NA,NA,N,
="29800",JAW ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29800",JAW ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29804",JAW ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29804",JAW ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29805",SHO ARTHRS DX +- SYNOVIAL BX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29805",SHO ARTHRS DX +- SYNOVIAL BX,EAPG,DEF,,,,,NA,NA,NA,N,
="29806",SHO ARTHRS SRG CAPSULORRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29806",SHO ARTHRS SRG CAPSULORRAPHY,EAPG,DEF,,,,,NA,NA,NA,N,
="29807",SHO ARTHRS SRG RPR SLAP LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29807",SHO ARTHRS SRG RPR SLAP LES,EAPG,DEF,,,,,NA,NA,NA,N,
="29815",SHOULDER ARTHROSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29815",SHOULDER ARTHROSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="29819",SHO ARTHRS SRG RMVL LOOSE/FB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29819",SHO ARTHRS SRG RMVL LOOSE/FB,EAPG,DEF,,,,,NA,NA,NA,N,
="29820",SHO ARTHRS SRG PRTL SYNVCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29820",SHO ARTHRS SRG PRTL SYNVCT,EAPG,DEF,,,,,NA,NA,NA,N,
="29821",SHO ARTHRS SRG COMPL SYNVCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29821",SHO ARTHRS SRG COMPL SYNVCT,EAPG,DEF,,,,,NA,NA,NA,N,
="29822",SHO ARTHRS SRG LMTD DBRDMT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29822",SHO ARTHRS SRG LMTD DBRDMT,EAPG,DEF,,,,,NA,NA,NA,N,
="29823",SHO ARTHRS SRG XTNSV DBRDMT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29823",SHO ARTHRS SRG XTNSV DBRDMT,EAPG,DEF,,,,,NA,NA,NA,N,
="29824",SHO ARTHRS SRG DSTL CLAVICLC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29824",SHO ARTHRS SRG DSTL CLAVICLC,EAPG,DEF,,,,,NA,NA,NA,N,
="29825",SHO ARTHRS SRG LSS&RESCJ ADS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29825",SHO ARTHRS SRG LSS&RESCJ ADS,EAPG,DEF,,,,,NA,NA,NA,N,
="29826",SHO ARTHRS SRG DECOMPRESSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29826",SHO ARTHRS SRG DECOMPRESSION,EAPG,DEF,,,,,NA,NA,NA,N,
="29827",SHO ARTHRS SRG RT8TR CUF RPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29827",SHO ARTHRS SRG RT8TR CUF RPR,EAPG,DEF,,,,,NA,NA,NA,N,
="29828",SHO ARTHRS SRG BICP TENODSIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29828",SHO ARTHRS SRG BICP TENODSIS,EAPG,DEF,,,,,NA,NA,NA,N,
="29830",ELBOW ARTHROSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29830",ELBOW ARTHROSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="29834",ELBOW ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29834",ELBOW ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29835",ELBOW ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29835",ELBOW ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29836",ELBOW ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29836",ELBOW ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29837",ELBOW ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29837",ELBOW ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29838",ELBOW ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29838",ELBOW ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29840",WRIST ARTHROSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29840",WRIST ARTHROSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="29843",WRIST ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29843",WRIST ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29844",WRIST ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29844",WRIST ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29845",WRIST ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29845",WRIST ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29846",WRIST ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29846",WRIST ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29847",WRIST ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29847",WRIST ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29848",WRIST ENDOSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29848",WRIST ENDOSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29850",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29850",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29851",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29851",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29855",TIBIAL ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29855",TIBIAL ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29856",TIBIAL ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29856",TIBIAL ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29860",HIP ARTHROSCOPY DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29860",HIP ARTHROSCOPY DX,EAPG,DEF,,,,,NA,NA,NA,N,
="29861",HIP ARTHRO W/FB REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29861",HIP ARTHRO W/FB REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="29862",HIP ARTHR0 W/DEBRIDEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29862",HIP ARTHR0 W/DEBRIDEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="29863",HIP ARTHR0 W/SYNOVECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29863",HIP ARTHR0 W/SYNOVECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="29866",AUTGRFT IMPLNT KNEE W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29866",AUTGRFT IMPLNT KNEE W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="29870",KNEE ARTHROSCOPY DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29870",KNEE ARTHROSCOPY DX,EAPG,DEF,,,,,NA,NA,NA,N,
="29871",KNEE ARTHROSCOPY/DRAINAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29871",KNEE ARTHROSCOPY/DRAINAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="29873",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29873",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29874",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29874",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29875",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29875",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29876",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29876",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29877",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29877",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29879",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29879",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29880",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29880",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29881",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29881",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29882",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29882",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29883",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29883",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29884",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29884",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29885",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29885",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29886",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29886",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29887",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29887",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29888",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29888",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29889",KNEE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29889",KNEE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29891",ANKLE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29891",ANKLE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29892",ANKLE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29892",ANKLE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29893",SCOPE PLANTAR FASCIOTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29893",SCOPE PLANTAR FASCIOTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="29894",ANKLE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29894",ANKLE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29895",ANKLE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29895",ANKLE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29897",ANKLE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29897",ANKLE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29898",ANKLE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29898",ANKLE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29899",ANKLE ARTHROSCOPY/SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29899",ANKLE ARTHROSCOPY/SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="29900",MCP JOINT ARTHROSCOPY DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29900",MCP JOINT ARTHROSCOPY DX,EAPG,DEF,,,,,NA,NA,NA,N,
="29901",MCP JOINT ARTHROSCOPY SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29901",MCP JOINT ARTHROSCOPY SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="29902",MCP JOINT ARTHROSCOPY SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29902",MCP JOINT ARTHROSCOPY SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="29904",SUBTALAR ARTHRO W/FB RMVL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29904",SUBTALAR ARTHRO W/FB RMVL,EAPG,DEF,,,,,NA,NA,NA,N,
="29905",SUBTALAR ARTHRO W/EXC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29905",SUBTALAR ARTHRO W/EXC,EAPG,DEF,,,,,NA,NA,NA,N,
="29906",SUBTALAR ARTHRO W/DEB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29906",SUBTALAR ARTHRO W/DEB,EAPG,DEF,,,,,NA,NA,NA,N,
="29907",SUBTALAR ARTHRO W/FUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29907",SUBTALAR ARTHRO W/FUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="29914",HIP ARTHRO W/FEMOROPLASTY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29914",HIP ARTHRO W/FEMOROPLASTY,EAPG,DEF,,,,,NA,NA,NA,N,
="29915",HIP ARTHRO ACETABULOPLASTY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29915",HIP ARTHRO ACETABULOPLASTY,EAPG,DEF,,,,,NA,NA,NA,N,
="29916",HIP ARTHRO W/LABRAL REPAIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="29916",HIP ARTHRO W/LABRAL REPAIR,EAPG,DEF,,,,,NA,NA,NA,N,
="30000",DRAINAGE OF NOSE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30000",DRAINAGE OF NOSE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="30020",DRAINAGE OF NOSE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30020",DRAINAGE OF NOSE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="30100",INTRANASAL BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30100",INTRANASAL BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="30110",REMOVAL OF NOSE POLYP(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="30110",REMOVAL OF NOSE POLYP(S),EAPG,DEF,,,,,NA,NA,NA,N,
="30115",REMOVAL OF NOSE POLYP(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="30115",REMOVAL OF NOSE POLYP(S),EAPG,DEF,,,,,NA,NA,NA,N,
="30117",REMOVAL OF INTRANASAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30117",REMOVAL OF INTRANASAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="30118",REMOVAL OF INTRANASAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30118",REMOVAL OF INTRANASAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="30120",REVISION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30120",REVISION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="30124",REMOVAL OF NOSE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30124",REMOVAL OF NOSE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="30125",REMOVAL OF NOSE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30125",REMOVAL OF NOSE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="30130",EXCISE INFERIOR TURBINATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30130",EXCISE INFERIOR TURBINATE,EAPG,DEF,,,,,NA,NA,NA,N,
="30140",RESECT INFERIOR TURBINATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30140",RESECT INFERIOR TURBINATE,EAPG,DEF,,,,,NA,NA,NA,N,
="30150",PARTIAL REMOVAL OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30150",PARTIAL REMOVAL OF NOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="30160",REMOVAL OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30160",REMOVAL OF NOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="30200",INJECTION TREATMENT OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30200",INJECTION TREATMENT OF NOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="30210",NASAL SINUS THERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30210",NASAL SINUS THERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="30220",INSERT NASAL SEPTAL BUTTON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30220",INSERT NASAL SEPTAL BUTTON,EAPG,DEF,,,,,NA,NA,NA,N,
="30300",REMOVE NASAL FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30300",REMOVE NASAL FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="30310",REMOVE NASAL FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30310",REMOVE NASAL FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="30320",REMOVE NASAL FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30320",REMOVE NASAL FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="30400",RECONSTRUCTION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="30400",RECONSTRUCTION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,Y,
="30410",RECONSTRUCTION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="30410",RECONSTRUCTION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,Y,
="30420",RECONSTRUCTION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="30420",RECONSTRUCTION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,Y,
="30430",REVISION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="30430",REVISION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,Y,
="30435",REVISION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="30435",REVISION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,Y,
="30450",REVISION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="30450",REVISION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,Y,
="30460",REVISION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30460",REVISION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="30462",REVISION OF NOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30462",REVISION OF NOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="30465",REPAIR NASAL STENOSIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30465",REPAIR NASAL STENOSIS,EAPG,DEF,,,,,NA,NA,NA,N,
="30468",RPR NSL VLV COLLAPSE W/IMPLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30468",RPR NSL VLV COLLAPSE W/IMPLT,EAPG,DEF,,,,,NA,NA,NA,N,
="30469",RPR NSL VLV COLLAPSE W/RMDLG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30469",RPR NSL VLV COLLAPSE W/RMDLG,EAPG,DEF,,,,,NA,NA,NA,N,
="30520",REPAIR OF NASAL SEPTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30520",REPAIR OF NASAL SEPTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="30540",REPAIR NASAL DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30540",REPAIR NASAL DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="30545",REPAIR NASAL DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30545",REPAIR NASAL DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="30560",RELEASE OF NASAL ADHESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30560",RELEASE OF NASAL ADHESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="30580",REPAIR UPPER JAW FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30580",REPAIR UPPER JAW FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="30600",REPAIR MOUTH/NOSE FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30600",REPAIR MOUTH/NOSE FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="30620",INTRANASAL RECONSTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30620",INTRANASAL RECONSTRUCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="30630",REPAIR NASAL SEPTUM DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30630",REPAIR NASAL SEPTUM DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="30801",ABLATE INF TURBINATE SUPERF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30801",ABLATE INF TURBINATE SUPERF,EAPG,DEF,,,,,NA,NA,NA,N,
="30802",ABLATE INF TURBINATE SUBMUC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30802",ABLATE INF TURBINATE SUBMUC,EAPG,DEF,,,,,NA,NA,NA,N,
="30901",CONTROL OF NOSEBLEED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30901",CONTROL OF NOSEBLEED,EAPG,DEF,,,,,NA,NA,NA,N,
="30903",CONTROL OF NOSEBLEED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30903",CONTROL OF NOSEBLEED,EAPG,DEF,,,,,NA,NA,NA,N,
="30905",CONTROL OF NOSEBLEED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30905",CONTROL OF NOSEBLEED,EAPG,DEF,,,,,NA,NA,NA,N,
="30906",REPEAT CONTROL OF NOSEBLEED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30906",REPEAT CONTROL OF NOSEBLEED,EAPG,DEF,,,,,NA,NA,NA,N,
="30915",LIGATION NASAL SINUS ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30915",LIGATION NASAL SINUS ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="30920",LIGATION UPPER JAW ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30920",LIGATION UPPER JAW ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="30930",THER FX NASAL INF TURBINATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="30930",THER FX NASAL INF TURBINATE,EAPG,DEF,,,,,NA,NA,NA,N,
="31000",IRRIGATION MAXILLARY SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31000",IRRIGATION MAXILLARY SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31002",IRRIGATION SPHENOID SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31002",IRRIGATION SPHENOID SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31020",EXPLORATION MAXILLARY SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31020",EXPLORATION MAXILLARY SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31030",EXPLORATION MAXILLARY SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31030",EXPLORATION MAXILLARY SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31032",EXPLORE SINUS REMOVE POLYPS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31032",EXPLORE SINUS REMOVE POLYPS,EAPG,DEF,,,,,NA,NA,NA,N,
="31040",EXPLORATION BEHIND UPPER JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31040",EXPLORATION BEHIND UPPER JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="31050",EXPLORATION SPHENOID SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31050",EXPLORATION SPHENOID SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31051",SPHENOID SINUS SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31051",SPHENOID SINUS SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="31070",EXPLORATION OF FRONTAL SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31070",EXPLORATION OF FRONTAL SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31075",EXPLORATION OF FRONTAL SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31075",EXPLORATION OF FRONTAL SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31080",REMOVAL OF FRONTAL SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31080",REMOVAL OF FRONTAL SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31081",REMOVAL OF FRONTAL SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31081",REMOVAL OF FRONTAL SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31084",REMOVAL OF FRONTAL SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31084",REMOVAL OF FRONTAL SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31085",REMOVAL OF FRONTAL SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31085",REMOVAL OF FRONTAL SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31086",REMOVAL OF FRONTAL SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31086",REMOVAL OF FRONTAL SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31087",REMOVAL OF FRONTAL SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31087",REMOVAL OF FRONTAL SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31090",EXPLORATION OF SINUSES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31090",EXPLORATION OF SINUSES,EAPG,DEF,,,,,NA,NA,NA,N,
="31200",REMOVAL OF ETHMOID SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31200",REMOVAL OF ETHMOID SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31201",REMOVAL OF ETHMOID SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31201",REMOVAL OF ETHMOID SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31205",REMOVAL OF ETHMOID SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31205",REMOVAL OF ETHMOID SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31231",NASAL ENDOSCOPY DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31231",NASAL ENDOSCOPY DX,EAPG,DEF,,,,,NA,NA,NA,N,
="31233",NSL/SINS NDSC DX MAX SINUSC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31233",NSL/SINS NDSC DX MAX SINUSC,EAPG,DEF,,,,,NA,NA,NA,N,
="31235",NSL/SINS NDSC DX SPHN SINUSC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31235",NSL/SINS NDSC DX SPHN SINUSC,EAPG,DEF,,,,,NA,NA,NA,N,
="31237",NASAL/SINUS ENDOSCOPY SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31237",NASAL/SINUS ENDOSCOPY SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="31238",NASAL/SINUS ENDOSCOPY SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31238",NASAL/SINUS ENDOSCOPY SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="31239",NASAL/SINUS ENDOSCOPY SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31239",NASAL/SINUS ENDOSCOPY SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="31240",NASAL/SINUS ENDOSCOPY SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31240",NASAL/SINUS ENDOSCOPY SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="31253",NSL/SINS NDSC TOTAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31253",NSL/SINS NDSC TOTAL,EAPG,DEF,,,,,NA,NA,NA,N,
="31254",NSL/SINS NDSC W/PRTL ETHMDCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31254",NSL/SINS NDSC W/PRTL ETHMDCT,EAPG,DEF,,,,,NA,NA,NA,N,
="31255",NSL/SINS NDSC W/TOT ETHMDCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31255",NSL/SINS NDSC W/TOT ETHMDCT,EAPG,DEF,,,,,NA,NA,NA,N,
="31256",EXPLORATION MAXILLARY SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31256",EXPLORATION MAXILLARY SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31257",NSL/SINS NDSC TOT W/SPHENDT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31257",NSL/SINS NDSC TOT W/SPHENDT,EAPG,DEF,,,,,NA,NA,NA,N,
="31259",NSL/SINS NDSC SPHN TISS RMVL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31259",NSL/SINS NDSC SPHN TISS RMVL,EAPG,DEF,,,,,NA,NA,NA,N,
="31267",ENDOSCOPY MAXILLARY SINUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31267",ENDOSCOPY MAXILLARY SINUS,EAPG,DEF,,,,,NA,NA,NA,N,
="31276",NSL/SINS NDSC FRNT TISS RMVL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31276",NSL/SINS NDSC FRNT TISS RMVL,EAPG,DEF,,,,,NA,NA,NA,N,
="31287",NASAL/SINUS ENDOSCOPY SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31287",NASAL/SINUS ENDOSCOPY SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="31288",NASAL/SINUS ENDOSCOPY SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31288",NASAL/SINUS ENDOSCOPY SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="31295",NSL/SINS NDSC SURG MAX SINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31295",NSL/SINS NDSC SURG MAX SINS,EAPG,DEF,,,,,NA,NA,NA,N,
="31296",NSL/SINS NDSC SURG FRNT SINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31296",NSL/SINS NDSC SURG FRNT SINS,EAPG,DEF,,,,,NA,NA,NA,N,
="31297",NSL/SINS NDSC SURG SPHN SINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31297",NSL/SINS NDSC SURG SPHN SINS,EAPG,DEF,,,,,NA,NA,NA,N,
="31298",NSL/SINS NDSC SURG FRNT&SPHN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31298",NSL/SINS NDSC SURG FRNT&SPHN,EAPG,DEF,,,,,NA,NA,NA,N,
="31300",REMOVAL OF LARYNX LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31300",REMOVAL OF LARYNX LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="31320",DIAGNOSTIC INCISION LARYNX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31320",DIAGNOSTIC INCISION LARYNX,EAPG,DEF,,,,,NA,NA,NA,N,
="31400",REVISION OF LARYNX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31400",REVISION OF LARYNX,EAPG,DEF,,,,,NA,NA,NA,N,
="31420",REMOVAL OF EPIGLOTTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31420",REMOVAL OF EPIGLOTTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="31500",INSERT EMERGENCY AIRWAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31500",INSERT EMERGENCY AIRWAY,EAPG,DEF,,,,,NA,NA,NA,N,
="31502",CHANGE OF WINDPIPE AIRWAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31502",CHANGE OF WINDPIPE AIRWAY,EAPG,DEF,,,,,NA,NA,NA,N,
="31505",DIAGNOSTIC LARYNGOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31505",DIAGNOSTIC LARYNGOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="31510",LARYNGOSCOPY WITH BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31510",LARYNGOSCOPY WITH BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="31511",REMOVE FOREIGN BODY LARYNX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31511",REMOVE FOREIGN BODY LARYNX,EAPG,DEF,,,,,NA,NA,NA,N,
="31512",REMOVAL OF LARYNX LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31512",REMOVAL OF LARYNX LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="31513",INJECTION INTO VOCAL CORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31513",INJECTION INTO VOCAL CORD,EAPG,DEF,,,,,NA,NA,NA,N,
="31515",LARYNGOSCOPY FOR ASPIRATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31515",LARYNGOSCOPY FOR ASPIRATION,EAPG,DEF,,,,,NA,NA,NA,N,
="31520",DX LARYNGOSCOPY NEWBORN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31520",DX LARYNGOSCOPY NEWBORN,EAPG,DEF,,,,,NA,NA,NA,N,
="31525",DX LARYNGOSCOPY EXCL NB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31525",DX LARYNGOSCOPY EXCL NB,EAPG,DEF,,,,,NA,NA,NA,N,
="31526",DX LARYNGOSCOPY W/OPER SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31526",DX LARYNGOSCOPY W/OPER SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31527",LARYNGOSCOPY FOR TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31527",LARYNGOSCOPY FOR TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="31528",LARYNGOSCOPY AND DILATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31528",LARYNGOSCOPY AND DILATION,EAPG,DEF,,,,,NA,NA,NA,N,
="31529",LARYNGOSCOPY AND DILATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31529",LARYNGOSCOPY AND DILATION,EAPG,DEF,,,,,NA,NA,NA,N,
="31530",LARYNGOSCOPY W/FB REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31530",LARYNGOSCOPY W/FB REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="31531",LARYNGOSCOPY W/FB & OP SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31531",LARYNGOSCOPY W/FB & OP SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31535",LARYNGOSCOPY W/BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31535",LARYNGOSCOPY W/BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="31536",LARYNGOSCOPY W/BX & OP SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31536",LARYNGOSCOPY W/BX & OP SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31540",LARYNGOSCOPY W/EXC OF TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31540",LARYNGOSCOPY W/EXC OF TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="31541",LARYNSCOP W/TUMR EXC + SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31541",LARYNSCOP W/TUMR EXC + SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31545",REMOVE VC LESION W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31545",REMOVE VC LESION W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31546",REMOVE VC LESION SCOPE/GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31546",REMOVE VC LESION SCOPE/GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="31551",LARYNGOPLASTY LARYNGEAL STEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31551",LARYNGOPLASTY LARYNGEAL STEN,EAPG,DEF,,,,,NA,NA,NA,N,
="31552",LARYNGOPLASTY LARYNGEAL STEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31552",LARYNGOPLASTY LARYNGEAL STEN,EAPG,DEF,,,,,NA,NA,NA,N,
="31553",LARYNGOPLASTY LARYNGEAL STEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31553",LARYNGOPLASTY LARYNGEAL STEN,EAPG,DEF,,,,,NA,NA,NA,N,
="31554",LARYNGOPLASTY LARYNGEAL STEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31554",LARYNGOPLASTY LARYNGEAL STEN,EAPG,DEF,,,,,NA,NA,NA,N,
="31560",LARYNGOSCOP W/ARYTENOIDECTOM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31560",LARYNGOSCOP W/ARYTENOIDECTOM,EAPG,DEF,,,,,NA,NA,NA,N,
="31561",LARYNSCOP REMVE CART + SCOP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31561",LARYNSCOP REMVE CART + SCOP,EAPG,DEF,,,,,NA,NA,NA,N,
="31570",LARYNGOSCOPE W/VC INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31570",LARYNGOSCOPE W/VC INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="31571",LARYNGOSCOP W/VC INJ + SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31571",LARYNGOSCOP W/VC INJ + SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31572",LARGSC W/LASER DSTRJ LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31572",LARGSC W/LASER DSTRJ LES,EAPG,DEF,,,,,NA,NA,NA,N,
="31573",LARGSC W/THER INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31573",LARGSC W/THER INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="31574",LARGSC W/NJX AUGMENTATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31574",LARGSC W/NJX AUGMENTATION,EAPG,DEF,,,,,NA,NA,NA,N,
="31575",DIAGNOSTIC LARYNGOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31575",DIAGNOSTIC LARYNGOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="31576",LARYNGOSCOPY WITH BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31576",LARYNGOSCOPY WITH BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="31577",LARGSC W/RMVL FOREIGN BDY(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="31577",LARGSC W/RMVL FOREIGN BDY(S),EAPG,DEF,,,,,NA,NA,NA,N,
="31578",LARGSC W/REMOVAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31578",LARGSC W/REMOVAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="31579",LARYNGOSCOPY TELESCOPIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31579",LARYNGOSCOPY TELESCOPIC,EAPG,DEF,,,,,NA,NA,NA,N,
="31580",LARYNGOPLASTY LARYNGEAL WEB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31580",LARYNGOPLASTY LARYNGEAL WEB,EAPG,DEF,,,,,NA,NA,NA,N,
="31582",REVISION OF LARYNX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31582",REVISION OF LARYNX,EAPG,DEF,,,,,NA,NA,NA,N,
="31585",TREAT LARYNX FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31585",TREAT LARYNX FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="31586",TREAT LARYNX FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31586",TREAT LARYNX FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="31588",REVISION OF LARYNX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31588",REVISION OF LARYNX,EAPG,DEF,,,,,NA,NA,NA,N,
="31590",REINNERVATE LARYNX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31590",REINNERVATE LARYNX,EAPG,DEF,,,,,NA,NA,NA,N,
="31591",LARYNGOPLASTY MEDIALIZATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31591",LARYNGOPLASTY MEDIALIZATION,EAPG,DEF,,,,,NA,NA,NA,N,
="31592",CRICOTRACHEAL RESECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31592",CRICOTRACHEAL RESECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="31595",LARYNX NERVE SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31595",LARYNX NERVE SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="31603",INCISION OF WINDPIPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31603",INCISION OF WINDPIPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31605",INCISION OF WINDPIPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31605",INCISION OF WINDPIPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31611",SURGERY/SPEECH PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31611",SURGERY/SPEECH PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="31612",PUNCTURE/CLEAR WINDPIPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31612",PUNCTURE/CLEAR WINDPIPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31613",REPAIR WINDPIPE OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31613",REPAIR WINDPIPE OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="31614",REPAIR WINDPIPE OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31614",REPAIR WINDPIPE OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="31615",VISUALIZATION OF WINDPIPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31615",VISUALIZATION OF WINDPIPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31620",ENDOBRONCHIAL US ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31620",ENDOBRONCHIAL US ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="31622",DX BRONCHOSCOPE/WASH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31622",DX BRONCHOSCOPE/WASH,EAPG,DEF,,,,,NA,NA,NA,N,
="31623",DX BRONCHOSCOPE/BRUSH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31623",DX BRONCHOSCOPE/BRUSH,EAPG,DEF,,,,,NA,NA,NA,N,
="31624",DX BRONCHOSCOPE/LAVAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31624",DX BRONCHOSCOPE/LAVAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="31625",BRONCHOSCOPY W/BIOPSY(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="31625",BRONCHOSCOPY W/BIOPSY(S),EAPG,DEF,,,,,NA,NA,NA,N,
="31626",BRONCHOSCOPY W/MARKERS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31626",BRONCHOSCOPY W/MARKERS,EAPG,DEF,,,,,NA,NA,NA,N,
="31627",NAVIGATIONAL BRONCHOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31627",NAVIGATIONAL BRONCHOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="31628",BRONCHOSCOPY/LUNG BX EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31628",BRONCHOSCOPY/LUNG BX EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="31629",BRONCHOSCOPY/NEEDLE BX EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31629",BRONCHOSCOPY/NEEDLE BX EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="31630",BRONCHOSCOPY DILATE/FX REPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31630",BRONCHOSCOPY DILATE/FX REPR,EAPG,DEF,,,,,NA,NA,NA,N,
="31631",BRONCHOSCOPY DILATE W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31631",BRONCHOSCOPY DILATE W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="31632",BRONCHOSCOPY/LUNG BX ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31632",BRONCHOSCOPY/LUNG BX ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="31633",BRONCHOSCOPY/NEEDLE BX ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31633",BRONCHOSCOPY/NEEDLE BX ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="31634",BRONCH W/BALLOON OCCLUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31634",BRONCH W/BALLOON OCCLUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="31635",BRONCHOSCOPY W/FB REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31635",BRONCHOSCOPY W/FB REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="31636",BRONCHOSCOPY BRONCH STENTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31636",BRONCHOSCOPY BRONCH STENTS,EAPG,DEF,,,,,NA,NA,NA,N,
="31637",BRONCHOSCOPY STENT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31637",BRONCHOSCOPY STENT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="31638",BRONCHOSCOPY REVISE STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31638",BRONCHOSCOPY REVISE STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="31640",BRONCHOSCOPY W/TUMOR EXCISE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31640",BRONCHOSCOPY W/TUMOR EXCISE,EAPG,DEF,,,,,NA,NA,NA,N,
="31641",BRONCHOSCOPY TREAT BLOCKAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31641",BRONCHOSCOPY TREAT BLOCKAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="31643",DIAG BRONCHOSCOPE/CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31643",DIAG BRONCHOSCOPE/CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="31645",BRNCHSC W/THER ASPIR 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31645",BRNCHSC W/THER ASPIR 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="31646",BRNCHSC W/THER ASPIR SBSQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31646",BRNCHSC W/THER ASPIR SBSQ,EAPG,DEF,,,,,NA,NA,NA,N,
="31647",BRONCHIAL VALVE INIT INSERT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31647",BRONCHIAL VALVE INIT INSERT,EAPG,DEF,,,,,NA,NA,NA,N,
="31648",BRONCHIAL VALVE REMOV INIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31648",BRONCHIAL VALVE REMOV INIT,EAPG,DEF,,,,,NA,NA,NA,N,
="31649",BRONCHIAL VALVE REMOV ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31649",BRONCHIAL VALVE REMOV ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="31651",BRONCHIAL VALVE ADDL INSERT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31651",BRONCHIAL VALVE ADDL INSERT,EAPG,DEF,,,,,NA,NA,NA,N,
="31652",BRONCH EBUS SAMPLNG 1/2 NODE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31652",BRONCH EBUS SAMPLNG 1/2 NODE,EAPG,DEF,,,,,NA,NA,NA,N,
="31653",BRONCH EBUS SAMPLNG 3/> NODE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31653",BRONCH EBUS SAMPLNG 3/> NODE,EAPG,DEF,,,,,NA,NA,NA,N,
="31654",BRONCH EBUS IVNTJ PERPH LES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31654",BRONCH EBUS IVNTJ PERPH LES,EAPG,DEF,,,,,NA,NA,NA,N,
="31656",BRONCHOSCOPY INJ FOR X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31656",BRONCHOSCOPY INJ FOR X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="31700",INSERTION OF AIRWAY CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31700",INSERTION OF AIRWAY CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="31717",BRONCHIAL BRUSH BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31717",BRONCHIAL BRUSH BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="31720",CLEARANCE OF AIRWAYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31720",CLEARANCE OF AIRWAYS,EAPG,DEF,,,,,NA,NA,NA,N,
="31730",INTRO WINDPIPE WIRE/TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31730",INTRO WINDPIPE WIRE/TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="31750",REPAIR OF WINDPIPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31750",REPAIR OF WINDPIPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31755",REPAIR OF WINDPIPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31755",REPAIR OF WINDPIPE,EAPG,DEF,,,,,NA,NA,NA,N,
="31820",CLOSURE OF WINDPIPE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31820",CLOSURE OF WINDPIPE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="31825",REPAIR OF WINDPIPE DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31825",REPAIR OF WINDPIPE DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="31830",REVISE WINDPIPE SCAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="31830",REVISE WINDPIPE SCAR,EAPG,DEF,,,,,NA,NA,NA,N,
="32000",DRAINAGE OF CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32000",DRAINAGE OF CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="32400",NEEDLE BIOPSY CHEST LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32400",NEEDLE BIOPSY CHEST LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="32405",PERCUT BX LUNG/MEDIASTINUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32405",PERCUT BX LUNG/MEDIASTINUM,EAPG,DEF,,,,,NA,NA,NA,N,
="32408",CORE NDL BX LNG/MED PERQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32408",CORE NDL BX LNG/MED PERQ,EAPG,DEF,,,,,NA,NA,NA,N,
="32420",PUNCTURE/CLEAR LUNG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32420",PUNCTURE/CLEAR LUNG,EAPG,DEF,,,,,NA,NA,NA,N,
="32421",THORACENTESIS FOR ASPIRATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32421",THORACENTESIS FOR ASPIRATION,EAPG,DEF,,,,,NA,NA,NA,N,
="32422",THORACENTESIS W/TUBE INSERT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32422",THORACENTESIS W/TUBE INSERT,EAPG,DEF,,,,,NA,NA,NA,N,
="32550",INSERT PLEURAL CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32550",INSERT PLEURAL CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="32552",REMOVE LUNG CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32552",REMOVE LUNG CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="32553",INS MARK THOR FOR RT PERQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32553",INS MARK THOR FOR RT PERQ,EAPG,DEF,,,,,NA,NA,NA,N,
="32554",ASPIRATE PLEURA W/O IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32554",ASPIRATE PLEURA W/O IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="32555",ASPIRATE PLEURA W/ IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32555",ASPIRATE PLEURA W/ IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="32556",INSERT CATH PLEURA W/O IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32556",INSERT CATH PLEURA W/O IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="32557",INSERT CATH PLEURA W/ IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32557",INSERT CATH PLEURA W/ IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="32960",THERAPEUTIC PNEUMOTHORAX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32960",THERAPEUTIC PNEUMOTHORAX,EAPG,DEF,,,,,NA,NA,NA,N,
="32994",ABLATE PULM TUMOR PERQ CRYBL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32994",ABLATE PULM TUMOR PERQ CRYBL,EAPG,DEF,,,,,NA,NA,NA,N,
="32998",ABLATE PULM TUMOR PERQ RF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="32998",ABLATE PULM TUMOR PERQ RF,EAPG,DEF,,,,,NA,NA,NA,N,
="33010",DRAINAGE OF HEART SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33010",DRAINAGE OF HEART SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="33011",REPEAT DRAINAGE OF HEART SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33011",REPEAT DRAINAGE OF HEART SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="33016",PERICARDIOCENTESIS W/IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33016",PERICARDIOCENTESIS W/IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="33206",INSERT HEART PM ATRIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33206",INSERT HEART PM ATRIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="33207",INSERT HEART PM VENTRICULAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33207",INSERT HEART PM VENTRICULAR,EAPG,DEF,,,,,NA,NA,NA,N,
="33208",INSRT HEART PM ATRIAL & VENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33208",INSRT HEART PM ATRIAL & VENT,EAPG,DEF,,,,,NA,NA,NA,N,
="33210",INSERT ELECTRD/PM CATH SNGL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33210",INSERT ELECTRD/PM CATH SNGL,EAPG,DEF,,,,,NA,NA,NA,N,
="33211",INSERT CARD ELECTRODES DUAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33211",INSERT CARD ELECTRODES DUAL,EAPG,DEF,,,,,NA,NA,NA,N,
="33212",INSERT PULSE GEN SNGL LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33212",INSERT PULSE GEN SNGL LEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="33213",INSERT PULSE GEN DUAL LEADS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33213",INSERT PULSE GEN DUAL LEADS,EAPG,DEF,,,,,NA,NA,NA,N,
="33214",UPGRADE OF PACEMAKER SYSTEM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33214",UPGRADE OF PACEMAKER SYSTEM,EAPG,DEF,,,,,NA,NA,NA,N,
="33215",REPOSITION PACING-DEFIB LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33215",REPOSITION PACING-DEFIB LEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="33216",INSERT 1 ELECTRODE PM-DEFIB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33216",INSERT 1 ELECTRODE PM-DEFIB,EAPG,DEF,,,,,NA,NA,NA,N,
="33217",INSERT 2 ELECTRODE PM-DEFIB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33217",INSERT 2 ELECTRODE PM-DEFIB,EAPG,DEF,,,,,NA,NA,NA,N,
="33218",REPAIR LEAD PACE-DEFIB ONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33218",REPAIR LEAD PACE-DEFIB ONE,EAPG,DEF,,,,,NA,NA,NA,N,
="33220",REPAIR LEAD PACE-DEFIB DUAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33220",REPAIR LEAD PACE-DEFIB DUAL,EAPG,DEF,,,,,NA,NA,NA,N,
="33221",INSERT PULSE GEN MULT LEADS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33221",INSERT PULSE GEN MULT LEADS,EAPG,DEF,,,,,NA,NA,NA,N,
="33222",RELOCATION POCKET PACEMAKER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33222",RELOCATION POCKET PACEMAKER,EAPG,DEF,,,,,NA,NA,NA,N,
="33223",RELOCATE POCKET FOR DEFIB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33223",RELOCATE POCKET FOR DEFIB,EAPG,DEF,,,,,NA,NA,NA,N,
="33224",INSERT PACING LEAD & CONNECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33224",INSERT PACING LEAD & CONNECT,EAPG,DEF,,,,,NA,NA,NA,N,
="33225",L VENTRIC PACING LEAD ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33225",L VENTRIC PACING LEAD ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="33226",REPOSITION L VENTRIC LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33226",REPOSITION L VENTRIC LEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="33227",REMOVE&REPLACE PM GEN SINGL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33227",REMOVE&REPLACE PM GEN SINGL,EAPG,DEF,,,,,NA,NA,NA,N,
="33228",REMV&REPLC PM GEN DUAL LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33228",REMV&REPLC PM GEN DUAL LEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="33229",REMV&REPLC PM GEN MULT LEADS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33229",REMV&REPLC PM GEN MULT LEADS,EAPG,DEF,,,,,NA,NA,NA,N,
="3322F",MELANOMAAJCC STAGE 0 OR IA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="3322F",MELANOMAAJCC STAGE 0 OR IA,EAPG,DEF,,,,,NA,NA,NA,N,
="33230",INSRT PULSE GEN W/DUAL LEADS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33230",INSRT PULSE GEN W/DUAL LEADS,EAPG,DEF,,,,,NA,NA,NA,N,
="33231",INSRT PULSE GEN W/MULT LEADS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33231",INSRT PULSE GEN W/MULT LEADS,EAPG,DEF,,,,,NA,NA,NA,N,
="33233",REMOVAL OF PM GENERATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33233",REMOVAL OF PM GENERATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="33234",REMOVAL OF PACEMAKER SYSTEM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33234",REMOVAL OF PACEMAKER SYSTEM,EAPG,DEF,,,,,NA,NA,NA,N,
="33235",REMOVAL PACEMAKER ELECTRODE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33235",REMOVAL PACEMAKER ELECTRODE,EAPG,DEF,,,,,NA,NA,NA,N,
="33240",INSRT PULSE GEN W/SINGL LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33240",INSRT PULSE GEN W/SINGL LEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="33241",REMOVE PULSE GENERATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33241",REMOVE PULSE GENERATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="33249",INSJ/RPLCMT DEFIB W/LEAD(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="33249",INSJ/RPLCMT DEFIB W/LEAD(S),EAPG,DEF,,,,,NA,NA,NA,N,
="33262",RMVL& REPLC PULSE GEN 1 LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33262",RMVL& REPLC PULSE GEN 1 LEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="33263",RMVL & RPLCMT DFB GEN 2 LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33263",RMVL & RPLCMT DFB GEN 2 LEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="33264",RMVL & RPLCMT DFB GEN MLT LD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33264",RMVL & RPLCMT DFB GEN MLT LD,EAPG,DEF,,,,,NA,NA,NA,N,
="33270",INS/REP SUBQ DEFIBRILLATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33270",INS/REP SUBQ DEFIBRILLATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="33271",INSJ SUBQ IMPLTBL DFB ELCTRD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33271",INSJ SUBQ IMPLTBL DFB ELCTRD,EAPG,DEF,,,,,NA,NA,NA,N,
="33273",REPOS PREV IMPLTBL SUBQ DFB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33273",REPOS PREV IMPLTBL SUBQ DFB,EAPG,DEF,,,,,NA,NA,NA,N,
="33274",TCAT INSJ/RPL PERM LDLS PM,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="33274",TCAT INSJ/RPL PERM LDLS PM,EAPG,DEF,,,,,NA,NA,NA,Y,
="33275",TCAT RMVL PERM LDLS PM W/IMG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="33275",TCAT RMVL PERM LDLS PM W/IMG,EAPG,DEF,,,,,NA,NA,NA,Y,
="33282",IMPLANT PAT-ACTIVE HT RECORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33282",IMPLANT PAT-ACTIVE HT RECORD,EAPG,DEF,,,,,NA,NA,NA,N,
="33284",REMOVE PAT-ACTIVE HT RECORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33284",REMOVE PAT-ACTIVE HT RECORD,EAPG,DEF,,,,,NA,NA,NA,N,
="33285",INSJ SUBQ CAR RHYTHM MNTR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33285",INSJ SUBQ CAR RHYTHM MNTR,EAPG,DEF,,,,,NA,NA,NA,N,
="33286",RMVL SUBQ CAR RHYTHM MNTR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33286",RMVL SUBQ CAR RHYTHM MNTR,EAPG,DEF,,,,,NA,NA,NA,N,
="33419",REPAIR TCAT MITRAL VALVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33419",REPAIR TCAT MITRAL VALVE,EAPG,DEF,,,,,NA,NA,NA,N,
="33508",ENDOSCOPIC VEIN HARVEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33508",ENDOSCOPIC VEIN HARVEST,EAPG,DEF,,,,,NA,NA,NA,N,
="33741",TAS CONGENITAL CAR ANOMAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33741",TAS CONGENITAL CAR ANOMAL,EAPG,DEF,,,,,NA,NA,NA,N,
="33745",TIS CGEN CAR ANOMAL 1ST SHNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33745",TIS CGEN CAR ANOMAL 1ST SHNT,EAPG,DEF,,,,,NA,NA,NA,N,
="33746",TIS CGEN CAR ANOMAL EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33746",TIS CGEN CAR ANOMAL EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="33900",PERQ P-ART REVSC 1 NM NT UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33900",PERQ P-ART REVSC 1 NM NT UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="33901",PERQ P-ART REVSC 1 NM NT BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33901",PERQ P-ART REVSC 1 NM NT BI,EAPG,DEF,,,,,NA,NA,NA,N,
="33902",PERQ P-ART REVSC 1 ABNOR UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33902",PERQ P-ART REVSC 1 ABNOR UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="33903",PERQ P-ART REVSC 1 ABNOR BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="33903",PERQ P-ART REVSC 1 ABNOR BI,EAPG,DEF,,,,,NA,NA,NA,N,
="34490",REMOVAL OF VEIN CLOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="34490",REMOVAL OF VEIN CLOT,EAPG,DEF,,,,,NA,NA,NA,N,
="34713",PERQ ACCESS & CLSR FEM ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="34713",PERQ ACCESS & CLSR FEM ART,EAPG,DEF,,,,,NA,NA,NA,N,
="34714",OPN FEM ART EXPOS CNDT CRTJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="34714",OPN FEM ART EXPOS CNDT CRTJ,EAPG,DEF,,,,,NA,NA,NA,N,
="34715",OPN AX/SUBCLA ART EXPOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="34715",OPN AX/SUBCLA ART EXPOS,EAPG,DEF,,,,,NA,NA,NA,N,
="34716",OPN AX/SUBCLA ART EXPOS CNDT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="34716",OPN AX/SUBCLA ART EXPOS CNDT,EAPG,DEF,,,,,NA,NA,NA,N,
="35188",REPAIR BLOOD VESSEL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35188",REPAIR BLOOD VESSEL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="35207",REPAIR BLOOD VESSEL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35207",REPAIR BLOOD VESSEL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="35473",REPAIR ARTERIAL BLOCKAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35473",REPAIR ARTERIAL BLOCKAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="35476",REPAIR VENOUS BLOCKAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35476",REPAIR VENOUS BLOCKAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="35492",ATHERECTOMY; PERCUTANEOUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35492",ATHERECTOMY; PERCUTANEOUS,EAPG,DEF,,,,,NA,NA,NA,N,
="35572",HARVEST FEMOROPOPLITEAL VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35572",HARVEST FEMOROPOPLITEAL VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="35761",EXPLORATION OF ARTERY/VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35761",EXPLORATION OF ARTERY/VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="35875",REMOVAL OF CLOT IN GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35875",REMOVAL OF CLOT IN GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="35876",REMOVAL OF CLOT IN GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="35876",REMOVAL OF CLOT IN GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="36000",PLACE NEEDLE IN VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36000",PLACE NEEDLE IN VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36002",PSEUDOANEURYSM INJECTION TRT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36002",PSEUDOANEURYSM INJECTION TRT,EAPG,DEF,,,,,NA,NA,NA,N,
="36005",INJECTION EXT VENOGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36005",INJECTION EXT VENOGRAPHY,EAPG,DEF,,,,,NA,NA,NA,N,
="36010",PLACE CATHETER IN VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36010",PLACE CATHETER IN VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36011",PLACE CATHETER IN VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36011",PLACE CATHETER IN VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36012",PLACE CATHETER IN VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36012",PLACE CATHETER IN VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36013",PLACE CATHETER IN ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36013",PLACE CATHETER IN ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36014",PLACE CATHETER IN ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36014",PLACE CATHETER IN ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36015",PLACE CATHETER IN ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36015",PLACE CATHETER IN ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36100",ESTABLISH ACCESS TO ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36100",ESTABLISH ACCESS TO ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36120",ESTABLISH ACCESS TO ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36120",ESTABLISH ACCESS TO ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36140",INTRO NDL ICATH UPR/LXTR ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36140",INTRO NDL ICATH UPR/LXTR ART,EAPG,DEF,,,,,NA,NA,NA,N,
="36160",ESTABLISH ACCESS TO AORTA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36160",ESTABLISH ACCESS TO AORTA,EAPG,DEF,,,,,NA,NA,NA,N,
="36200",PLACE CATHETER IN AORTA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36200",PLACE CATHETER IN AORTA,EAPG,DEF,,,,,NA,NA,NA,N,
="36215",PLACE CATHETER IN ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36215",PLACE CATHETER IN ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36216",PLACE CATHETER IN ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36216",PLACE CATHETER IN ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36217",PLACE CATHETER IN ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36217",PLACE CATHETER IN ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36218",PLACE CATHETER IN ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36218",PLACE CATHETER IN ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36221",PLACE CATH THORACIC AORTA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36221",PLACE CATH THORACIC AORTA,EAPG,DEF,,,,,NA,NA,NA,N,
="36222",PLACE CATH CAROTID/INOM ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36222",PLACE CATH CAROTID/INOM ART,EAPG,DEF,,,,,NA,NA,NA,N,
="36223",PLACE CATH CAROTID/INOM ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36223",PLACE CATH CAROTID/INOM ART,EAPG,DEF,,,,,NA,NA,NA,N,
="36224",PLACE CATH CAROTD ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36224",PLACE CATH CAROTD ART,EAPG,DEF,,,,,NA,NA,NA,N,
="36225",PLACE CATH SUBCLAVIAN ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36225",PLACE CATH SUBCLAVIAN ART,EAPG,DEF,,,,,NA,NA,NA,N,
="36226",PLACE CATH VERTEBRAL ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36226",PLACE CATH VERTEBRAL ART,EAPG,DEF,,,,,NA,NA,NA,N,
="36227",PLACE CATH XTRNL CAROTID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36227",PLACE CATH XTRNL CAROTID,EAPG,DEF,,,,,NA,NA,NA,N,
="36228",PLACE CATH INTRACRANIAL ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36228",PLACE CATH INTRACRANIAL ART,EAPG,DEF,,,,,NA,NA,NA,N,
="36245",INS CATH ABD/L-EXT ART 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36245",INS CATH ABD/L-EXT ART 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="36246",INS CATH ABD/L-EXT ART 2ND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36246",INS CATH ABD/L-EXT ART 2ND,EAPG,DEF,,,,,NA,NA,NA,N,
="36247",INS CATH ABD/L-EXT ART 3RD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36247",INS CATH ABD/L-EXT ART 3RD,EAPG,DEF,,,,,NA,NA,NA,N,
="36248",INS CATH ABD/L-EXT ART ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36248",INS CATH ABD/L-EXT ART ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="36251",INS CATH REN ART 1ST UNILAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36251",INS CATH REN ART 1ST UNILAT,EAPG,DEF,,,,,NA,NA,NA,N,
="36252",INS CATH REN ART 1ST BILAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36252",INS CATH REN ART 1ST BILAT,EAPG,DEF,,,,,NA,NA,NA,N,
="36253",INS CATH REN ART 2ND+ UNILAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36253",INS CATH REN ART 2ND+ UNILAT,EAPG,DEF,,,,,NA,NA,NA,N,
="36254",INS CATH REN ART 2ND+ BILAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36254",INS CATH REN ART 2ND+ BILAT,EAPG,DEF,,,,,NA,NA,NA,N,
="36260",INSERTION OF INFUSION PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36260",INSERTION OF INFUSION PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="36261",REVISION OF INFUSION PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36261",REVISION OF INFUSION PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="36262",REMOVAL OF INFUSION PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36262",REMOVAL OF INFUSION PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="36400",BL DRAW < 3 YRS FEM/JUGULAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36400",BL DRAW < 3 YRS FEM/JUGULAR,EAPG,DEF,,,,,NA,NA,NA,N,
="36405",BL DRAW <3 YRS SCALP VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36405",BL DRAW <3 YRS SCALP VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36406",BL DRAW <3 YRS OTHER VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36406",BL DRAW <3 YRS OTHER VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36410",NON-ROUTINE BL DRAW 3/> YRS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36410",NON-ROUTINE BL DRAW 3/> YRS,EAPG,DEF,,,,,NA,NA,NA,N,
="36416",CAPILLARY BLOOD DRAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36416",CAPILLARY BLOOD DRAW,EAPG,DEF,,,,,NA,NA,NA,N,
="36420",VEIN ACCESS CUTDOWN < 1 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36420",VEIN ACCESS CUTDOWN < 1 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="36425",VEIN ACCESS CUTDOWN > 1 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36425",VEIN ACCESS CUTDOWN > 1 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="36430",BLOOD TRANSFUSION SERVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36430",BLOOD TRANSFUSION SERVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="36440",BL PUSH TRANSFUSE 2 YR/<,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36440",BL PUSH TRANSFUSE 2 YR/<,EAPG,DEF,,,,,NA,NA,NA,N,
="36450",BL EXCHANGE/TRANSFUSE NB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36450",BL EXCHANGE/TRANSFUSE NB,EAPG,DEF,,,,,NA,NA,NA,N,
="36455",BL EXCHANGE/TRANSFUSE NON-NB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36455",BL EXCHANGE/TRANSFUSE NON-NB,EAPG,DEF,,,,,NA,NA,NA,N,
="36465",NJX NONCMPND SCLRSNT 1 VEIN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36465",NJX NONCMPND SCLRSNT 1 VEIN,EAPG,DEF,,,,,NA,NA,NA,Y,
="36466",NJX NONCMPND SCLRSNT MLT VN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36466",NJX NONCMPND SCLRSNT MLT VN,EAPG,DEF,,,,,NA,NA,NA,Y,
="36468",NJX SCLRSNT SPIDER VEINS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36468",NJX SCLRSNT SPIDER VEINS,EAPG,DEF,,,,,NA,NA,NA,Y,
="36470",NJX SCLRSNT 1 INCMPTNT VEIN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36470",NJX SCLRSNT 1 INCMPTNT VEIN,EAPG,DEF,,,,,NA,NA,NA,Y,
="36471",NJX SCLRSNT MLT INCMPTNT VN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36471",NJX SCLRSNT MLT INCMPTNT VN,EAPG,DEF,,,,,NA,NA,NA,Y,
="36473",ENDOVENOUS MCHNCHEM 1ST VEIN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36473",ENDOVENOUS MCHNCHEM 1ST VEIN,EAPG,DEF,,,,,NA,NA,NA,Y,
="36474",ENDOVENOUS MCHNCHEM ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36474",ENDOVENOUS MCHNCHEM ADD-ON,EAPG,DEF,,,,,NA,NA,NA,Y,
="36475",ENDOVENOUS RF 1ST VEIN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="36475",ENDOVENOUS RF 1ST VEIN,EAPG,DEF,,,,,NA,NA,NA,E,
="36476",ENDOVENOUS RF VEIN ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,E,
="36476",ENDOVENOUS RF VEIN ADD-ON,EAPG,DEF,,,,,NA,NA,NA,E,
="36478",ENDOVENOUS LASER 1ST VEIN,PRXOVR,DEF,,,,,NA,NA,NA,E,
="36478",ENDOVENOUS LASER 1ST VEIN,EAPG,DEF,,,,,NA,NA,NA,E,
="36479",ENDOVENOUS LASER VEIN ADDON,PRXOVR,DEF,,,,,NA,NA,NA,E,
="36479",ENDOVENOUS LASER VEIN ADDON,EAPG,DEF,,,,,NA,NA,NA,E,
="36481",INSERTION OF CATHETER VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36481",INSERTION OF CATHETER VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36482",ENDOVEN THER CHEM ADHES 1ST,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36482",ENDOVEN THER CHEM ADHES 1ST,EAPG,DEF,,,,,NA,NA,NA,Y,
="36483",ENDOVEN THER CHEM ADHES SBSQ,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="36483",ENDOVEN THER CHEM ADHES SBSQ,EAPG,DEF,,,,,NA,NA,NA,Y,
="36489",INSERTION OF CATHETER; VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36489",INSERTION OF CATHETER; VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36491",INSERTION OF CATHETER; VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36491",INSERTION OF CATHETER; VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36500",INSERTION OF CATHETER VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36500",INSERTION OF CATHETER VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36510",INSERTION OF CATHETER VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36510",INSERTION OF CATHETER VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36511",APHERESIS WBC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36511",APHERESIS WBC,EAPG,DEF,,,,,NA,NA,NA,N,
="36512",APHERESIS RBC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36512",APHERESIS RBC,EAPG,DEF,,,,,NA,NA,NA,N,
="36513",APHERESIS PLATELETS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36513",APHERESIS PLATELETS,EAPG,DEF,,,,,NA,NA,NA,N,
="36514",APHERESIS PLASMA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36514",APHERESIS PLASMA,EAPG,DEF,,,,,NA,NA,NA,N,
="36515",APHERESIS ADSORP/REINFUSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36515",APHERESIS ADSORP/REINFUSE,EAPG,DEF,,,,,NA,NA,NA,N,
="36516",APHERESIS IMMUNOADS SLCTV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36516",APHERESIS IMMUNOADS SLCTV,EAPG,DEF,,,,,NA,NA,NA,N,
="36522",PHOTOPHERESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36522",PHOTOPHERESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="36530",INSERTION OF INFUSION PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36530",INSERTION OF INFUSION PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="36531",REVISION OF INFUSION PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36531",REVISION OF INFUSION PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="36532",REMOVAL OF INFUSION PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36532",REMOVAL OF INFUSION PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="36533",INSERTION OF ACCESS DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36533",INSERTION OF ACCESS DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="36534",REVISION OF ACCESS DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36534",REVISION OF ACCESS DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="36535",REMOVAL OF ACCESS DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36535",REMOVAL OF ACCESS DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="36555",INSERT NON-TUNNEL CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36555",INSERT NON-TUNNEL CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36556",INSERT NON-TUNNEL CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36556",INSERT NON-TUNNEL CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36557",INSERT TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36557",INSERT TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36558",INSERT TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36558",INSERT TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36560",INSERT TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36560",INSERT TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36561",INSERT TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36561",INSERT TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36563",INSERT TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36563",INSERT TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36565",INSERT TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36565",INSERT TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36566",INSERT TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36566",INSERT TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36568",INSJ PICC <5 YR W/O IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36568",INSJ PICC <5 YR W/O IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="36569",INSJ PICC 5 YR+ W/O IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36569",INSJ PICC 5 YR+ W/O IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="36570",INSERT PICVAD CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36570",INSERT PICVAD CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36571",INSERT PICVAD CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36571",INSERT PICVAD CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36572",INSJ PICC RS&I <5 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36572",INSJ PICC RS&I <5 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="36573",INSJ PICC RS&I 5 YR+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36573",INSJ PICC RS&I 5 YR+,EAPG,DEF,,,,,NA,NA,NA,N,
="36575",REPAIR TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36575",REPAIR TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36576",REPAIR TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36576",REPAIR TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36578",REPLACE TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36578",REPLACE TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36580",REPLACE CVAD CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36580",REPLACE CVAD CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36581",REPLACE TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36581",REPLACE TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36582",REPLACE TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36582",REPLACE TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36583",REPLACE TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36583",REPLACE TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36584",COMPL RPLCMT PICC RS&I,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36584",COMPL RPLCMT PICC RS&I,EAPG,DEF,,,,,NA,NA,NA,N,
="36585",REPLACE PICVAD CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36585",REPLACE PICVAD CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36589",REMOVAL TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36589",REMOVAL TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36590",REMOVAL TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36590",REMOVAL TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36591",DRAW BLOOD OFF VENOUS DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36591",DRAW BLOOD OFF VENOUS DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="36592",COLLECT BLOOD FROM PICC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36592",COLLECT BLOOD FROM PICC,EAPG,DEF,,,,,NA,NA,NA,N,
="36593",DECLOT VASCULAR DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36593",DECLOT VASCULAR DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="36595",MECH REMOV TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36595",MECH REMOV TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36596",MECH REMOV TUNNELED CV CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36596",MECH REMOV TUNNELED CV CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="36597",REPOSITION VENOUS CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36597",REPOSITION VENOUS CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="36598",INJ W/FLUOR EVAL CV DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36598",INJ W/FLUOR EVAL CV DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="36600",WITHDRAWAL OF ARTERIAL BLOOD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36600",WITHDRAWAL OF ARTERIAL BLOOD,EAPG,DEF,,,,,NA,NA,NA,N,
="36620",INSERTION CATHETER ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36620",INSERTION CATHETER ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36625",INSERTION CATHETER ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36625",INSERTION CATHETER ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36640",INSERTION CATHETER ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36640",INSERTION CATHETER ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="36680",INSERT NEEDLE BONE CAVITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36680",INSERT NEEDLE BONE CAVITY,EAPG,DEF,,,,,NA,NA,NA,N,
="36800",INSERTION OF CANNULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36800",INSERTION OF CANNULA,EAPG,DEF,,,,,NA,NA,NA,N,
="36810",INSERTION OF CANNULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36810",INSERTION OF CANNULA,EAPG,DEF,,,,,NA,NA,NA,N,
="36815",INSERTION OF CANNULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36815",INSERTION OF CANNULA,EAPG,DEF,,,,,NA,NA,NA,N,
="36818",AV FUSE UPPR ARM CEPHALIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36818",AV FUSE UPPR ARM CEPHALIC,EAPG,DEF,,,,,NA,NA,NA,N,
="36819",AV FUSE UPPR ARM BASILIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36819",AV FUSE UPPR ARM BASILIC,EAPG,DEF,,,,,NA,NA,NA,N,
="36820",AV FUSION/FOREARM VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36820",AV FUSION/FOREARM VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="36821",AV FUSION DIRECT ANY SITE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36821",AV FUSION DIRECT ANY SITE,EAPG,DEF,,,,,NA,NA,NA,N,
="36825",ARTERY-VEIN AUTOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36825",ARTERY-VEIN AUTOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="36830",ARTERY-VEIN NONAUTOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36830",ARTERY-VEIN NONAUTOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="36831",OPEN THROMBECT AV FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36831",OPEN THROMBECT AV FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="36832",AV FISTULA REVISION OPEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36832",AV FISTULA REVISION OPEN,EAPG,DEF,,,,,NA,NA,NA,N,
="36833",AV FISTULA REVISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36833",AV FISTULA REVISION,EAPG,DEF,,,,,NA,NA,NA,N,
="36834",REPAIR A-V ANEURYSM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36834",REPAIR A-V ANEURYSM,EAPG,DEF,,,,,NA,NA,NA,N,
="36835",ARTERY TO VEIN SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36835",ARTERY TO VEIN SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="36836",PRQ AV FSTL CRTJ UXTR 1 ACS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36836",PRQ AV FSTL CRTJ UXTR 1 ACS,EAPG,DEF,,,,,NA,NA,NA,N,
="36837",PRQ AV FSTL CRT UXTR SEP ACS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36837",PRQ AV FSTL CRT UXTR SEP ACS,EAPG,DEF,,,,,NA,NA,NA,N,
="36860",EXTERNAL CANNULA DECLOTTING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36860",EXTERNAL CANNULA DECLOTTING,EAPG,DEF,,,,,NA,NA,NA,N,
="36861",CANNULA DECLOTTING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36861",CANNULA DECLOTTING,EAPG,DEF,,,,,NA,NA,NA,N,
="36870",PERCUT THROMBECT AV FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36870",PERCUT THROMBECT AV FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="36901",INTRO CATH DIALYSIS CIRCUIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36901",INTRO CATH DIALYSIS CIRCUIT,EAPG,DEF,,,,,NA,NA,NA,N,
="36902",INTRO CATH DIALYSIS CIRCUIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36902",INTRO CATH DIALYSIS CIRCUIT,EAPG,DEF,,,,,NA,NA,NA,N,
="36903",INTRO CATH DIALYSIS CIRCUIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36903",INTRO CATH DIALYSIS CIRCUIT,EAPG,DEF,,,,,NA,NA,NA,N,
="36904",THRMBC/NFS DIALYSIS CIRCUIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36904",THRMBC/NFS DIALYSIS CIRCUIT,EAPG,DEF,,,,,NA,NA,NA,N,
="36905",THRMBC/NFS DIALYSIS CIRCUIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36905",THRMBC/NFS DIALYSIS CIRCUIT,EAPG,DEF,,,,,NA,NA,NA,N,
="36906",THRMBC/NFS DIALYSIS CIRCUIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36906",THRMBC/NFS DIALYSIS CIRCUIT,EAPG,DEF,,,,,NA,NA,NA,N,
="36907",BALO ANGIOP CTR DIALYSIS SEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36907",BALO ANGIOP CTR DIALYSIS SEG,EAPG,DEF,,,,,NA,NA,NA,N,
="36908",STENT PLMT CTR DIALYSIS SEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36908",STENT PLMT CTR DIALYSIS SEG,EAPG,DEF,,,,,NA,NA,NA,N,
="36909",DIALYSIS CIRCUIT EMBOLJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="36909",DIALYSIS CIRCUIT EMBOLJ,EAPG,DEF,,,,,NA,NA,NA,N,
="37184",PRIM ART M-THRMBC 1ST VSL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37184",PRIM ART M-THRMBC 1ST VSL,EAPG,DEF,,,,,NA,NA,NA,N,
="37185",PRIM ART M-THRMBC SBSQ VSL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37185",PRIM ART M-THRMBC SBSQ VSL,EAPG,DEF,,,,,NA,NA,NA,N,
="37186",SEC ART THROMBECTOMY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37186",SEC ART THROMBECTOMY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="37187",VENOUS MECH THROMBECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37187",VENOUS MECH THROMBECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="37188",VEN MECHNL THRMBC REPEAT TX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37188",VEN MECHNL THRMBC REPEAT TX,EAPG,DEF,,,,,NA,NA,NA,N,
="37197",REMOVE INTRVAS FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37197",REMOVE INTRVAS FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="37200",TRANSCATHETER BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37200",TRANSCATHETER BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="37203",TRANSCATHETER RETRIEVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37203",TRANSCATHETER RETRIEVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="37211",THROMBOLYTIC ART THERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37211",THROMBOLYTIC ART THERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="37212",THROMBOLYTIC VENOUS THERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37212",THROMBOLYTIC VENOUS THERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="37220",ILIAC REVASC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37220",ILIAC REVASC,EAPG,DEF,,,,,NA,NA,NA,N,
="37221",ILIAC REVASC W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37221",ILIAC REVASC W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="37222",ILIAC REVASC ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37222",ILIAC REVASC ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="37223",ILIAC REVASC W/STENT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37223",ILIAC REVASC W/STENT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="37224",FEM/POPL REVAS W/TLA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37224",FEM/POPL REVAS W/TLA,EAPG,DEF,,,,,NA,NA,NA,N,
="37225",FEM/POPL REVAS W/ATHER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37225",FEM/POPL REVAS W/ATHER,EAPG,DEF,,,,,NA,NA,NA,N,
="37226",FEM/POPL REVASC W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37226",FEM/POPL REVASC W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="37227",FEM/POPL REVASC STNT & ATHER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37227",FEM/POPL REVASC STNT & ATHER,EAPG,DEF,,,,,NA,NA,NA,N,
="37228",TIB/PER REVASC W/TLA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37228",TIB/PER REVASC W/TLA,EAPG,DEF,,,,,NA,NA,NA,N,
="37229",TIB/PER REVASC W/ATHER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37229",TIB/PER REVASC W/ATHER,EAPG,DEF,,,,,NA,NA,NA,N,
="37230",TIB/PER REVASC W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37230",TIB/PER REVASC W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="37231",TIB/PER REVASC STENT & ATHER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37231",TIB/PER REVASC STENT & ATHER,EAPG,DEF,,,,,NA,NA,NA,N,
="37232",TIB/PER REVASC ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37232",TIB/PER REVASC ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="37233",TIBPER REVASC W/ATHER ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37233",TIBPER REVASC W/ATHER ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="37234",REVSC OPN/PRQ TIB/PERO STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37234",REVSC OPN/PRQ TIB/PERO STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="37235",TIB/PER REVASC STNT & ATHER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37235",TIB/PER REVASC STNT & ATHER,EAPG,DEF,,,,,NA,NA,NA,N,
="37236",OPEN/PERQ PLACE STENT 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37236",OPEN/PERQ PLACE STENT 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="37237",OPEN/PERQ PLACE STENT EA ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37237",OPEN/PERQ PLACE STENT EA ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="37238",OPEN/PERQ PLACE STENT SAME,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37238",OPEN/PERQ PLACE STENT SAME,EAPG,DEF,,,,,NA,NA,NA,N,
="37239",OPEN/PERQ PLACE STENT EA ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37239",OPEN/PERQ PLACE STENT EA ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="37241",VASC EMBOLIZE/OCCLUDE VENOUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37241",VASC EMBOLIZE/OCCLUDE VENOUS,EAPG,DEF,,,,,NA,NA,NA,N,
="37242",VASC EMBOLIZE/OCCLUDE ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37242",VASC EMBOLIZE/OCCLUDE ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="37243",VASC EMBOLIZE/OCCLUDE ORGAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37243",VASC EMBOLIZE/OCCLUDE ORGAN,EAPG,DEF,,,,,NA,NA,NA,N,
="37246",TRLUML BALO ANGIOP 1ST ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37246",TRLUML BALO ANGIOP 1ST ART,EAPG,DEF,,,,,NA,NA,NA,N,
="37247",TRLUML BALO ANGIOP ADDL ART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37247",TRLUML BALO ANGIOP ADDL ART,EAPG,DEF,,,,,NA,NA,NA,N,
="37248",TRLUML BALO ANGIOP 1ST VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37248",TRLUML BALO ANGIOP 1ST VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37249",TRLUML BALO ANGIOP ADDL VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37249",TRLUML BALO ANGIOP ADDL VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37252",INTRVASC US NONCORONARY 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37252",INTRVASC US NONCORONARY 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="37253",INTRVASC US NONCORONARY ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37253",INTRVASC US NONCORONARY ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="37500",ENDOSCOPY LIGATE PERF VEINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37500",ENDOSCOPY LIGATE PERF VEINS,EAPG,DEF,,,,,NA,NA,NA,N,
="37607",LIGATION OF A-V FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37607",LIGATION OF A-V FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="37609",TEMPORAL ARTERY PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37609",TEMPORAL ARTERY PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="37650",REVISION OF MAJOR VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37650",REVISION OF MAJOR VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37700",REVISE LEG VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37700",REVISE LEG VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37718",LIGATE/STRIP SHORT LEG VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37718",LIGATE/STRIP SHORT LEG VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37720",REMOVAL OF LEG VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37720",REMOVAL OF LEG VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37722",LIGATE/STRIP LONG LEG VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37722",LIGATE/STRIP LONG LEG VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37730",REMOVAL OF LEG VEINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37730",REMOVAL OF LEG VEINS,EAPG,DEF,,,,,NA,NA,NA,N,
="37735",REMOVAL OF LEG VEINS/LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37735",REMOVAL OF LEG VEINS/LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="37760",LIGATE LEG VEINS RADICAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37760",LIGATE LEG VEINS RADICAL,EAPG,DEF,,,,,NA,NA,NA,N,
="37761",LIGATE LEG VEINS OPEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37761",LIGATE LEG VEINS OPEN,EAPG,DEF,,,,,NA,NA,NA,N,
="37765",STAB PHLEB VEINS XTR 10-20,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="37765",STAB PHLEB VEINS XTR 10-20,EAPG,DEF,,,,,NA,NA,NA,Y,
="37766",PHLEB VEINS - EXTREM 20+,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="37766",PHLEB VEINS - EXTREM 20+,EAPG,DEF,,,,,NA,NA,NA,Y,
="37780",REVISION OF LEG VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37780",REVISION OF LEG VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37785",LIGATE/DIVIDE/EXCISE VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37785",LIGATE/DIVIDE/EXCISE VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="37790",PENILE VENOUS OCCLUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="37790",PENILE VENOUS OCCLUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="38200",INJECTION FOR SPLEEN X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38200",INJECTION FOR SPLEEN X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="38204",BL DONOR SEARCH MANAGEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38204",BL DONOR SEARCH MANAGEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="38206",HARVEST AUTO STEM CELLS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38206",HARVEST AUTO STEM CELLS,EAPG,DEF,,,,,NA,NA,NA,N,
="38220",DX BONE MARROW ASPIRATIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38220",DX BONE MARROW ASPIRATIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="38221",DX BONE MARROW BIOPSIES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38221",DX BONE MARROW BIOPSIES,EAPG,DEF,,,,,NA,NA,NA,N,
="38222",DX BONE MARROW BX & ASPIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38222",DX BONE MARROW BX & ASPIR,EAPG,DEF,,,,,NA,NA,NA,N,
="38230",BONE MARROW HARVEST ALLOGEN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="38230",BONE MARROW HARVEST ALLOGEN,EAPG,DEF,,,,,NA,NA,NA,Y,
="38232",BONE MARROW HARVEST AUTOLOG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="38232",BONE MARROW HARVEST AUTOLOG,EAPG,DEF,,,,,NA,NA,NA,Y,
="38241",TRANSPLT AUTOL HCT/DONOR,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="38241",TRANSPLT AUTOL HCT/DONOR,EAPG,DEF,,,,,NA,NA,NA,Y,
="38242",TRANSPLT ALLO LYMPHOCYTES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38242",TRANSPLT ALLO LYMPHOCYTES,EAPG,DEF,,,,,NA,NA,NA,N,
="38243",TRANSPLJ HEMATOPOIETIC BOOST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38243",TRANSPLJ HEMATOPOIETIC BOOST,EAPG,DEF,,,,,NA,NA,NA,N,
="38300",DRAINAGE LYMPH NODE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38300",DRAINAGE LYMPH NODE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="38305",DRAINAGE LYMPH NODE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38305",DRAINAGE LYMPH NODE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="38308",INCISION OF LYMPH CHANNELS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38308",INCISION OF LYMPH CHANNELS,EAPG,DEF,,,,,NA,NA,NA,N,
="38500",BIOPSY/REMOVAL LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38500",BIOPSY/REMOVAL LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38505",NEEDLE BIOPSY LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38505",NEEDLE BIOPSY LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38510",BIOPSY/REMOVAL LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38510",BIOPSY/REMOVAL LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38520",BIOPSY/REMOVAL LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38520",BIOPSY/REMOVAL LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38525",BIOPSY/REMOVAL LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38525",BIOPSY/REMOVAL LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38530",BIOPSY/REMOVAL LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38530",BIOPSY/REMOVAL LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38542",EXPLORE DEEP NODE(S) NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38542",EXPLORE DEEP NODE(S) NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="38550",REMOVAL NECK/ARMPIT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38550",REMOVAL NECK/ARMPIT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="38555",REMOVAL NECK/ARMPIT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38555",REMOVAL NECK/ARMPIT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="38570",LAPAROSCOPY LYMPH NODE BIOP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38570",LAPAROSCOPY LYMPH NODE BIOP,EAPG,DEF,,,,,NA,NA,NA,N,
="38571",LAPAROSCOPY LYMPHADENECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38571",LAPAROSCOPY LYMPHADENECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="38572",LAPAROSCOPY LYMPHADENECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38572",LAPAROSCOPY LYMPHADENECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="38573",LAPS PELVIC LYMPHADEC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38573",LAPS PELVIC LYMPHADEC,EAPG,DEF,,,,,NA,NA,NA,N,
="38700",REMOVAL OF LYMPH NODES NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38700",REMOVAL OF LYMPH NODES NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="38740",REMOVE ARMPIT LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38740",REMOVE ARMPIT LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38745",REMOVE ARMPIT LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38745",REMOVE ARMPIT LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38760",REMOVE GROIN LYMPH NODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38760",REMOVE GROIN LYMPH NODES,EAPG,DEF,,,,,NA,NA,NA,N,
="38790",INJECT FOR LYMPHATIC X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38790",INJECT FOR LYMPHATIC X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="38792",RA TRACER ID OF SENTINL NODE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38792",RA TRACER ID OF SENTINL NODE,EAPG,DEF,,,,,NA,NA,NA,N,
="38794",ACCESS THORACIC LYMPH DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38794",ACCESS THORACIC LYMPH DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="38900",IO MAP OF SENT LYMPH NODE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="38900",IO MAP OF SENT LYMPH NODE,EAPG,DEF,,,,,NA,NA,NA,N,
="40490",BIOPSY OF LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40490",BIOPSY OF LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="40500",PARTIAL EXCISION OF LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40500",PARTIAL EXCISION OF LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="40510",PARTIAL EXCISION OF LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40510",PARTIAL EXCISION OF LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="40520",PARTIAL EXCISION OF LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40520",PARTIAL EXCISION OF LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="40525",RECONSTRUCT LIP WITH FLAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40525",RECONSTRUCT LIP WITH FLAP,EAPG,DEF,,,,,NA,NA,NA,N,
="40527",RECONSTRUCT LIP WITH FLAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40527",RECONSTRUCT LIP WITH FLAP,EAPG,DEF,,,,,NA,NA,NA,N,
="40530",PARTIAL REMOVAL OF LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40530",PARTIAL REMOVAL OF LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="40650",REPAIR LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40650",REPAIR LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="40652",REPAIR LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40652",REPAIR LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="40654",REPAIR LIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40654",REPAIR LIP,EAPG,DEF,,,,,NA,NA,NA,N,
="40700",REPAIR CLEFT LIP/NASAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40700",REPAIR CLEFT LIP/NASAL,EAPG,DEF,,,,,NA,NA,NA,N,
="40701",REPAIR CLEFT LIP/NASAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40701",REPAIR CLEFT LIP/NASAL,EAPG,DEF,,,,,NA,NA,NA,N,
="40702",REPAIR CLEFT LIP/NASAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40702",REPAIR CLEFT LIP/NASAL,EAPG,DEF,,,,,NA,NA,NA,N,
="40720",REPAIR CLEFT LIP/NASAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40720",REPAIR CLEFT LIP/NASAL,EAPG,DEF,,,,,NA,NA,NA,N,
="40761",REPAIR CLEFT LIP/NASAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40761",REPAIR CLEFT LIP/NASAL,EAPG,DEF,,,,,NA,NA,NA,N,
="40800",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40800",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="40801",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40801",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="40804",REMOVAL FOREIGN BODY MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40804",REMOVAL FOREIGN BODY MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="40805",REMOVAL FOREIGN BODY MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40805",REMOVAL FOREIGN BODY MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="40806",INCISION OF LIP FOLD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40806",INCISION OF LIP FOLD,EAPG,DEF,,,,,NA,NA,NA,N,
="40808",BIOPSY OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40808",BIOPSY OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="40810",EXCISION OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40810",EXCISION OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="40812",EXCISE/REPAIR MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40812",EXCISE/REPAIR MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="40814",EXCISE/REPAIR MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40814",EXCISE/REPAIR MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="40816",EXCISION OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40816",EXCISION OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="40818",EXCISE ORAL MUCOSA FOR GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40818",EXCISE ORAL MUCOSA FOR GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="40819",EXCISE LIP OR CHEEK FOLD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40819",EXCISE LIP OR CHEEK FOLD,EAPG,DEF,,,,,NA,NA,NA,N,
="40820",TREATMENT OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40820",TREATMENT OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="40830",REPAIR MOUTH LACERATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40830",REPAIR MOUTH LACERATION,EAPG,DEF,,,,,NA,NA,NA,N,
="40831",REPAIR MOUTH LACERATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40831",REPAIR MOUTH LACERATION,EAPG,DEF,,,,,NA,NA,NA,N,
="40840",RECONSTRUCTION OF MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40840",RECONSTRUCTION OF MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="40842",RECONSTRUCTION OF MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40842",RECONSTRUCTION OF MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="40843",RECONSTRUCTION OF MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40843",RECONSTRUCTION OF MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="40844",RECONSTRUCTION OF MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40844",RECONSTRUCTION OF MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="40845",RECONSTRUCTION OF MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="40845",RECONSTRUCTION OF MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="41000",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41000",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41005",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41005",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41006",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41006",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41007",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41007",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41008",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41008",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41009",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41009",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41010",INCISION OF TONGUE FOLD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41010",INCISION OF TONGUE FOLD,EAPG,DEF,,,,,NA,NA,NA,N,
="41015",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41015",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41016",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41016",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41017",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41017",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41018",DRAINAGE OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41018",DRAINAGE OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41019",PLACE NEEDLES H&N FOR RT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41019",PLACE NEEDLES H&N FOR RT,EAPG,DEF,,,,,NA,NA,NA,N,
="41100",BIOPSY OF TONGUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41100",BIOPSY OF TONGUE,EAPG,DEF,,,,,NA,NA,NA,N,
="41105",BIOPSY OF TONGUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41105",BIOPSY OF TONGUE,EAPG,DEF,,,,,NA,NA,NA,N,
="41108",BIOPSY OF FLOOR OF MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41108",BIOPSY OF FLOOR OF MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="41110",EXCISION OF TONGUE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41110",EXCISION OF TONGUE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41112",EXCISION OF TONGUE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41112",EXCISION OF TONGUE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41113",EXCISION OF TONGUE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41113",EXCISION OF TONGUE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41114",EXCISION OF TONGUE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41114",EXCISION OF TONGUE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41115",EXCISION OF TONGUE FOLD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41115",EXCISION OF TONGUE FOLD,EAPG,DEF,,,,,NA,NA,NA,N,
="41116",EXCISION OF MOUTH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41116",EXCISION OF MOUTH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41120",PARTIAL REMOVAL OF TONGUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41120",PARTIAL REMOVAL OF TONGUE,EAPG,DEF,,,,,NA,NA,NA,N,
="41250",REPAIR TONGUE LACERATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41250",REPAIR TONGUE LACERATION,EAPG,DEF,,,,,NA,NA,NA,N,
="41251",REPAIR TONGUE LACERATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41251",REPAIR TONGUE LACERATION,EAPG,DEF,,,,,NA,NA,NA,N,
="41252",REPAIR TONGUE LACERATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41252",REPAIR TONGUE LACERATION,EAPG,DEF,,,,,NA,NA,NA,N,
="41500",FIXATION OF TONGUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41500",FIXATION OF TONGUE,EAPG,DEF,,,,,NA,NA,NA,N,
="41510",TONGUE TO LIP SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41510",TONGUE TO LIP SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="41512",TONGUE SUSPENSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41512",TONGUE SUSPENSION,EAPG,DEF,,,,,NA,NA,NA,N,
="41520",RECONSTRUCTION TONGUE FOLD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41520",RECONSTRUCTION TONGUE FOLD,EAPG,DEF,,,,,NA,NA,NA,N,
="41530",TONGUE BASE VOL REDUCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41530",TONGUE BASE VOL REDUCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="41800",DRAINAGE OF GUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41800",DRAINAGE OF GUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41805",REMOVAL FOREIGN BODY GUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41805",REMOVAL FOREIGN BODY GUM,EAPG,DEF,,,,,NA,NA,NA,N,
="41806",REMOVAL FOREIGN BODY JAWBONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41806",REMOVAL FOREIGN BODY JAWBONE,EAPG,DEF,,,,,NA,NA,NA,N,
="41820",EXCISION GUM EACH QUADRANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41820",EXCISION GUM EACH QUADRANT,EAPG,DEF,,,,,NA,NA,NA,N,
="41821",EXCISION OF GUM FLAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41821",EXCISION OF GUM FLAP,EAPG,DEF,,,,,NA,NA,NA,N,
="41822",EXCISION OF GUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41822",EXCISION OF GUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41823",EXCISION OF GUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41823",EXCISION OF GUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41825",EXCISION OF GUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41825",EXCISION OF GUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41826",EXCISION OF GUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41826",EXCISION OF GUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41827",EXCISION OF GUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41827",EXCISION OF GUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41828",EXCISION OF GUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41828",EXCISION OF GUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41830",REMOVAL OF GUM TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41830",REMOVAL OF GUM TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="41850",TREATMENT OF GUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41850",TREATMENT OF GUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="41870",GUM GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41870",GUM GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="41872",REPAIR GUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41872",REPAIR GUM,EAPG,DEF,,,,,NA,NA,NA,N,
="41874",REPAIR TOOTH SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="41874",REPAIR TOOTH SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="42000",DRAINAGE MOUTH ROOF LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42000",DRAINAGE MOUTH ROOF LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42100",BIOPSY ROOF OF MOUTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42100",BIOPSY ROOF OF MOUTH,EAPG,DEF,,,,,NA,NA,NA,N,
="42104",EXCISION LESION MOUTH ROOF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42104",EXCISION LESION MOUTH ROOF,EAPG,DEF,,,,,NA,NA,NA,N,
="42106",EXCISION LESION MOUTH ROOF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42106",EXCISION LESION MOUTH ROOF,EAPG,DEF,,,,,NA,NA,NA,N,
="42107",EXCISION LESION MOUTH ROOF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42107",EXCISION LESION MOUTH ROOF,EAPG,DEF,,,,,NA,NA,NA,N,
="42120",REMOVE PALATE/LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42120",REMOVE PALATE/LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42140",EXCISION OF UVULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42140",EXCISION OF UVULA,EAPG,DEF,,,,,NA,NA,NA,N,
="42145",REPAIR PALATE PHARYNX/UVULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42145",REPAIR PALATE PHARYNX/UVULA,EAPG,DEF,,,,,NA,NA,NA,N,
="42160",TREATMENT MOUTH ROOF LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42160",TREATMENT MOUTH ROOF LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42180",REPAIR PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42180",REPAIR PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42182",REPAIR PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42182",REPAIR PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42200",RECONSTRUCT CLEFT PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42200",RECONSTRUCT CLEFT PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42205",RECONSTRUCT CLEFT PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42205",RECONSTRUCT CLEFT PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42210",RECONSTRUCT CLEFT PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42210",RECONSTRUCT CLEFT PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42215",RECONSTRUCT CLEFT PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42215",RECONSTRUCT CLEFT PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42220",RECONSTRUCT CLEFT PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42220",RECONSTRUCT CLEFT PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42225",RECONSTRUCT CLEFT PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42225",RECONSTRUCT CLEFT PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42226",LENGTHENING OF PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42226",LENGTHENING OF PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42227",LENGTHENING OF PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42227",LENGTHENING OF PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42235",REPAIR PALATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42235",REPAIR PALATE,EAPG,DEF,,,,,NA,NA,NA,N,
="42260",REPAIR NOSE TO LIP FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42260",REPAIR NOSE TO LIP FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="42280",PREPARATION PALATE MOLD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42280",PREPARATION PALATE MOLD,EAPG,DEF,,,,,NA,NA,NA,N,
="42281",INSERTION PALATE PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42281",INSERTION PALATE PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="42300",DRAINAGE OF SALIVARY GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42300",DRAINAGE OF SALIVARY GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="42305",DRAINAGE OF SALIVARY GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42305",DRAINAGE OF SALIVARY GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="42310",DRAINAGE OF SALIVARY GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42310",DRAINAGE OF SALIVARY GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="42320",DRAINAGE OF SALIVARY GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42320",DRAINAGE OF SALIVARY GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="42325",CREATE SALIVARY CYST DRAIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42325",CREATE SALIVARY CYST DRAIN,EAPG,DEF,,,,,NA,NA,NA,N,
="42330",REMOVAL OF SALIVARY STONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42330",REMOVAL OF SALIVARY STONE,EAPG,DEF,,,,,NA,NA,NA,N,
="42335",REMOVAL OF SALIVARY STONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42335",REMOVAL OF SALIVARY STONE,EAPG,DEF,,,,,NA,NA,NA,N,
="42340",REMOVAL OF SALIVARY STONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42340",REMOVAL OF SALIVARY STONE,EAPG,DEF,,,,,NA,NA,NA,N,
="42400",BIOPSY OF SALIVARY GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42400",BIOPSY OF SALIVARY GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="42405",BIOPSY OF SALIVARY GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42405",BIOPSY OF SALIVARY GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="42408",EXCISION OF SALIVARY CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42408",EXCISION OF SALIVARY CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="42409",DRAINAGE OF SALIVARY CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42409",DRAINAGE OF SALIVARY CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="42410",EXCISE PAROTID GLAND/LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42410",EXCISE PAROTID GLAND/LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42415",EXCISE PAROTID GLAND/LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42415",EXCISE PAROTID GLAND/LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42420",EXCISE PAROTID GLAND/LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42420",EXCISE PAROTID GLAND/LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42425",EXCISE PAROTID GLAND/LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42425",EXCISE PAROTID GLAND/LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42440",EXCISE SUBMAXILLARY GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42440",EXCISE SUBMAXILLARY GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="42450",EXCISE SUBLINGUAL GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42450",EXCISE SUBLINGUAL GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="42500",REPAIR SALIVARY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42500",REPAIR SALIVARY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="42505",REPAIR SALIVARY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42505",REPAIR SALIVARY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="42507",PAROTID DUCT DIVERSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42507",PAROTID DUCT DIVERSION,EAPG,DEF,,,,,NA,NA,NA,N,
="42508",PAROTID DUCT DIVERSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42508",PAROTID DUCT DIVERSION,EAPG,DEF,,,,,NA,NA,NA,N,
="42509",PAROTID DUCT DIVERSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42509",PAROTID DUCT DIVERSION,EAPG,DEF,,,,,NA,NA,NA,N,
="4250F",WRMNG 4 SURG NORMOTHERMIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="4250F",WRMNG 4 SURG NORMOTHERMIA,EAPG,DEF,,,,,NA,NA,NA,N,
="42510",PAROTID DUCT DIVERSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42510",PAROTID DUCT DIVERSION,EAPG,DEF,,,,,NA,NA,NA,N,
="42550",INJECTION FOR SALIVARY X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42550",INJECTION FOR SALIVARY X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="42600",CLOSURE OF SALIVARY FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42600",CLOSURE OF SALIVARY FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="42650",DILATION OF SALIVARY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42650",DILATION OF SALIVARY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="42660",DILATION OF SALIVARY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42660",DILATION OF SALIVARY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="42665",LIGATION OF SALIVARY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42665",LIGATION OF SALIVARY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="42700",DRAINAGE OF TONSIL ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42700",DRAINAGE OF TONSIL ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="42720",DRAINAGE OF THROAT ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42720",DRAINAGE OF THROAT ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="42725",DRAINAGE OF THROAT ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42725",DRAINAGE OF THROAT ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="42800",BIOPSY OF THROAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42800",BIOPSY OF THROAT,EAPG,DEF,,,,,NA,NA,NA,N,
="42802",BIOPSY OF THROAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42802",BIOPSY OF THROAT,EAPG,DEF,,,,,NA,NA,NA,N,
="42804",BIOPSY OF UPPER NOSE/THROAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42804",BIOPSY OF UPPER NOSE/THROAT,EAPG,DEF,,,,,NA,NA,NA,N,
="42806",BIOPSY OF UPPER NOSE/THROAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42806",BIOPSY OF UPPER NOSE/THROAT,EAPG,DEF,,,,,NA,NA,NA,N,
="42808",EXCISE PHARYNX LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42808",EXCISE PHARYNX LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42809",REMOVE PHARYNX FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42809",REMOVE PHARYNX FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="42810",EXCISION OF NECK CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42810",EXCISION OF NECK CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="42815",EXCISION OF NECK CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42815",EXCISION OF NECK CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="42820",REMOVE TONSILS AND ADENOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42820",REMOVE TONSILS AND ADENOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="42821",REMOVE TONSILS AND ADENOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42821",REMOVE TONSILS AND ADENOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="42825",REMOVAL OF TONSILS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42825",REMOVAL OF TONSILS,EAPG,DEF,,,,,NA,NA,NA,N,
="42826",REMOVAL OF TONSILS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42826",REMOVAL OF TONSILS,EAPG,DEF,,,,,NA,NA,NA,N,
="42830",REMOVAL OF ADENOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42830",REMOVAL OF ADENOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="42831",REMOVAL OF ADENOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42831",REMOVAL OF ADENOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="42835",REMOVAL OF ADENOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42835",REMOVAL OF ADENOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="42836",REMOVAL OF ADENOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42836",REMOVAL OF ADENOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="42860",EXCISION OF TONSIL TAGS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42860",EXCISION OF TONSIL TAGS,EAPG,DEF,,,,,NA,NA,NA,N,
="42870",EXCISION OF LINGUAL TONSIL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42870",EXCISION OF LINGUAL TONSIL,EAPG,DEF,,,,,NA,NA,NA,N,
="42880",EXCISE NOSE/THROAT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42880",EXCISE NOSE/THROAT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="42890",PARTIAL REMOVAL OF PHARYNX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42890",PARTIAL REMOVAL OF PHARYNX,EAPG,DEF,,,,,NA,NA,NA,N,
="42892",REVISION OF PHARYNGEAL WALLS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42892",REVISION OF PHARYNGEAL WALLS,EAPG,DEF,,,,,NA,NA,NA,N,
="42900",REPAIR THROAT WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42900",REPAIR THROAT WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="42950",RECONSTRUCTION OF THROAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42950",RECONSTRUCTION OF THROAT,EAPG,DEF,,,,,NA,NA,NA,N,
="42955",SURGICAL OPENING OF THROAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42955",SURGICAL OPENING OF THROAT,EAPG,DEF,,,,,NA,NA,NA,N,
="42960",CONTROL THROAT BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42960",CONTROL THROAT BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="42962",CONTROL THROAT BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42962",CONTROL THROAT BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="42970",CONTROL NOSE/THROAT BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42970",CONTROL NOSE/THROAT BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="42972",CONTROL NOSE/THROAT BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42972",CONTROL NOSE/THROAT BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="42975",DISE EVAL SLP DO BRTH FLX DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="42975",DISE EVAL SLP DO BRTH FLX DX,EAPG,DEF,,,,,NA,NA,NA,N,
="43030",THROAT MUSCLE SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43030",THROAT MUSCLE SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="43130",REMOVAL OF ESOPHAGUS POUCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43130",REMOVAL OF ESOPHAGUS POUCH,EAPG,DEF,,,,,NA,NA,NA,N,
="43180",ESOPHAGOSCOPY RIGID TRNSO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43180",ESOPHAGOSCOPY RIGID TRNSO,EAPG,DEF,,,,,NA,NA,NA,N,
="43191",ESOPHAGOSCOPY RIGID TRNSO DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43191",ESOPHAGOSCOPY RIGID TRNSO DX,EAPG,DEF,,,,,NA,NA,NA,N,
="43192",ESOPHAGOSCP RIG TRNSO INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43192",ESOPHAGOSCP RIG TRNSO INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="43193",ESOPHAGOSCP RIG TRNSO BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43193",ESOPHAGOSCP RIG TRNSO BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="43194",ESOPHAGOSCP RIG TRNSO REM FB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43194",ESOPHAGOSCP RIG TRNSO REM FB,EAPG,DEF,,,,,NA,NA,NA,N,
="43195",ESOPHAGOSCOPY RIGID BALLOON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43195",ESOPHAGOSCOPY RIGID BALLOON,EAPG,DEF,,,,,NA,NA,NA,N,
="43196",ESOPHAGOSCP GUIDE WIRE DILAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43196",ESOPHAGOSCP GUIDE WIRE DILAT,EAPG,DEF,,,,,NA,NA,NA,N,
="43197",ESOPHAGOSCOPY FLEX DX BRUSH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43197",ESOPHAGOSCOPY FLEX DX BRUSH,EAPG,DEF,,,,,NA,NA,NA,N,
="43198",ESOPHAGOSC FLEX TRNSN BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43198",ESOPHAGOSC FLEX TRNSN BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="43200",ESOPHAGOSCOPY FLEXIBLE BRUSH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43200",ESOPHAGOSCOPY FLEXIBLE BRUSH,EAPG,DEF,,,,,NA,NA,NA,N,
="43201",ESOPH SCOPE W/SUBMUCOUS INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43201",ESOPH SCOPE W/SUBMUCOUS INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="43202",ESOPHAGOSCOPY FLEX BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43202",ESOPHAGOSCOPY FLEX BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="43204",ESOPH SCOPE W/SCLEROSIS INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43204",ESOPH SCOPE W/SCLEROSIS INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="43205",ESOPHAGUS ENDOSCOPY/LIGATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43205",ESOPHAGUS ENDOSCOPY/LIGATION,EAPG,DEF,,,,,NA,NA,NA,N,
="43206",ESOPH OPTICAL ENDOMICROSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43206",ESOPH OPTICAL ENDOMICROSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="43210",EGD ESOPHAGOGASTRC FNDOPLSTY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43210",EGD ESOPHAGOGASTRC FNDOPLSTY,EAPG,DEF,,,,,NA,NA,NA,N,
="43211",ESOPHAGOSCOP MUCOSAL RESECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43211",ESOPHAGOSCOP MUCOSAL RESECT,EAPG,DEF,,,,,NA,NA,NA,N,
="43212",ESOPHAGOSCOP STENT PLACEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43212",ESOPHAGOSCOP STENT PLACEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="43213",ESOPHAGOSCOPY RETRO BALLOON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43213",ESOPHAGOSCOPY RETRO BALLOON,EAPG,DEF,,,,,NA,NA,NA,N,
="43214",ESOPHAGOSC DILATE BALLOON 30,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43214",ESOPHAGOSC DILATE BALLOON 30,EAPG,DEF,,,,,NA,NA,NA,N,
="43215",ESOPHAGOSCOPY FLEX REMOVE FB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43215",ESOPHAGOSCOPY FLEX REMOVE FB,EAPG,DEF,,,,,NA,NA,NA,N,
="43216",ESOPHAGOSCOPY LESION REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43216",ESOPHAGOSCOPY LESION REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="43217",ESOPHAGOSCOPY SNARE LES REMV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43217",ESOPHAGOSCOPY SNARE LES REMV,EAPG,DEF,,,,,NA,NA,NA,N,
="43220",ESOPHAGOSCOPY BALLOON <30MM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43220",ESOPHAGOSCOPY BALLOON <30MM,EAPG,DEF,,,,,NA,NA,NA,N,
="43226",ESOPH ENDOSCOPY DILATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43226",ESOPH ENDOSCOPY DILATION,EAPG,DEF,,,,,NA,NA,NA,N,
="43227",ESOPHAGOSCOPY CONTROL BLEED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43227",ESOPHAGOSCOPY CONTROL BLEED,EAPG,DEF,,,,,NA,NA,NA,N,
="43228",ESOPH ENDOSCOPY ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43228",ESOPH ENDOSCOPY ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="43229",ESOPHAGOSCOPY LESION ABLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43229",ESOPHAGOSCOPY LESION ABLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="43231",ESOPHAGOSCOP ULTRASOUND EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43231",ESOPHAGOSCOP ULTRASOUND EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="43232",ESOPHAGOSCOPY W/US NEEDLE BX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43232",ESOPHAGOSCOPY W/US NEEDLE BX,EAPG,DEF,,,,,NA,NA,NA,N,
="43233",EGD BALLOON DIL ESOPH30 MM/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43233",EGD BALLOON DIL ESOPH30 MM/>,EAPG,DEF,,,,,NA,NA,NA,N,
="43234",UPPER GI ENDOSCOPY EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43234",UPPER GI ENDOSCOPY EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="43235",EGD DIAGNOSTIC BRUSH WASH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43235",EGD DIAGNOSTIC BRUSH WASH,EAPG,DEF,,,,,NA,NA,NA,N,
="43236",UPPR GI SCOPE W/SUBMUC INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43236",UPPR GI SCOPE W/SUBMUC INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="43237",ENDOSCOPIC US EXAM ESOPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43237",ENDOSCOPIC US EXAM ESOPH,EAPG,DEF,,,,,NA,NA,NA,N,
="43238",EGD US FINE NEEDLE BX/ASPIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43238",EGD US FINE NEEDLE BX/ASPIR,EAPG,DEF,,,,,NA,NA,NA,N,
="43239",EGD BIOPSY SINGLE/MULTIPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43239",EGD BIOPSY SINGLE/MULTIPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="43240",EGD W/TRANSMURAL DRAIN CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43240",EGD W/TRANSMURAL DRAIN CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="43241",EGD TUBE/CATH INSERTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43241",EGD TUBE/CATH INSERTION,EAPG,DEF,,,,,NA,NA,NA,N,
="43242",EGD US FINE NEEDLE BX/ASPIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43242",EGD US FINE NEEDLE BX/ASPIR,EAPG,DEF,,,,,NA,NA,NA,N,
="43243",EGD INJECTION VARICES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43243",EGD INJECTION VARICES,EAPG,DEF,,,,,NA,NA,NA,N,
="43244",EGD VARICES LIGATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43244",EGD VARICES LIGATION,EAPG,DEF,,,,,NA,NA,NA,N,
="43245",EGD DILATE STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43245",EGD DILATE STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="43246",EGD PLACE GASTROSTOMY TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43246",EGD PLACE GASTROSTOMY TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="43247",EGD REMOVE FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43247",EGD REMOVE FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="43248",EGD GUIDE WIRE INSERTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43248",EGD GUIDE WIRE INSERTION,EAPG,DEF,,,,,NA,NA,NA,N,
="43249",ESOPH EGD DILATION <30 MM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43249",ESOPH EGD DILATION <30 MM,EAPG,DEF,,,,,NA,NA,NA,N,
="43250",EGD CAUTERY TUMOR POLYP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43250",EGD CAUTERY TUMOR POLYP,EAPG,DEF,,,,,NA,NA,NA,N,
="43251",EGD REMOVE LESION SNARE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43251",EGD REMOVE LESION SNARE,EAPG,DEF,,,,,NA,NA,NA,N,
="43252",EGD OPTICAL ENDOMICROSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43252",EGD OPTICAL ENDOMICROSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="43253",EGD US TRANSMURAL INJXN/MARK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43253",EGD US TRANSMURAL INJXN/MARK,EAPG,DEF,,,,,NA,NA,NA,N,
="43254",EGD ENDO MUCOSAL RESECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43254",EGD ENDO MUCOSAL RESECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="43255",EGD CONTROL BLEEDING ANY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43255",EGD CONTROL BLEEDING ANY,EAPG,DEF,,,,,NA,NA,NA,N,
="43256",UPPR GI ENDOSCOPY W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43256",UPPR GI ENDOSCOPY W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="43257",EGD W/THRML TXMNT GERD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43257",EGD W/THRML TXMNT GERD,EAPG,DEF,,,,,NA,NA,NA,N,
="43258",OPERATIVE UPPER GI ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43258",OPERATIVE UPPER GI ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="43259",EGD US EXAM DUODENUM/JEJUNUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43259",EGD US EXAM DUODENUM/JEJUNUM,EAPG,DEF,,,,,NA,NA,NA,N,
="43260",ERCP W/SPECIMEN COLLECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43260",ERCP W/SPECIMEN COLLECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="43261",ENDO CHOLANGIOPANCREATOGRAPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43261",ENDO CHOLANGIOPANCREATOGRAPH,EAPG,DEF,,,,,NA,NA,NA,N,
="43262",ENDO CHOLANGIOPANCREATOGRAPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43262",ENDO CHOLANGIOPANCREATOGRAPH,EAPG,DEF,,,,,NA,NA,NA,N,
="43263",ERCP SPHINCTER PRESSURE MEAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43263",ERCP SPHINCTER PRESSURE MEAS,EAPG,DEF,,,,,NA,NA,NA,N,
="43264",ERCP REMOVE DUCT CALCULI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43264",ERCP REMOVE DUCT CALCULI,EAPG,DEF,,,,,NA,NA,NA,N,
="43265",ERCP LITHOTRIPSY CALCULI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43265",ERCP LITHOTRIPSY CALCULI,EAPG,DEF,,,,,NA,NA,NA,N,
="43266",EGD ENDOSCOPIC STENT PLACE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43266",EGD ENDOSCOPIC STENT PLACE,EAPG,DEF,,,,,NA,NA,NA,N,
="43267",ENDO CHOLANGIOPANCREATOGRAPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43267",ENDO CHOLANGIOPANCREATOGRAPH,EAPG,DEF,,,,,NA,NA,NA,N,
="43268",ENDO CHOLANGIOPANCREATOGRAPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43268",ENDO CHOLANGIOPANCREATOGRAPH,EAPG,DEF,,,,,NA,NA,NA,N,
="43269",ENDO CHOLANGIOPANCREATOGRAPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43269",ENDO CHOLANGIOPANCREATOGRAPH,EAPG,DEF,,,,,NA,NA,NA,N,
="43270",EGD LESION ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43270",EGD LESION ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="43271",ENDO CHOLANGIOPANCREATOGRAPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43271",ENDO CHOLANGIOPANCREATOGRAPH,EAPG,DEF,,,,,NA,NA,NA,N,
="43272",ENDO CHOLANGIOPANCREATOGRAPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43272",ENDO CHOLANGIOPANCREATOGRAPH,EAPG,DEF,,,,,NA,NA,NA,N,
="43273",ENDOSCOPIC PANCREATOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43273",ENDOSCOPIC PANCREATOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="43274",ERCP DUCT STENT PLACEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43274",ERCP DUCT STENT PLACEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="43275",ERCP REMOVE FORGN BODY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43275",ERCP REMOVE FORGN BODY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="43276",ERCP STENT EXCHANGE W/DILATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43276",ERCP STENT EXCHANGE W/DILATE,EAPG,DEF,,,,,NA,NA,NA,N,
="43277",ERCP EA DUCT/AMPULLA DILATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43277",ERCP EA DUCT/AMPULLA DILATE,EAPG,DEF,,,,,NA,NA,NA,N,
="43278",ERCP LESION ABLATE W/DILATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43278",ERCP LESION ABLATE W/DILATE,EAPG,DEF,,,,,NA,NA,NA,N,
="43284",LAPS ESOPHGL SPHNCTR AGMNTJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43284",LAPS ESOPHGL SPHNCTR AGMNTJ,EAPG,DEF,,,,,NA,NA,NA,N,
="43285",RMVL ESOPHGL SPHNCTR DEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43285",RMVL ESOPHGL SPHNCTR DEV,EAPG,DEF,,,,,NA,NA,NA,N,
="43290",EGD FLX TRNSORL DPLMNT BALO,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="43290",EGD FLX TRNSORL DPLMNT BALO,EAPG,DEF,,,,,NA,NA,NA,Y,
="43291",EGD FLX TRNSORL RMVL BALO,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="43291",EGD FLX TRNSORL RMVL BALO,EAPG,DEF,,,,,NA,NA,NA,Y,
="43425",REPAIR ESOPHAGUS OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43425",REPAIR ESOPHAGUS OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="43450",DILATE ESOPHAGUS 1/MULT PASS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43450",DILATE ESOPHAGUS 1/MULT PASS,EAPG,DEF,,,,,NA,NA,NA,N,
="43453",DILATE ESOPHAGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43453",DILATE ESOPHAGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="43456",DILATE ESOPHAGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43456",DILATE ESOPHAGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="43458",DILATE ESOPHAGUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43458",DILATE ESOPHAGUS,EAPG,DEF,,,,,NA,NA,NA,N,
="43600",BIOPSY OF STOMACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43600",BIOPSY OF STOMACH,EAPG,DEF,,,,,NA,NA,NA,N,
="43653",LAPAROSCOPY GASTROSTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43653",LAPAROSCOPY GASTROSTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="43750",PLACE GASTROSTOMY TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43750",PLACE GASTROSTOMY TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="43752",NASAL/OROGASTRIC W/TUBE PLMT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43752",NASAL/OROGASTRIC W/TUBE PLMT,EAPG,DEF,,,,,NA,NA,NA,N,
="43753",TX GASTRO INTUB W/ASP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43753",TX GASTRO INTUB W/ASP,EAPG,DEF,,,,,NA,NA,NA,N,
="43754",DX GASTR INTUB W/ASP SPEC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43754",DX GASTR INTUB W/ASP SPEC,EAPG,DEF,,,,,NA,NA,NA,N,
="43755",DX GASTR INTUB W/ASP SPECS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43755",DX GASTR INTUB W/ASP SPECS,EAPG,DEF,,,,,NA,NA,NA,N,
="43756",DX DUOD INTUB W/ASP SPEC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43756",DX DUOD INTUB W/ASP SPEC,EAPG,DEF,,,,,NA,NA,NA,N,
="43757",DX DUOD INTUB W/ASP SPECS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43757",DX DUOD INTUB W/ASP SPECS,EAPG,DEF,,,,,NA,NA,NA,N,
="43760",CHANGE GASTROSTOMY TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43760",CHANGE GASTROSTOMY TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="43761",REPOSITION GASTROSTOMY TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43761",REPOSITION GASTROSTOMY TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="43762",RPLC GTUBE NO REVJ TRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43762",RPLC GTUBE NO REVJ TRC,EAPG,DEF,,,,,NA,NA,NA,N,
="43763",RPLC GTUBE REVJ GSTRST TRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43763",RPLC GTUBE REVJ GSTRST TRC,EAPG,DEF,,,,,NA,NA,NA,N,
="43870",REPAIR STOMACH OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="43870",REPAIR STOMACH OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="43886",REVISE GASTRIC PORT OPEN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="43886",REVISE GASTRIC PORT OPEN,EAPG,DEF,,,,,NA,NA,NA,Y,
="43887",REMOVE GASTRIC PORT OPEN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="43887",REMOVE GASTRIC PORT OPEN,EAPG,DEF,,,,,NA,NA,NA,Y,
="43888",CHANGE GASTRIC PORT OPEN,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="43888",CHANGE GASTRIC PORT OPEN,EAPG,DEF,,,,,NA,NA,NA,Y,
="44100",BIOPSY OF BOWEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44100",BIOPSY OF BOWEL,EAPG,DEF,,,,,NA,NA,NA,N,
="44312",REVISION OF ILEOSTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44312",REVISION OF ILEOSTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="44340",REVISION OF COLOSTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44340",REVISION OF COLOSTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="44360",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44360",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44361",SMALL BOWEL ENDOSCOPY/BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44361",SMALL BOWEL ENDOSCOPY/BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="44363",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44363",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44364",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44364",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44365",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44365",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44366",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44366",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44369",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44369",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44370",SMALL BOWEL ENDOSCOPY/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44370",SMALL BOWEL ENDOSCOPY/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="44372",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44372",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44373",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44373",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44376",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44376",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44377",SMALL BOWEL ENDOSCOPY/BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44377",SMALL BOWEL ENDOSCOPY/BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="44378",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44378",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44379",S BOWEL ENDOSCOPE W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44379",S BOWEL ENDOSCOPE W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="44380",SMALL BOWEL ENDOSCOPY BR/WA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44380",SMALL BOWEL ENDOSCOPY BR/WA,EAPG,DEF,,,,,NA,NA,NA,N,
="44381",SMALL BOWEL ENDOSCOPY BR/WA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44381",SMALL BOWEL ENDOSCOPY BR/WA,EAPG,DEF,,,,,NA,NA,NA,N,
="44382",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44382",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44383",ILEOSCOPY W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44383",ILEOSCOPY W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="44384",SMALL BOWEL ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44384",SMALL BOWEL ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="44385",ENDOSCOPY OF BOWEL POUCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44385",ENDOSCOPY OF BOWEL POUCH,EAPG,DEF,,,,,NA,NA,NA,N,
="44386",ENDOSCOPY BOWEL POUCH/BIOP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44386",ENDOSCOPY BOWEL POUCH/BIOP,EAPG,DEF,,,,,NA,NA,NA,N,
="44388",COLONOSCOPY THRU STOMA SPX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44388",COLONOSCOPY THRU STOMA SPX,EAPG,DEF,,,,,NA,NA,NA,N,
="44389",COLONOSCOPY WITH BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44389",COLONOSCOPY WITH BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="44390",COLONOSCOPY FOR FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44390",COLONOSCOPY FOR FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="44391",COLONOSCOPY FOR BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44391",COLONOSCOPY FOR BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="44392",COLONOSCOPY & POLYPECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44392",COLONOSCOPY & POLYPECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="44393",COLONOSCOPY LESION REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44393",COLONOSCOPY LESION REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="44394",COLONOSCOPY W/SNARE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44394",COLONOSCOPY W/SNARE,EAPG,DEF,,,,,NA,NA,NA,N,
="44397",COLONOSCOPY W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44397",COLONOSCOPY W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="44401",COLONOSCOPY WITH ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44401",COLONOSCOPY WITH ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="44402",COLONOSCOPY W/STENT PLCMT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44402",COLONOSCOPY W/STENT PLCMT,EAPG,DEF,,,,,NA,NA,NA,N,
="44403",COLONOSCOPY W/RESECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44403",COLONOSCOPY W/RESECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="44404",COLONOSCOPY W/INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44404",COLONOSCOPY W/INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="44405",COLONOSCOPY W/DILATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44405",COLONOSCOPY W/DILATION,EAPG,DEF,,,,,NA,NA,NA,N,
="44406",COLONOSCOPY W/ULTRASOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44406",COLONOSCOPY W/ULTRASOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="44407",COLONOSCOPY W/NDL ASPIR/BX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44407",COLONOSCOPY W/NDL ASPIR/BX,EAPG,DEF,,,,,NA,NA,NA,N,
="44408",COLONOSCOPY W/DECOMPRESSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44408",COLONOSCOPY W/DECOMPRESSION,EAPG,DEF,,,,,NA,NA,NA,N,
="44500",INTRO GASTROINTESTINAL TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44500",INTRO GASTROINTESTINAL TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="44701",INTRAOP COLON LAVAGE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="44701",INTRAOP COLON LAVAGE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="45000",DRAINAGE OF PELVIC ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45000",DRAINAGE OF PELVIC ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="45005",DRAINAGE OF RECTAL ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45005",DRAINAGE OF RECTAL ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="45020",DRAINAGE OF RECTAL ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45020",DRAINAGE OF RECTAL ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="45100",BIOPSY OF RECTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45100",BIOPSY OF RECTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="45108",REMOVAL OF ANORECTAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45108",REMOVAL OF ANORECTAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="45150",EXCISION OF RECTAL STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45150",EXCISION OF RECTAL STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="45160",EXCISION OF RECTAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45160",EXCISION OF RECTAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="45170",EXCISION OF RECTAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45170",EXCISION OF RECTAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="45171",EXC RECT TUM TRANSANAL PART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45171",EXC RECT TUM TRANSANAL PART,EAPG,DEF,,,,,NA,NA,NA,N,
="45172",EXC RECT TUM TRANSANAL FULL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45172",EXC RECT TUM TRANSANAL FULL,EAPG,DEF,,,,,NA,NA,NA,N,
="45190",DESTRUCTION RECTAL TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45190",DESTRUCTION RECTAL TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="45300",PROCTOSIGMOIDOSCOPY DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45300",PROCTOSIGMOIDOSCOPY DX,EAPG,DEF,,,,,NA,NA,NA,N,
="45303",PROCTOSIGMOIDOSCOPY DILATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45303",PROCTOSIGMOIDOSCOPY DILATE,EAPG,DEF,,,,,NA,NA,NA,N,
="45305",PROCTOSIGMOIDOSCOPY W/BX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45305",PROCTOSIGMOIDOSCOPY W/BX,EAPG,DEF,,,,,NA,NA,NA,N,
="45307",PROCTOSIGMOIDOSCOPY FB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45307",PROCTOSIGMOIDOSCOPY FB,EAPG,DEF,,,,,NA,NA,NA,N,
="45308",PROCTOSIGMOIDOSCOPY REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45308",PROCTOSIGMOIDOSCOPY REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="45309",PROCTOSIGMOIDOSCOPY REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45309",PROCTOSIGMOIDOSCOPY REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="45315",PROCTOSIGMOIDOSCOPY REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45315",PROCTOSIGMOIDOSCOPY REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="45317",PROCTOSIGMOIDOSCOPY BLEED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45317",PROCTOSIGMOIDOSCOPY BLEED,EAPG,DEF,,,,,NA,NA,NA,N,
="45320",PROCTOSIGMOIDOSCOPY ABLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45320",PROCTOSIGMOIDOSCOPY ABLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="45321",PROCTOSIGMOIDOSCOPY VOLVUL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45321",PROCTOSIGMOIDOSCOPY VOLVUL,EAPG,DEF,,,,,NA,NA,NA,N,
="45327",PROCTOSIGMOIDOSCOPY W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45327",PROCTOSIGMOIDOSCOPY W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="45330",DIAGNOSTIC SIGMOIDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45330",DIAGNOSTIC SIGMOIDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="45331",SIGMOIDOSCOPY AND BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45331",SIGMOIDOSCOPY AND BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="45332",SIGMOIDOSCOPY W/FB REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45332",SIGMOIDOSCOPY W/FB REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="45333",SIGMOIDOSCOPY & POLYPECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45333",SIGMOIDOSCOPY & POLYPECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="45334",SIGMOIDOSCOPY FOR BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45334",SIGMOIDOSCOPY FOR BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="45335",SIGMOIDOSCOPY W/SUBMUC INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45335",SIGMOIDOSCOPY W/SUBMUC INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="45337",SIGMOIDOSCOPY & DECOMPRESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45337",SIGMOIDOSCOPY & DECOMPRESS,EAPG,DEF,,,,,NA,NA,NA,N,
="45338",SIGMOIDOSCOPY W/TUMR REMOVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45338",SIGMOIDOSCOPY W/TUMR REMOVE,EAPG,DEF,,,,,NA,NA,NA,N,
="45339",SIGMOIDOSCOPY W/ABLATE TUMR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45339",SIGMOIDOSCOPY W/ABLATE TUMR,EAPG,DEF,,,,,NA,NA,NA,N,
="45340",SIG W/TNDSC BALLOON DILATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45340",SIG W/TNDSC BALLOON DILATION,EAPG,DEF,,,,,NA,NA,NA,N,
="45341",SIGMOIDOSCOPY W/ULTRASOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45341",SIGMOIDOSCOPY W/ULTRASOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="45342",SIGMOIDOSCOPY W/US GUIDE BX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45342",SIGMOIDOSCOPY W/US GUIDE BX,EAPG,DEF,,,,,NA,NA,NA,N,
="45345",SIGMOIDOSCOPY W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45345",SIGMOIDOSCOPY W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="45346",SIGMOIDOSCOPY W/ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45346",SIGMOIDOSCOPY W/ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="45347",SIGMOIDOSCOPY W/PLCMT STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45347",SIGMOIDOSCOPY W/PLCMT STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="45349",SIGMOIDOSCOPY W/RESECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45349",SIGMOIDOSCOPY W/RESECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="45350",SGMDSC W/BAND LIGATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45350",SGMDSC W/BAND LIGATION,EAPG,DEF,,,,,NA,NA,NA,N,
="45355",SURGICAL COLONOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45355",SURGICAL COLONOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="45378",DIAGNOSTIC COLONOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45378",DIAGNOSTIC COLONOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="45379",COLONOSCOPY W/FB REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45379",COLONOSCOPY W/FB REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="45380",COLONOSCOPY AND BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45380",COLONOSCOPY AND BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="45381",COLONOSCOPY SUBMUCOUS NJX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45381",COLONOSCOPY SUBMUCOUS NJX,EAPG,DEF,,,,,NA,NA,NA,N,
="45382",COLONOSCOPY W/CONTROL BLEED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45382",COLONOSCOPY W/CONTROL BLEED,EAPG,DEF,,,,,NA,NA,NA,N,
="45383",LESION REMOVAL COLONOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45383",LESION REMOVAL COLONOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="45384",COLONOSCOPY W/LESION REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45384",COLONOSCOPY W/LESION REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="45385",COLONOSCOPY W/LESION REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45385",COLONOSCOPY W/LESION REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="45386",COLONOSCOPY W/BALLOON DILAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45386",COLONOSCOPY W/BALLOON DILAT,EAPG,DEF,,,,,NA,NA,NA,N,
="45387",COLONOSCOPY W/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45387",COLONOSCOPY W/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="45388",COLONOSCOPY W/ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45388",COLONOSCOPY W/ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="45389",COLONOSCOPY W/STENT PLCMT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45389",COLONOSCOPY W/STENT PLCMT,EAPG,DEF,,,,,NA,NA,NA,N,
="45390",COLONOSCOPY W/RESECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45390",COLONOSCOPY W/RESECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="45391",COLONOSCOPY W/ENDOSCOPE US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45391",COLONOSCOPY W/ENDOSCOPE US,EAPG,DEF,,,,,NA,NA,NA,N,
="45392",COLONOSCOPY W/ENDOSCOPIC FNB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45392",COLONOSCOPY W/ENDOSCOPIC FNB,EAPG,DEF,,,,,NA,NA,NA,N,
="45393",COLONOSCOPY W/DECOMPRESSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45393",COLONOSCOPY W/DECOMPRESSION,EAPG,DEF,,,,,NA,NA,NA,N,
="45398",COLONOSCOPY W/BAND LIGATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45398",COLONOSCOPY W/BAND LIGATION,EAPG,DEF,,,,,NA,NA,NA,N,
="45500",REPAIR OF RECTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45500",REPAIR OF RECTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="45505",REPAIR OF RECTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45505",REPAIR OF RECTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="45520",TREATMENT OF RECTAL PROLAPSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45520",TREATMENT OF RECTAL PROLAPSE,EAPG,DEF,,,,,NA,NA,NA,N,
="45541",CORRECT RECTAL PROLAPSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45541",CORRECT RECTAL PROLAPSE,EAPG,DEF,,,,,NA,NA,NA,N,
="45560",REPAIR OF RECTOCELE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45560",REPAIR OF RECTOCELE,EAPG,DEF,,,,,NA,NA,NA,N,
="45900",REDUCTION OF RECTAL PROLAPSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45900",REDUCTION OF RECTAL PROLAPSE,EAPG,DEF,,,,,NA,NA,NA,N,
="45905",DILATION OF ANAL SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45905",DILATION OF ANAL SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="45910",DILATION OF RECTAL NARROWING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45910",DILATION OF RECTAL NARROWING,EAPG,DEF,,,,,NA,NA,NA,N,
="45915",REMOVE RECTAL OBSTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45915",REMOVE RECTAL OBSTRUCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="45990",SURG DX EXAM ANORECTAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="45990",SURG DX EXAM ANORECTAL,EAPG,DEF,,,,,NA,NA,NA,N,
="46020",PLACEMENT OF SETON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46020",PLACEMENT OF SETON,EAPG,DEF,,,,,NA,NA,NA,N,
="46030",REMOVAL OF RECTAL MARKER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46030",REMOVAL OF RECTAL MARKER,EAPG,DEF,,,,,NA,NA,NA,N,
="46040",INCISION OF RECTAL ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46040",INCISION OF RECTAL ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="46045",INCISION OF RECTAL ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46045",INCISION OF RECTAL ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="46050",INCISION OF ANAL ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46050",INCISION OF ANAL ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="46060",INCISION OF RECTAL ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46060",INCISION OF RECTAL ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="46070",INCISION OF ANAL SEPTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46070",INCISION OF ANAL SEPTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="46080",INCISION OF ANAL SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46080",INCISION OF ANAL SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="46083",INCISE EXTERNAL HEMORRHOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46083",INCISE EXTERNAL HEMORRHOID,EAPG,DEF,,,,,NA,NA,NA,N,
="46200",REMOVAL OF ANAL FISSURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46200",REMOVAL OF ANAL FISSURE,EAPG,DEF,,,,,NA,NA,NA,N,
="46210",REMOVAL OF ANAL CRYPT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46210",REMOVAL OF ANAL CRYPT,EAPG,DEF,,,,,NA,NA,NA,N,
="46211",REMOVAL OF ANAL CRYPTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46211",REMOVAL OF ANAL CRYPTS,EAPG,DEF,,,,,NA,NA,NA,N,
="46220",EXCISE ANAL EXT TAG/PAPILLA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46220",EXCISE ANAL EXT TAG/PAPILLA,EAPG,DEF,,,,,NA,NA,NA,N,
="46221",LIGATION OF HEMORRHOID(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="46221",LIGATION OF HEMORRHOID(S),EAPG,DEF,,,,,NA,NA,NA,N,
="46230",REMOVAL OF ANAL TAGS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46230",REMOVAL OF ANAL TAGS,EAPG,DEF,,,,,NA,NA,NA,N,
="46250",REMOVE EXT HEM GROUPS 2+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46250",REMOVE EXT HEM GROUPS 2+,EAPG,DEF,,,,,NA,NA,NA,N,
="46255",REMOVE INT/EXT HEM 1 GROUP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46255",REMOVE INT/EXT HEM 1 GROUP,EAPG,DEF,,,,,NA,NA,NA,N,
="46257",REMOVE IN/EX HEM GRP & FISS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46257",REMOVE IN/EX HEM GRP & FISS,EAPG,DEF,,,,,NA,NA,NA,N,
="46258",REMOVE IN/EX HEM GRP W/FISTU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46258",REMOVE IN/EX HEM GRP W/FISTU,EAPG,DEF,,,,,NA,NA,NA,N,
="46260",REMOVE IN/EX HEM GROUPS 2+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46260",REMOVE IN/EX HEM GROUPS 2+,EAPG,DEF,,,,,NA,NA,NA,N,
="46261",REMOVE IN/EX HEM GRPS & FISS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46261",REMOVE IN/EX HEM GRPS & FISS,EAPG,DEF,,,,,NA,NA,NA,N,
="46262",REMOVE IN/EX HEM GRPS W/FIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46262",REMOVE IN/EX HEM GRPS W/FIST,EAPG,DEF,,,,,NA,NA,NA,N,
="46270",REMOVE ANAL FIST SUBQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46270",REMOVE ANAL FIST SUBQ,EAPG,DEF,,,,,NA,NA,NA,N,
="46275",REMOVE ANAL FIST INTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46275",REMOVE ANAL FIST INTER,EAPG,DEF,,,,,NA,NA,NA,N,
="46280",REMOVE ANAL FIST COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46280",REMOVE ANAL FIST COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="46285",REMOVE ANAL FIST 2 STAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46285",REMOVE ANAL FIST 2 STAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="46288",REPAIR ANAL FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46288",REPAIR ANAL FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="46320",REMOVAL OF HEMORRHOID CLOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46320",REMOVAL OF HEMORRHOID CLOT,EAPG,DEF,,,,,NA,NA,NA,N,
="46500",INJECTION INTO HEMORRHOID(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="46500",INJECTION INTO HEMORRHOID(S),EAPG,DEF,,,,,NA,NA,NA,N,
="46505",CHEMODENERVATION ANAL MUSC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46505",CHEMODENERVATION ANAL MUSC,EAPG,DEF,,,,,NA,NA,NA,N,
="46600",DIAGNOSTIC ANOSCOPY SPX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46600",DIAGNOSTIC ANOSCOPY SPX,EAPG,DEF,,,,,NA,NA,NA,N,
="46601",DIAGNOSTIC ANOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46601",DIAGNOSTIC ANOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="46604",ANOSCOPY AND DILATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46604",ANOSCOPY AND DILATION,EAPG,DEF,,,,,NA,NA,NA,N,
="46606",ANOSCOPY AND BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46606",ANOSCOPY AND BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="46607",DIAGNOSTIC ANOSCOPY & BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46607",DIAGNOSTIC ANOSCOPY & BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="46608",ANOSCOPY REMOVE FOR BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46608",ANOSCOPY REMOVE FOR BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="46610",ANOSCOPY REMOVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46610",ANOSCOPY REMOVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="46611",ANOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46611",ANOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="46612",ANOSCOPY REMOVE LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46612",ANOSCOPY REMOVE LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="46614",ANOSCOPY CONTROL BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46614",ANOSCOPY CONTROL BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="46615",ANOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46615",ANOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="46700",REPAIR OF ANAL STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46700",REPAIR OF ANAL STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="46706",REPR OF ANAL FISTULA W/GLUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46706",REPR OF ANAL FISTULA W/GLUE,EAPG,DEF,,,,,NA,NA,NA,N,
="46707",REPAIR ANORECTAL FIST W/PLUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46707",REPAIR ANORECTAL FIST W/PLUG,EAPG,DEF,,,,,NA,NA,NA,N,
="46750",REPAIR OF ANAL SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46750",REPAIR OF ANAL SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="46753",RECONSTRUCTION OF ANUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46753",RECONSTRUCTION OF ANUS,EAPG,DEF,,,,,NA,NA,NA,N,
="46754",REMOVAL OF SUTURE FROM ANUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46754",REMOVAL OF SUTURE FROM ANUS,EAPG,DEF,,,,,NA,NA,NA,N,
="46760",REPAIR OF ANAL SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46760",REPAIR OF ANAL SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="46761",REPAIR OF ANAL SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46761",REPAIR OF ANAL SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="46762",IMPLANT ARTIFICIAL SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46762",IMPLANT ARTIFICIAL SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="46900",DESTRUCTION ANAL LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="46900",DESTRUCTION ANAL LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="46910",DESTRUCTION ANAL LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="46910",DESTRUCTION ANAL LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="46916",CRYOSURGERY ANAL LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="46916",CRYOSURGERY ANAL LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="46917",LASER SURGERY ANAL LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46917",LASER SURGERY ANAL LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="46922",EXCISION OF ANAL LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="46922",EXCISION OF ANAL LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="46924",DESTRUCTION ANAL LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="46924",DESTRUCTION ANAL LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="46930",DESTROY INTERNAL HEMORRHOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46930",DESTROY INTERNAL HEMORRHOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="46937",CRYOTHERAPY OF RECTAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46937",CRYOTHERAPY OF RECTAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="46938",CRYOTHERAPY OF RECTAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46938",CRYOTHERAPY OF RECTAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="46940",TREATMENT OF ANAL FISSURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46940",TREATMENT OF ANAL FISSURE,EAPG,DEF,,,,,NA,NA,NA,N,
="46942",TREATMENT OF ANAL FISSURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46942",TREATMENT OF ANAL FISSURE,EAPG,DEF,,,,,NA,NA,NA,N,
="46945",INT HRHC LIG 1 HROID W/O IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46945",INT HRHC LIG 1 HROID W/O IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="46946",INT HRHC LIG 2+HROID W/O IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46946",INT HRHC LIG 2+HROID W/O IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="46947",HEMORRHOIDOPEXY BY STAPLING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46947",HEMORRHOIDOPEXY BY STAPLING,EAPG,DEF,,,,,NA,NA,NA,N,
="46948",INT HRHC TRANAL DARTLZJ 2+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="46948",INT HRHC TRANAL DARTLZJ 2+,EAPG,DEF,,,,,NA,NA,NA,N,
="47000",NEEDLE BIOPSY OF LIVER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47000",NEEDLE BIOPSY OF LIVER,EAPG,DEF,,,,,NA,NA,NA,N,
="47001",NEEDLE BIOPSY LIVER ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47001",NEEDLE BIOPSY LIVER ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="47382",PERCUT ABLATE LIVER RF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47382",PERCUT ABLATE LIVER RF,EAPG,DEF,,,,,NA,NA,NA,N,
="47383",PERQ ABLTJ LVR CRYOABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47383",PERQ ABLTJ LVR CRYOABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="47510",INSERT CATHETER BILE DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47510",INSERT CATHETER BILE DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="47511",INSERT BILE DUCT DRAIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47511",INSERT BILE DUCT DRAIN,EAPG,DEF,,,,,NA,NA,NA,N,
="47525",CHANGE BILE DUCT CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47525",CHANGE BILE DUCT CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="47530",REVISE/REINSERT BILE TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47530",REVISE/REINSERT BILE TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="47531",INJECTION FOR CHOLANGIOGRAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47531",INJECTION FOR CHOLANGIOGRAM,EAPG,DEF,,,,,NA,NA,NA,N,
="47532",INJECTION FOR CHOLANGIOGRAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47532",INJECTION FOR CHOLANGIOGRAM,EAPG,DEF,,,,,NA,NA,NA,N,
="47533",PLMT BILIARY DRAINAGE CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47533",PLMT BILIARY DRAINAGE CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="47534",PLMT BILIARY DRAINAGE CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47534",PLMT BILIARY DRAINAGE CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="47535",CONVERSION EXT BIL DRG CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47535",CONVERSION EXT BIL DRG CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="47536",EXCHANGE BILIARY DRG CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47536",EXCHANGE BILIARY DRG CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="47537",REMOVAL BILIARY DRG CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47537",REMOVAL BILIARY DRG CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="47538",PERQ PLMT BILE DUCT STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47538",PERQ PLMT BILE DUCT STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="47539",PERQ PLMT BILE DUCT STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47539",PERQ PLMT BILE DUCT STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="47540",PERQ PLMT BILE DUCT STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47540",PERQ PLMT BILE DUCT STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="47541",PLMT ACCESS BIL TREE SM BWL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47541",PLMT ACCESS BIL TREE SM BWL,EAPG,DEF,,,,,NA,NA,NA,N,
="47542",DILATE BILIARY DUCT/AMPULLA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47542",DILATE BILIARY DUCT/AMPULLA,EAPG,DEF,,,,,NA,NA,NA,N,
="47543",ENDOLUMINAL BX BILIARY TREE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47543",ENDOLUMINAL BX BILIARY TREE,EAPG,DEF,,,,,NA,NA,NA,N,
="47544",REMOVAL DUCT GLBLDR CALCULI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47544",REMOVAL DUCT GLBLDR CALCULI,EAPG,DEF,,,,,NA,NA,NA,N,
="47552",BILIARY ENDO PERQ DX W/SPECI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47552",BILIARY ENDO PERQ DX W/SPECI,EAPG,DEF,,,,,NA,NA,NA,N,
="47553",BILIARY ENDOSCOPY THRU SKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47553",BILIARY ENDOSCOPY THRU SKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="47554",BILIARY ENDOSCOPY THRU SKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47554",BILIARY ENDOSCOPY THRU SKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="47555",BILIARY ENDOSCOPY THRU SKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47555",BILIARY ENDOSCOPY THRU SKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="47556",BILIARY ENDOSCOPY THRU SKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47556",BILIARY ENDOSCOPY THRU SKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="47560",LAPAROSCOPY W/CHOLANGIO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47560",LAPAROSCOPY W/CHOLANGIO,EAPG,DEF,,,,,NA,NA,NA,N,
="47561",LAPARO W/CHOLANGIO/BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47561",LAPARO W/CHOLANGIO/BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="47562",LAPAROSCOPIC CHOLECYSTECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47562",LAPAROSCOPIC CHOLECYSTECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="47563",LAPARO CHOLECYSTECTOMY/GRAPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47563",LAPARO CHOLECYSTECTOMY/GRAPH,EAPG,DEF,,,,,NA,NA,NA,N,
="47564",LAPARO CHOLECYSTECTOMY/EXPLR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47564",LAPARO CHOLECYSTECTOMY/EXPLR,EAPG,DEF,,,,,NA,NA,NA,N,
="47630",REMOVE BILE DUCT STONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="47630",REMOVE BILE DUCT STONE,EAPG,DEF,,,,,NA,NA,NA,N,
="48102",NEEDLE BIOPSY PANCREAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="48102",NEEDLE BIOPSY PANCREAS,EAPG,DEF,,,,,NA,NA,NA,N,
="49080",PUNCTURE PERITONEAL CAVITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49080",PUNCTURE PERITONEAL CAVITY,EAPG,DEF,,,,,NA,NA,NA,N,
="49081",REMOVAL OF ABDOMINAL FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49081",REMOVAL OF ABDOMINAL FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="49082",ABD PARACENTESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49082",ABD PARACENTESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="49083",ABD PARACENTESIS W/IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49083",ABD PARACENTESIS W/IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="49084",PERITONEAL LAVAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49084",PERITONEAL LAVAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="49085",REMOVE ABDOMEN FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49085",REMOVE ABDOMEN FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="49180",BIOPSY ABDOMINAL MASS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49180",BIOPSY ABDOMINAL MASS,EAPG,DEF,,,,,NA,NA,NA,N,
="49250",EXCISION OF UMBILICUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49250",EXCISION OF UMBILICUS,EAPG,DEF,,,,,NA,NA,NA,N,
="49320",DIAG LAPARO SEPARATE PROC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49320",DIAG LAPARO SEPARATE PROC,EAPG,DEF,,,,,NA,NA,NA,N,
="49321",LAPAROSCOPY BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49321",LAPAROSCOPY BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="49322",LAPAROSCOPY ASPIRATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49322",LAPAROSCOPY ASPIRATION,EAPG,DEF,,,,,NA,NA,NA,N,
="49324",LAP INSERT TUNNEL IP CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49324",LAP INSERT TUNNEL IP CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="49325",LAP REVISION PERM IP CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49325",LAP REVISION PERM IP CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="49326",LAP W/OMENTOPEXY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49326",LAP W/OMENTOPEXY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="49327",LAP INS DEVICE FOR RT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49327",LAP INS DEVICE FOR RT,EAPG,DEF,,,,,NA,NA,NA,N,
="49400",AIR INJECTION INTO ABDOMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49400",AIR INJECTION INTO ABDOMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="49402",REMOVE FOREIGN BODY ADBOMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49402",REMOVE FOREIGN BODY ADBOMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="49406",IMAGE CATH FLUID PERI/RETRO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49406",IMAGE CATH FLUID PERI/RETRO,EAPG,DEF,,,,,NA,NA,NA,N,
="49407",IMAGE CATH FLUID TRNS/VGNL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49407",IMAGE CATH FLUID TRNS/VGNL,EAPG,DEF,,,,,NA,NA,NA,N,
="49411",INS MARK ABD/PEL FOR RT PERQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49411",INS MARK ABD/PEL FOR RT PERQ,EAPG,DEF,,,,,NA,NA,NA,N,
="49418",INSERT TUN IP CATH PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49418",INSERT TUN IP CATH PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="49419",INSERT TUN IP CATH W/PORT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49419",INSERT TUN IP CATH W/PORT,EAPG,DEF,,,,,NA,NA,NA,N,
="49420",INSERT ABDOM DRAIN; TEMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49420",INSERT ABDOM DRAIN; TEMP,EAPG,DEF,,,,,NA,NA,NA,N,
="49421",INS TUN IP CATH FOR DIAL OPN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49421",INS TUN IP CATH FOR DIAL OPN,EAPG,DEF,,,,,NA,NA,NA,N,
="49422",REMOVE TUNNELED IP CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49422",REMOVE TUNNELED IP CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="49423",EXCHANGE DRAINAGE CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49423",EXCHANGE DRAINAGE CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="49424",ASSESS CYST CONTRAST INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49424",ASSESS CYST CONTRAST INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="49426",REVISE ABDOMEN-VENOUS SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49426",REVISE ABDOMEN-VENOUS SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="49427",INJECTION ABDOMINAL SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49427",INJECTION ABDOMINAL SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="49429",REMOVAL OF SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49429",REMOVAL OF SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="49435",INSERT SUBQ EXTEN TO IP CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49435",INSERT SUBQ EXTEN TO IP CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="49436",EMBEDDED IP CATH EXIT-SITE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49436",EMBEDDED IP CATH EXIT-SITE,EAPG,DEF,,,,,NA,NA,NA,N,
="49440",PLACE GASTROSTOMY TUBE PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49440",PLACE GASTROSTOMY TUBE PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="49441",PLACE DUOD/JEJ TUBE PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49441",PLACE DUOD/JEJ TUBE PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="49442",PLACE CECOSTOMY TUBE PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49442",PLACE CECOSTOMY TUBE PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="49446",CHANGE G-TUBE TO G-J PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49446",CHANGE G-TUBE TO G-J PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="49450",REPLACE G/C TUBE PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49450",REPLACE G/C TUBE PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="49451",REPLACE DUOD/JEJ TUBE PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49451",REPLACE DUOD/JEJ TUBE PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="49452",REPLACE G-J TUBE PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49452",REPLACE G-J TUBE PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="49460",FIX G/COLON TUBE W/DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49460",FIX G/COLON TUBE W/DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="49465",FLUORO EXAM OF G/COLON TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49465",FLUORO EXAM OF G/COLON TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="49495",RPR ING HERNIA BABY REDUC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49495",RPR ING HERNIA BABY REDUC,EAPG,DEF,,,,,NA,NA,NA,N,
="49496",RPR ING HERNIA BABY BLOCKED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49496",RPR ING HERNIA BABY BLOCKED,EAPG,DEF,,,,,NA,NA,NA,N,
="49500",RPR ING HERNIA INIT REDUCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49500",RPR ING HERNIA INIT REDUCE,EAPG,DEF,,,,,NA,NA,NA,N,
="49501",RPR ING HERNIA INIT BLOCKED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49501",RPR ING HERNIA INIT BLOCKED,EAPG,DEF,,,,,NA,NA,NA,N,
="49505",PRP I/HERN INIT REDUC >5 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49505",PRP I/HERN INIT REDUC >5 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="49507",PRP I/HERN INIT BLOCK >5 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49507",PRP I/HERN INIT BLOCK >5 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="49520",REREPAIR ING HERNIA REDUCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49520",REREPAIR ING HERNIA REDUCE,EAPG,DEF,,,,,NA,NA,NA,N,
="49521",REREPAIR ING HERNIA BLOCKED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49521",REREPAIR ING HERNIA BLOCKED,EAPG,DEF,,,,,NA,NA,NA,N,
="49525",REPAIR ING HERNIA SLIDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49525",REPAIR ING HERNIA SLIDING,EAPG,DEF,,,,,NA,NA,NA,N,
="49540",REPAIR LUMBAR HERNIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49540",REPAIR LUMBAR HERNIA,EAPG,DEF,,,,,NA,NA,NA,N,
="49550",RPR REM HERNIA INIT REDUCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49550",RPR REM HERNIA INIT REDUCE,EAPG,DEF,,,,,NA,NA,NA,N,
="49553",RPR FEM HERNIA INIT BLOCKED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49553",RPR FEM HERNIA INIT BLOCKED,EAPG,DEF,,,,,NA,NA,NA,N,
="49555",REREPAIR FEM HERNIA REDUCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49555",REREPAIR FEM HERNIA REDUCE,EAPG,DEF,,,,,NA,NA,NA,N,
="49557",REREPAIR FEM HERNIA BLOCKED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49557",REREPAIR FEM HERNIA BLOCKED,EAPG,DEF,,,,,NA,NA,NA,N,
="49560",RPR VENTRAL HERN INIT REDUC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49560",RPR VENTRAL HERN INIT REDUC,EAPG,DEF,,,,,NA,NA,NA,N,
="49561",RPR VENTRAL HERN INIT BLOCK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49561",RPR VENTRAL HERN INIT BLOCK,EAPG,DEF,,,,,NA,NA,NA,N,
="49565",REREPAIR VENTRL HERN REDUCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49565",REREPAIR VENTRL HERN REDUCE,EAPG,DEF,,,,,NA,NA,NA,N,
="49566",REREPAIR VENTRL HERN BLOCK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49566",REREPAIR VENTRL HERN BLOCK,EAPG,DEF,,,,,NA,NA,NA,N,
="49568",HERNIA REPAIR W/MESH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49568",HERNIA REPAIR W/MESH,EAPG,DEF,,,,,NA,NA,NA,N,
="49570",RPR EPIGASTRIC HERN REDUCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49570",RPR EPIGASTRIC HERN REDUCE,EAPG,DEF,,,,,NA,NA,NA,N,
="49572",RPR EPIGASTRIC HERN BLOCKED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49572",RPR EPIGASTRIC HERN BLOCKED,EAPG,DEF,,,,,NA,NA,NA,N,
="49580",RPR UMBIL HERN REDUC < 5 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49580",RPR UMBIL HERN REDUC < 5 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="49582",RPR UMBIL HERN BLOCK < 5 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49582",RPR UMBIL HERN BLOCK < 5 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="49585",RPR UMBIL HERN REDUC > 5 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49585",RPR UMBIL HERN REDUC > 5 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="49587",RPR UMBIL HERN BLOCK > 5 YR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49587",RPR UMBIL HERN BLOCK > 5 YR,EAPG,DEF,,,,,NA,NA,NA,N,
="49590",REPAIR SPIGELIAN HERNIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49590",REPAIR SPIGELIAN HERNIA,EAPG,DEF,,,,,NA,NA,NA,N,
="49591",RPR AA HRN 1ST < 3 CM RDC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49591",RPR AA HRN 1ST < 3 CM RDC,EAPG,DEF,,,,,NA,NA,NA,N,
="49592",RPR AA HRN 1ST < 3 NCR/STRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49592",RPR AA HRN 1ST < 3 NCR/STRN,EAPG,DEF,,,,,NA,NA,NA,N,
="49593",RPR AA HRN 1ST 3-10 RDC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49593",RPR AA HRN 1ST 3-10 RDC,EAPG,DEF,,,,,NA,NA,NA,N,
="49594",RPR AA HRN 1ST 3-10 NCR/STRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49594",RPR AA HRN 1ST 3-10 NCR/STRN,EAPG,DEF,,,,,NA,NA,NA,N,
="49595",RPR AA HRN 1ST > 10 RDC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49595",RPR AA HRN 1ST > 10 RDC,EAPG,DEF,,,,,NA,NA,NA,N,
="49600",REPAIR UMBILICAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49600",REPAIR UMBILICAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="49613",RPR AA HRN RCR < 3 RDC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49613",RPR AA HRN RCR < 3 RDC,EAPG,DEF,,,,,NA,NA,NA,N,
="49614",RPR AA HRN RCR < 3 NCR/STRN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49614",RPR AA HRN RCR < 3 NCR/STRN,EAPG,DEF,,,,,NA,NA,NA,N,
="49615",RPR AA HRN RCR 3-10 RDC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49615",RPR AA HRN RCR 3-10 RDC,EAPG,DEF,,,,,NA,NA,NA,N,
="49623",RMVL NINFCT MESH HERNIA RPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49623",RMVL NINFCT MESH HERNIA RPR,EAPG,DEF,,,,,NA,NA,NA,N,
="49650",LAP ING HERNIA REPAIR INIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49650",LAP ING HERNIA REPAIR INIT,EAPG,DEF,,,,,NA,NA,NA,N,
="49651",LAP ING HERNIA REPAIR RECUR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49651",LAP ING HERNIA REPAIR RECUR,EAPG,DEF,,,,,NA,NA,NA,N,
="49652",LAP VENT/ABD HERNIA REPAIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49652",LAP VENT/ABD HERNIA REPAIR,EAPG,DEF,,,,,NA,NA,NA,N,
="49653",LAP VENT/ABD HERN PROC COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49653",LAP VENT/ABD HERN PROC COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="49654",LAP INC HERNIA REPAIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49654",LAP INC HERNIA REPAIR,EAPG,DEF,,,,,NA,NA,NA,N,
="49655",LAP INC HERN REPAIR COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49655",LAP INC HERN REPAIR COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="49656",LAP INC HERNIA REPAIR RECUR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49656",LAP INC HERNIA REPAIR RECUR,EAPG,DEF,,,,,NA,NA,NA,N,
="49657",LAP INC HERN RECUR COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="49657",LAP INC HERN RECUR COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="50040",NFROS NFROT W/DRG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50040",NFROS NFROT W/DRG,EAPG,DEF,,,,,NA,NA,NA,N,
="50080",PERQ NL/PL LITHOTRP SMPL<2CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50080",PERQ NL/PL LITHOTRP SMPL<2CM,EAPG,DEF,,,,,NA,NA,NA,N,
="50081",PERQ NL/PL LITHOTRP CPLX>2CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50081",PERQ NL/PL LITHOTRP CPLX>2CM,EAPG,DEF,,,,,NA,NA,NA,N,
="50200",RENAL BIOPSY PERQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50200",RENAL BIOPSY PERQ,EAPG,DEF,,,,,NA,NA,NA,N,
="50382",CHANGE URETER STENT PERCUT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50382",CHANGE URETER STENT PERCUT,EAPG,DEF,,,,,NA,NA,NA,N,
="50384",REMOVE URETER STENT PERCUT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50384",REMOVE URETER STENT PERCUT,EAPG,DEF,,,,,NA,NA,NA,N,
="50385",CHANGE STENT VIA TRANSURETH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50385",CHANGE STENT VIA TRANSURETH,EAPG,DEF,,,,,NA,NA,NA,N,
="50386",REMOVE STENT VIA TRANSURETH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50386",REMOVE STENT VIA TRANSURETH,EAPG,DEF,,,,,NA,NA,NA,N,
="50387",CHANGE NEPHROURETERAL CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50387",CHANGE NEPHROURETERAL CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="50389",REMOVE RENAL TUBE W/FLUORO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50389",REMOVE RENAL TUBE W/FLUORO,EAPG,DEF,,,,,NA,NA,NA,N,
="50390",DRAINAGE OF KIDNEY LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50390",DRAINAGE OF KIDNEY LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="50392",INSERT KIDNEY DRAIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50392",INSERT KIDNEY DRAIN,EAPG,DEF,,,,,NA,NA,NA,N,
="50393",INSERT URETERAL TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50393",INSERT URETERAL TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="50395",CREATE PASSAGE TO KIDNEY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50395",CREATE PASSAGE TO KIDNEY,EAPG,DEF,,,,,NA,NA,NA,N,
="50396",MEASURE KIDNEY PRESSURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50396",MEASURE KIDNEY PRESSURE,EAPG,DEF,,,,,NA,NA,NA,N,
="50398",CHANGE KIDNEY TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50398",CHANGE KIDNEY TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="50430",NJX PX NFROSGRM &/URTRGRM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50430",NJX PX NFROSGRM &/URTRGRM,EAPG,DEF,,,,,NA,NA,NA,N,
="50431",NJX PX NFROSGRM &/URTRGRM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50431",NJX PX NFROSGRM &/URTRGRM,EAPG,DEF,,,,,NA,NA,NA,N,
="50432",PLMT NEPHROSTOMY CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50432",PLMT NEPHROSTOMY CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="50433",PLMT NEPHROURETERAL CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50433",PLMT NEPHROURETERAL CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="50434",CONVERT NEPHROSTOMY CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50434",CONVERT NEPHROSTOMY CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="50435",EXCHANGE NEPHROSTOMY CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50435",EXCHANGE NEPHROSTOMY CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="50436",DILAT XST TRC NDURLGC PX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50436",DILAT XST TRC NDURLGC PX,EAPG,DEF,,,,,NA,NA,NA,N,
="50437",DILAT XST TRC NEW ACCESS RCS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50437",DILAT XST TRC NEW ACCESS RCS,EAPG,DEF,,,,,NA,NA,NA,N,
="50551",KIDNEY ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50551",KIDNEY ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="50553",KIDNEY ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50553",KIDNEY ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="50555",KIDNEY ENDOSCOPY & BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50555",KIDNEY ENDOSCOPY & BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="50557",KIDNEY ENDOSCOPY & TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50557",KIDNEY ENDOSCOPY & TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="50559",RENAL ENDOSCOPY/RADIOTRACER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50559",RENAL ENDOSCOPY/RADIOTRACER,EAPG,DEF,,,,,NA,NA,NA,N,
="50561",KIDNEY ENDOSCOPY & TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50561",KIDNEY ENDOSCOPY & TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="50562",RENAL SCOPE W/TUMOR RESECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50562",RENAL SCOPE W/TUMOR RESECT,EAPG,DEF,,,,,NA,NA,NA,N,
="50570",KIDNEY ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50570",KIDNEY ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="50572",KIDNEY ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50572",KIDNEY ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="50574",KIDNEY ENDOSCOPY & BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50574",KIDNEY ENDOSCOPY & BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="50575",KIDNEY ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50575",KIDNEY ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="50576",KIDNEY ENDOSCOPY & TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50576",KIDNEY ENDOSCOPY & TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="50580",KIDNEY ENDOSCOPY & TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50580",KIDNEY ENDOSCOPY & TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="50590",FRAGMENTING OF KIDNEY STONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50590",FRAGMENTING OF KIDNEY STONE,EAPG,DEF,,,,,NA,NA,NA,N,
="50592",PERC RF ABLATE RENAL TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50592",PERC RF ABLATE RENAL TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="50593",PERC CRYO ABLATE RENAL TUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50593",PERC CRYO ABLATE RENAL TUM,EAPG,DEF,,,,,NA,NA,NA,N,
="50606",ENDOLUMINAL BX URTR RNL PLVS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50606",ENDOLUMINAL BX URTR RNL PLVS,EAPG,DEF,,,,,NA,NA,NA,N,
="50684",INJECTION FOR URETER X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50684",INJECTION FOR URETER X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="50686",MEASURE URETER PRESSURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50686",MEASURE URETER PRESSURE,EAPG,DEF,,,,,NA,NA,NA,N,
="50688",CHANGE OF URETER TUBE/STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50688",CHANGE OF URETER TUBE/STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="50690",INJECTION FOR URETER X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50690",INJECTION FOR URETER X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="50693",PLMT URETERAL STENT PRQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50693",PLMT URETERAL STENT PRQ,EAPG,DEF,,,,,NA,NA,NA,N,
="50694",PLMT URETERAL STENT PRQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50694",PLMT URETERAL STENT PRQ,EAPG,DEF,,,,,NA,NA,NA,N,
="50695",PLMT URETERAL STENT PRQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50695",PLMT URETERAL STENT PRQ,EAPG,DEF,,,,,NA,NA,NA,N,
="50705",URETERAL EMBOLIZATION/OCCL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50705",URETERAL EMBOLIZATION/OCCL,EAPG,DEF,,,,,NA,NA,NA,N,
="50706",BALLOON DILATE URTRL STRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50706",BALLOON DILATE URTRL STRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="50727",REVISE URETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50727",REVISE URETER,EAPG,DEF,,,,,NA,NA,NA,N,
="50947",LAPARO NEW URETER/BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50947",LAPARO NEW URETER/BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="50948",LAPARO NEW URETER/BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50948",LAPARO NEW URETER/BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="50951",ENDOSCOPY OF URETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50951",ENDOSCOPY OF URETER,EAPG,DEF,,,,,NA,NA,NA,N,
="50953",ENDOSCOPY OF URETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50953",ENDOSCOPY OF URETER,EAPG,DEF,,,,,NA,NA,NA,N,
="50955",URETER ENDOSCOPY & BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50955",URETER ENDOSCOPY & BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="50957",URETER ENDOSCOPY & TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50957",URETER ENDOSCOPY & TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="50959",URETER ENDOSCOPY & TRACER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50959",URETER ENDOSCOPY & TRACER,EAPG,DEF,,,,,NA,NA,NA,N,
="50961",URETER ENDOSCOPY & TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50961",URETER ENDOSCOPY & TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="50970",URETER ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50970",URETER ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="50972",URETER ENDOSCOPY & CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50972",URETER ENDOSCOPY & CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="50974",URETER ENDOSCOPY & BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50974",URETER ENDOSCOPY & BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="50976",URETER ENDOSCOPY & TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50976",URETER ENDOSCOPY & TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="50978",URETER ENDOSCOPY & TRACER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50978",URETER ENDOSCOPY & TRACER,EAPG,DEF,,,,,NA,NA,NA,N,
="50980",URETER ENDOSCOPY & TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="50980",URETER ENDOSCOPY & TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="51010",DRAINAGE OF BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51010",DRAINAGE OF BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="51020",INCISE & TREAT BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51020",INCISE & TREAT BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="51030",INCISE & TREAT BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51030",INCISE & TREAT BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="51040",INCISE & DRAIN BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51040",INCISE & DRAIN BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="51045",INCISE BLADDER/DRAIN URETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51045",INCISE BLADDER/DRAIN URETER,EAPG,DEF,,,,,NA,NA,NA,N,
="51050",REMOVAL OF BLADDER STONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51050",REMOVAL OF BLADDER STONE,EAPG,DEF,,,,,NA,NA,NA,N,
="51065",REMOVE URETER CALCULUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51065",REMOVE URETER CALCULUS,EAPG,DEF,,,,,NA,NA,NA,N,
="51080",DRAINAGE OF BLADDER ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51080",DRAINAGE OF BLADDER ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="51100",DRAIN BLADDER BY NEEDLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51100",DRAIN BLADDER BY NEEDLE,EAPG,DEF,,,,,NA,NA,NA,N,
="51101",DRAIN BLADDER BY TROCAR/CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51101",DRAIN BLADDER BY TROCAR/CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="51102",DRAIN BL W/CATH INSERTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51102",DRAIN BL W/CATH INSERTION,EAPG,DEF,,,,,NA,NA,NA,N,
="51500",REMOVAL OF BLADDER CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51500",REMOVAL OF BLADDER CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="51520",REMOVAL OF BLADDER LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51520",REMOVAL OF BLADDER LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="51535",REPAIR OF URETER LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51535",REPAIR OF URETER LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="51600",INJECTION FOR BLADDER X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51600",INJECTION FOR BLADDER X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="51605",PREPARATION FOR BLADDER XRAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51605",PREPARATION FOR BLADDER XRAY,EAPG,DEF,,,,,NA,NA,NA,N,
="51610",INJECTION FOR BLADDER X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51610",INJECTION FOR BLADDER X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="51700",IRRIGATION OF BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51700",IRRIGATION OF BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="51701",INSERT BLADDER CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51701",INSERT BLADDER CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="51702",INSERT TEMP BLADDER CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51702",INSERT TEMP BLADDER CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="51703",INSERT BLADDER CATH COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51703",INSERT BLADDER CATH COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="51705",CHANGE OF BLADDER TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51705",CHANGE OF BLADDER TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="51710",CHANGE OF BLADDER TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51710",CHANGE OF BLADDER TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="51715",ENDOSCOPIC INJECTION/IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51715",ENDOSCOPIC INJECTION/IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="51720",TREATMENT OF BLADDER LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51720",TREATMENT OF BLADDER LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="51725",SIMPLE CYSTOMETROGRAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51725",SIMPLE CYSTOMETROGRAM,EAPG,DEF,,,,,NA,NA,NA,N,
="51726",COMPLEX CYSTOMETROGRAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51726",COMPLEX CYSTOMETROGRAM,EAPG,DEF,,,,,NA,NA,NA,N,
="51727",CYSTOMETROGRAM W/UP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51727",CYSTOMETROGRAM W/UP,EAPG,DEF,,,,,NA,NA,NA,N,
="51728",CYSTOMETROGRAM W/VP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51728",CYSTOMETROGRAM W/VP,EAPG,DEF,,,,,NA,NA,NA,N,
="51729",CYSTOMETROGRAM W/VP&UP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51729",CYSTOMETROGRAM W/VP&UP,EAPG,DEF,,,,,NA,NA,NA,N,
="51736",URINE FLOW MEASUREMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51736",URINE FLOW MEASUREMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="51741",ELECTRO-UROFLOWMETRY FIRST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51741",ELECTRO-UROFLOWMETRY FIRST,EAPG,DEF,,,,,NA,NA,NA,N,
="51772",URETHRA PRESSURE PROFILE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51772",URETHRA PRESSURE PROFILE,EAPG,DEF,,,,,NA,NA,NA,N,
="51784",ANAL/URINARY MUSCLE STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51784",ANAL/URINARY MUSCLE STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="51785",ANAL/URINARY MUSCLE STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51785",ANAL/URINARY MUSCLE STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="51792",URINARY REFLEX STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51792",URINARY REFLEX STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="51797",INTRAABDOMINAL PRESSURE TEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51797",INTRAABDOMINAL PRESSURE TEST,EAPG,DEF,,,,,NA,NA,NA,N,
="51798",US URINE CAPACITY MEASURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51798",US URINE CAPACITY MEASURE,EAPG,DEF,,,,,NA,NA,NA,N,
="51880",REPAIR OF BLADDER OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51880",REPAIR OF BLADDER OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="51992",LAPARO SLING OPERATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="51992",LAPARO SLING OPERATION,EAPG,DEF,,,,,NA,NA,NA,N,
="52000",CYSTOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52000",CYSTOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="52001",CYSTOSCOPY REMOVAL OF CLOTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52001",CYSTOSCOPY REMOVAL OF CLOTS,EAPG,DEF,,,,,NA,NA,NA,N,
="52005",CYSTOSCOPY & URETER CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52005",CYSTOSCOPY & URETER CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="52007",CYSTOSCOPY AND BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52007",CYSTOSCOPY AND BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="52010",CYSTOSCOPY & DUCT CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52010",CYSTOSCOPY & DUCT CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="52204",CYSTOSCOPY W/BIOPSY(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="52204",CYSTOSCOPY W/BIOPSY(S),EAPG,DEF,,,,,NA,NA,NA,N,
="52214",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52214",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52224",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52224",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52234",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52234",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52235",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52235",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52240",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52240",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52250",CYSTOSCOPY AND RADIOTRACER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52250",CYSTOSCOPY AND RADIOTRACER,EAPG,DEF,,,,,NA,NA,NA,N,
="52260",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52260",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52265",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52265",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52270",CYSTOSCOPY & REVISE URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52270",CYSTOSCOPY & REVISE URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="52275",CYSTOSCOPY & REVISE URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52275",CYSTOSCOPY & REVISE URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="52276",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52276",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52277",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52277",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52281",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52281",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52282",CYSTOSCOPY IMPLANT STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52282",CYSTOSCOPY IMPLANT STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52283",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52283",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52285",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52285",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52287",CYSTOSCOPY CHEMODENERVATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52287",CYSTOSCOPY CHEMODENERVATION,EAPG,DEF,,,,,NA,NA,NA,N,
="52290",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52290",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52300",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52300",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52301",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52301",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52305",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52305",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52310",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52310",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52315",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52315",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52317",REMOVE BLADDER STONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52317",REMOVE BLADDER STONE,EAPG,DEF,,,,,NA,NA,NA,N,
="52318",REMOVE BLADDER STONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52318",REMOVE BLADDER STONE,EAPG,DEF,,,,,NA,NA,NA,N,
="52320",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52320",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52325",CYSTOSCOPY STONE REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52325",CYSTOSCOPY STONE REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="52327",CYSTOSCOPY INJECT MATERIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52327",CYSTOSCOPY INJECT MATERIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="52330",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52330",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52332",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52332",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52334",CREATE PASSAGE TO KIDNEY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52334",CREATE PASSAGE TO KIDNEY,EAPG,DEF,,,,,NA,NA,NA,N,
="52335",ENDOSCOPY OF URINARY TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52335",ENDOSCOPY OF URINARY TRACT,EAPG,DEF,,,,,NA,NA,NA,N,
="52336",CYSTOSCOPY; STONE REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52336",CYSTOSCOPY; STONE REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="52337",CYSTOSCOPY; STONE REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52337",CYSTOSCOPY; STONE REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="52338",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52338",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52340",CYSTOSCOPY AND TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52340",CYSTOSCOPY AND TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="52341",CYSTO W/URETER STRICTURE TX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52341",CYSTO W/URETER STRICTURE TX,EAPG,DEF,,,,,NA,NA,NA,N,
="52342",CYSTO W/UP STRICTURE TX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52342",CYSTO W/UP STRICTURE TX,EAPG,DEF,,,,,NA,NA,NA,N,
="52343",CYSTO W/RENAL STRICTURE TX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52343",CYSTO W/RENAL STRICTURE TX,EAPG,DEF,,,,,NA,NA,NA,N,
="52344",CYSTO/URETERO STRICTURE TX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52344",CYSTO/URETERO STRICTURE TX,EAPG,DEF,,,,,NA,NA,NA,N,
="52345",CYSTO/URETERO W/UP STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52345",CYSTO/URETERO W/UP STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="52346",CYSTOURETERO W/RENAL STRICT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52346",CYSTOURETERO W/RENAL STRICT,EAPG,DEF,,,,,NA,NA,NA,N,
="52351",CYSTOURETERO & OR PYELOSCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52351",CYSTOURETERO & OR PYELOSCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="52352",CYSTOURETERO W/STONE REMOVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52352",CYSTOURETERO W/STONE REMOVE,EAPG,DEF,,,,,NA,NA,NA,N,
="52353",CYSTOURETERO W/LITHOTRIPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52353",CYSTOURETERO W/LITHOTRIPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="52354",CYSTOURETERO W/BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52354",CYSTOURETERO W/BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="52355",CYSTOURETERO W/EXCISE TUMOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52355",CYSTOURETERO W/EXCISE TUMOR,EAPG,DEF,,,,,NA,NA,NA,N,
="52356",CYSTO/URETERO W/LITHOTRIPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52356",CYSTO/URETERO W/LITHOTRIPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="52400",CYSTOURETERO W/CONGEN REPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52400",CYSTOURETERO W/CONGEN REPR,EAPG,DEF,,,,,NA,NA,NA,N,
="52402",CYSTOURETHRO CUT EJACUL DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52402",CYSTOURETHRO CUT EJACUL DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="52450",INCISION OF PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52450",INCISION OF PROSTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="52500",REVISION OF BLADDER NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52500",REVISION OF BLADDER NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="52510",DILATION PROSTATIC URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52510",DILATION PROSTATIC URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="52601",PROSTATECTOMY (TURP),PRXOVR,DEF,,,,,NA,NA,NA,N,
="52601",PROSTATECTOMY (TURP),EAPG,DEF,,,,,NA,NA,NA,N,
="52606",CONTROL POSTOP BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52606",CONTROL POSTOP BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="52612",PROSTATECTOMY; FIRST STAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52612",PROSTATECTOMY; FIRST STAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="52614",PROSTATECTOMY; SECOND STAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52614",PROSTATECTOMY; SECOND STAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="52620",REMOVE RESIDUAL PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52620",REMOVE RESIDUAL PROSTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="52630",REMOVE PROSTATE REGROWTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52630",REMOVE PROSTATE REGROWTH,EAPG,DEF,,,,,NA,NA,NA,N,
="52640",RELIEVE BLADDER CONTRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52640",RELIEVE BLADDER CONTRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="52647",LASER SURGERY OF PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52647",LASER SURGERY OF PROSTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="52648",LASER SURGERY OF PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52648",LASER SURGERY OF PROSTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="52649",PROSTATE LASER ENUCLEATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52649",PROSTATE LASER ENUCLEATION,EAPG,DEF,,,,,NA,NA,NA,N,
="52700",DRAINAGE OF PROSTATE ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="52700",DRAINAGE OF PROSTATE ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="53000",INCISION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53000",INCISION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53010",INCISION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53010",INCISION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53020",INCISION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53020",INCISION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53025",INCISION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53025",INCISION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53040",DRAINAGE OF URETHRA ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53040",DRAINAGE OF URETHRA ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="53060",DRAINAGE OF URETHRA ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53060",DRAINAGE OF URETHRA ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="53080",DRAINAGE OF URINARY LEAKAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53080",DRAINAGE OF URINARY LEAKAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="53085",DRAINAGE OF URINARY LEAKAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53085",DRAINAGE OF URINARY LEAKAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="53200",BIOPSY OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53200",BIOPSY OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53210",REMOVAL OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53210",REMOVAL OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53215",REMOVAL OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53215",REMOVAL OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53220",TREATMENT OF URETHRA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53220",TREATMENT OF URETHRA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="53230",REMOVAL OF URETHRA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53230",REMOVAL OF URETHRA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="53235",REMOVAL OF URETHRA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53235",REMOVAL OF URETHRA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="53240",SURGERY FOR URETHRA POUCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53240",SURGERY FOR URETHRA POUCH,EAPG,DEF,,,,,NA,NA,NA,N,
="53250",REMOVAL OF URETHRA GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53250",REMOVAL OF URETHRA GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="53260",TREATMENT OF URETHRA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53260",TREATMENT OF URETHRA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="53265",TREATMENT OF URETHRA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53265",TREATMENT OF URETHRA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="53270",REMOVAL OF URETHRA GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53270",REMOVAL OF URETHRA GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="53275",REPAIR OF URETHRA DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53275",REPAIR OF URETHRA DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="53400",REVISE URETHRA STAGE 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53400",REVISE URETHRA STAGE 1,EAPG,DEF,,,,,NA,NA,NA,N,
="53405",REVISE URETHRA STAGE 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53405",REVISE URETHRA STAGE 2,EAPG,DEF,,,,,NA,NA,NA,N,
="53410",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53410",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53420",RECONSTRUCT URETHRA STAGE 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53420",RECONSTRUCT URETHRA STAGE 1,EAPG,DEF,,,,,NA,NA,NA,N,
="53425",RECONSTRUCT URETHRA STAGE 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53425",RECONSTRUCT URETHRA STAGE 2,EAPG,DEF,,,,,NA,NA,NA,N,
="53430",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53430",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53431",RECONSTRUCT URETHRA/BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53431",RECONSTRUCT URETHRA/BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="53440",MALE SLING PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53440",MALE SLING PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="53442",REMOVE/REVISE MALE SLING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53442",REMOVE/REVISE MALE SLING,EAPG,DEF,,,,,NA,NA,NA,N,
="53444",INSERT TANDEM CUFF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53444",INSERT TANDEM CUFF,EAPG,DEF,,,,,NA,NA,NA,N,
="53445",INSERT URO/VES NCK SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53445",INSERT URO/VES NCK SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="53446",REMOVE URO SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53446",REMOVE URO SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="53447",REMOVE/REPLACE UR SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53447",REMOVE/REPLACE UR SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="53449",REPAIR URO SPHINCTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53449",REPAIR URO SPHINCTER,EAPG,DEF,,,,,NA,NA,NA,N,
="53450",REVISION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53450",REVISION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53451",TPRNL BALO CNTNC DEV BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53451",TPRNL BALO CNTNC DEV BI,EAPG,DEF,,,,,NA,NA,NA,N,
="53452",TPRNL BALO CNTNC DEV UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53452",TPRNL BALO CNTNC DEV UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="53453",TPRNL BALO CNTNC DEV RMVL EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53453",TPRNL BALO CNTNC DEV RMVL EA,EAPG,DEF,,,,,NA,NA,NA,N,
="53454",TPRNL BALO CNTNC DEV ADJMT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53454",TPRNL BALO CNTNC DEV ADJMT,EAPG,DEF,,,,,NA,NA,NA,N,
="53460",REVISION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53460",REVISION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53502",REPAIR OF URETHRA INJURY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53502",REPAIR OF URETHRA INJURY,EAPG,DEF,,,,,NA,NA,NA,N,
="53505",REPAIR OF URETHRA INJURY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53505",REPAIR OF URETHRA INJURY,EAPG,DEF,,,,,NA,NA,NA,N,
="53510",REPAIR OF URETHRA INJURY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53510",REPAIR OF URETHRA INJURY,EAPG,DEF,,,,,NA,NA,NA,N,
="53515",REPAIR OF URETHRA INJURY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53515",REPAIR OF URETHRA INJURY,EAPG,DEF,,,,,NA,NA,NA,N,
="53520",REPAIR OF URETHRA DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53520",REPAIR OF URETHRA DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="53600",DILATE URETHRA STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53600",DILATE URETHRA STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="53601",DILATE URETHRA STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53601",DILATE URETHRA STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="53605",DILATE URETHRA STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53605",DILATE URETHRA STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="53620",DILATE URETHRA STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53620",DILATE URETHRA STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="53621",DILATE URETHRA STRICTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53621",DILATE URETHRA STRICTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="53660",DILATION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53660",DILATION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53661",DILATION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53661",DILATION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53665",DILATION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53665",DILATION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="53850",PROSTATIC MICROWAVE THERMOTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53850",PROSTATIC MICROWAVE THERMOTX,EAPG,DEF,,,,,NA,NA,NA,N,
="53852",PROSTATIC RF THERMOTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53852",PROSTATIC RF THERMOTX,EAPG,DEF,,,,,NA,NA,NA,N,
="53854",TRURL DSTRJ PRST8 TISS RF WV,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="53854",TRURL DSTRJ PRST8 TISS RF WV,EAPG,DEF,,,,,NA,NA,NA,Y,
="53855",INSERT PROST URETHRAL STENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53855",INSERT PROST URETHRAL STENT,EAPG,DEF,,,,,NA,NA,NA,N,
="53860",TRANSURETHRAL RF TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="53860",TRANSURETHRAL RF TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="54000",SLITTING OF PREPUCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54000",SLITTING OF PREPUCE,EAPG,DEF,,,,,NA,NA,NA,N,
="54001",SLITTING OF PREPUCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54001",SLITTING OF PREPUCE,EAPG,DEF,,,,,NA,NA,NA,N,
="54015",DRAIN PENIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54015",DRAIN PENIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54050",DESTRUCTION PENIS LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="54050",DESTRUCTION PENIS LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="54055",DESTRUCTION PENIS LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="54055",DESTRUCTION PENIS LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="54056",CRYOSURGERY PENIS LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="54056",CRYOSURGERY PENIS LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="54057",LASER SURG PENIS LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="54057",LASER SURG PENIS LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="54060",EXCISION OF PENIS LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="54060",EXCISION OF PENIS LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="54065",DESTRUCTION PENIS LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="54065",DESTRUCTION PENIS LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="54100",BIOPSY OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54100",BIOPSY OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54105",BIOPSY OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54105",BIOPSY OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54110",TREATMENT OF PENIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54110",TREATMENT OF PENIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54111",TREAT PENIS LESION GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54111",TREAT PENIS LESION GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="54112",TREAT PENIS LESION GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54112",TREAT PENIS LESION GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="54115",TREATMENT OF PENIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54115",TREATMENT OF PENIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54120",PARTIAL REMOVAL OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54120",PARTIAL REMOVAL OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54150",CIRCUMCISION W/REGIONL BLOCK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54150",CIRCUMCISION W/REGIONL BLOCK,EAPG,DEF,,,,,NA,NA,NA,N,
="54152",CIRCUMCISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54152",CIRCUMCISION,EAPG,DEF,,,,,NA,NA,NA,N,
="54160",CIRCUMCISION NEONATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54160",CIRCUMCISION NEONATE,EAPG,DEF,,,,,NA,NA,NA,N,
="54161",CIRCUM 28 DAYS OR OLDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54161",CIRCUM 28 DAYS OR OLDER,EAPG,DEF,,,,,NA,NA,NA,N,
="54162",LYSIS PENIL CIRCUMIC LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54162",LYSIS PENIL CIRCUMIC LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54163",REPAIR OF CIRCUMCISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54163",REPAIR OF CIRCUMCISION,EAPG,DEF,,,,,NA,NA,NA,N,
="54164",FRENULOTOMY OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54164",FRENULOTOMY OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54200",TREATMENT OF PENIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54200",TREATMENT OF PENIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54205",TREATMENT OF PENIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54205",TREATMENT OF PENIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54220",TREATMENT OF PENIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54220",TREATMENT OF PENIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54230",PREPARE PENIS STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54230",PREPARE PENIS STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="54231",DYNAMIC CAVERNOSOMETRY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54231",DYNAMIC CAVERNOSOMETRY,EAPG,DEF,,,,,NA,NA,NA,N,
="54235",PENILE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54235",PENILE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="54240",PENIS STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54240",PENIS STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="54250",PENIS STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54250",PENIS STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="54300",REVISION OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54300",REVISION OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54304",REVISION OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54304",REVISION OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54308",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54308",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="54312",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54312",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="54316",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54316",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="54318",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54318",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="54322",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54322",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="54324",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54324",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="54326",RECONSTRUCTION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54326",RECONSTRUCTION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="54328",REVISE PENIS/URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54328",REVISE PENIS/URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="54340",RPR HYPSPAD COMP SIMPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54340",RPR HYPSPAD COMP SIMPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="54344",RRP HYPSPAD COMP MOBLJ&URTP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54344",RRP HYPSPAD COMP MOBLJ&URTP,EAPG,DEF,,,,,NA,NA,NA,N,
="54348",RPR HYPSPAD COMP DSJ & URTP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54348",RPR HYPSPAD COMP DSJ & URTP,EAPG,DEF,,,,,NA,NA,NA,N,
="54352",REVJ PRIOR HYPSPAD REPAIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54352",REVJ PRIOR HYPSPAD REPAIR,EAPG,DEF,,,,,NA,NA,NA,N,
="54360",PENIS PLASTIC SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54360",PENIS PLASTIC SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="54380",REPAIR PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54380",REPAIR PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54385",REPAIR PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54385",REPAIR PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54400",INSERT SEMI-RIGID PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="54400",INSERT SEMI-RIGID PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,E,
="54401",INSERT SELF-CONTD PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="54401",INSERT SELF-CONTD PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,E,
="54405",INSERT MULTI-COMP PENIS PROS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="54405",INSERT MULTI-COMP PENIS PROS,EAPG,DEF,,,,,NA,NA,NA,E,
="54406",REMOVE MUTI-COMP PENIS PROS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="54406",REMOVE MUTI-COMP PENIS PROS,EAPG,DEF,,,,,NA,NA,NA,Y,
="54408",REPAIR MULTI-COMP PENIS PROS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="54408",REPAIR MULTI-COMP PENIS PROS,EAPG,DEF,,,,,NA,NA,NA,Y,
="54410",REMOVE/REPLACE PENIS PROSTH,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="54410",REMOVE/REPLACE PENIS PROSTH,EAPG,DEF,,,,,NA,NA,NA,Y,
="54415",REMOVE SELF-CONTD PENIS PROS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="54415",REMOVE SELF-CONTD PENIS PROS,EAPG,DEF,,,,,NA,NA,NA,Y,
="54416",REMV/REPL PENIS CONTAIN PROS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="54416",REMV/REPL PENIS CONTAIN PROS,EAPG,DEF,,,,,NA,NA,NA,Y,
="54420",REVISION OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54420",REVISION OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54435",REVISION OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54435",REVISION OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54437",REPAIR CORPOREAL TEAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54437",REPAIR CORPOREAL TEAR,EAPG,DEF,,,,,NA,NA,NA,N,
="54440",REPAIR OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54440",REPAIR OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54450",PREPUTIAL STRETCHING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54450",PREPUTIAL STRETCHING,EAPG,DEF,,,,,NA,NA,NA,N,
="54500",BIOPSY OF TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54500",BIOPSY OF TESTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54505",BIOPSY OF TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54505",BIOPSY OF TESTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54510",REMOVAL OF TESTIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54510",REMOVAL OF TESTIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54512",EXCISE LESION TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54512",EXCISE LESION TESTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54520",REMOVAL OF TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54520",REMOVAL OF TESTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54522",ORCHIECTOMY PARTIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54522",ORCHIECTOMY PARTIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="54530",REMOVAL OF TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54530",REMOVAL OF TESTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54550",EXPLORATION FOR TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54550",EXPLORATION FOR TESTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54560",EXPLORATION FOR TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54560",EXPLORATION FOR TESTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54600",REDUCE TESTIS TORSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54600",REDUCE TESTIS TORSION,EAPG,DEF,,,,,NA,NA,NA,N,
="54620",SUSPENSION OF TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54620",SUSPENSION OF TESTIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54640",ORCHIOPEXY INGUN/SCROT APPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54640",ORCHIOPEXY INGUN/SCROT APPR,EAPG,DEF,,,,,NA,NA,NA,N,
="54660",REVISION OF TESTIS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="54660",REVISION OF TESTIS,EAPG,DEF,,,,,NA,NA,NA,Y,
="54670",REPAIR TESTIS INJURY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54670",REPAIR TESTIS INJURY,EAPG,DEF,,,,,NA,NA,NA,N,
="54680",RELOCATION OF TESTIS(ES),PRXOVR,DEF,,,,,NA,NA,NA,N,
="54680",RELOCATION OF TESTIS(ES),EAPG,DEF,,,,,NA,NA,NA,N,
="54690",LAPAROSCOPY ORCHIECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54690",LAPAROSCOPY ORCHIECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="54692",LAPAROSCOPY ORCHIOPEXY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54692",LAPAROSCOPY ORCHIOPEXY,EAPG,DEF,,,,,NA,NA,NA,N,
="54700",DRAINAGE OF SCROTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54700",DRAINAGE OF SCROTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="54800",BIOPSY OF EPIDIDYMIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54800",BIOPSY OF EPIDIDYMIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54820",EXPLORATION OF EPIDIDYMIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54820",EXPLORATION OF EPIDIDYMIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54830",REMOVE EPIDIDYMIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54830",REMOVE EPIDIDYMIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54840",REMOVE EPIDIDYMIS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54840",REMOVE EPIDIDYMIS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="54860",REMOVAL OF EPIDIDYMIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54860",REMOVAL OF EPIDIDYMIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54861",REMOVAL OF EPIDIDYMIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54861",REMOVAL OF EPIDIDYMIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54865",EXPLORE EPIDIDYMIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54865",EXPLORE EPIDIDYMIS,EAPG,DEF,,,,,NA,NA,NA,N,
="54900",FUSION OF SPERMATIC DUCTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54900",FUSION OF SPERMATIC DUCTS,EAPG,DEF,,,,,NA,NA,NA,N,
="54901",FUSION OF SPERMATIC DUCTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="54901",FUSION OF SPERMATIC DUCTS,EAPG,DEF,,,,,NA,NA,NA,N,
="55000",DRAINAGE OF HYDROCELE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="55000",DRAINAGE OF HYDROCELE,EAPG,DEF,,,,,NA,NA,NA,Y,
="55040",REMOVAL OF HYDROCELE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55040",REMOVAL OF HYDROCELE,EAPG,DEF,,,,,NA,NA,NA,N,
="55041",REMOVAL OF HYDROCELES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55041",REMOVAL OF HYDROCELES,EAPG,DEF,,,,,NA,NA,NA,N,
="55060",REPAIR OF HYDROCELE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55060",REPAIR OF HYDROCELE,EAPG,DEF,,,,,NA,NA,NA,N,
="55100",DRAINAGE OF SCROTUM ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55100",DRAINAGE OF SCROTUM ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="55110",EXPLORE SCROTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55110",EXPLORE SCROTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="55120",REMOVAL OF SCROTUM LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55120",REMOVAL OF SCROTUM LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="55150",REMOVAL OF SCROTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55150",REMOVAL OF SCROTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="55175",REVISION OF SCROTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55175",REVISION OF SCROTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="55180",REVISION OF SCROTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55180",REVISION OF SCROTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="55200",INCISION OF SPERM DUCT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="55200",INCISION OF SPERM DUCT,EAPG,DEF,,,,,NA,NA,NA,Y,
="55250",REMOVAL OF SPERM DUCT(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="55250",REMOVAL OF SPERM DUCT(S),EAPG,DEF,,,,,NA,NA,NA,N,
="55300",PREPARE SPERM DUCT X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="55300",PREPARE SPERM DUCT X-RAY,EAPG,DEF,,,,,NA,NA,NA,Y,
="55400",REPAIR OF SPERM DUCT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="55400",REPAIR OF SPERM DUCT,EAPG,DEF,,,,,NA,NA,NA,Y,
="55450",LIGATION OF SPERM DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55450",LIGATION OF SPERM DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="55500",REMOVAL OF HYDROCELE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55500",REMOVAL OF HYDROCELE,EAPG,DEF,,,,,NA,NA,NA,N,
="55520",REMOVAL OF SPERM CORD LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55520",REMOVAL OF SPERM CORD LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="55530",REVISE SPERMATIC CORD VEINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55530",REVISE SPERMATIC CORD VEINS,EAPG,DEF,,,,,NA,NA,NA,N,
="55535",REVISE SPERMATIC CORD VEINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55535",REVISE SPERMATIC CORD VEINS,EAPG,DEF,,,,,NA,NA,NA,N,
="55540",REVISE HERNIA & SPERM VEINS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55540",REVISE HERNIA & SPERM VEINS,EAPG,DEF,,,,,NA,NA,NA,N,
="55550",LAPARO LIGATE SPERMATIC VEIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55550",LAPARO LIGATE SPERMATIC VEIN,EAPG,DEF,,,,,NA,NA,NA,N,
="55600",INCISE SPERM DUCT POUCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55600",INCISE SPERM DUCT POUCH,EAPG,DEF,,,,,NA,NA,NA,N,
="55680",REMOVE SPERM POUCH LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55680",REMOVE SPERM POUCH LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="55700",BIOPSY OF PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55700",BIOPSY OF PROSTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="55705",BIOPSY OF PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55705",BIOPSY OF PROSTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="55706",PROSTATE SATURATION SAMPLING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55706",PROSTATE SATURATION SAMPLING,EAPG,DEF,,,,,NA,NA,NA,N,
="55720",DRAINAGE OF PROSTATE ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55720",DRAINAGE OF PROSTATE ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="55725",DRAINAGE OF PROSTATE ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55725",DRAINAGE OF PROSTATE ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="55859",PERCUT/NEEDLE INSERT; PROS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55859",PERCUT/NEEDLE INSERT; PROS,EAPG,DEF,,,,,NA,NA,NA,N,
="55860",SURGICAL EXPOSURE PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55860",SURGICAL EXPOSURE PROSTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="55873",CRYOABLATE PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55873",CRYOABLATE PROSTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="55874",TPRNL PLMT BIODEGRDABL MATRL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55874",TPRNL PLMT BIODEGRDABL MATRL,EAPG,DEF,,,,,NA,NA,NA,N,
="55875",TRANSPERI NEEDLE PLACE PROS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55875",TRANSPERI NEEDLE PLACE PROS,EAPG,DEF,,,,,NA,NA,NA,N,
="55876",PLACE RT DEVICE/MARKER PROS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55876",PLACE RT DEVICE/MARKER PROS,EAPG,DEF,,,,,NA,NA,NA,N,
="55880",ABLTJ MAL PRST8 TISS HIFU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55880",ABLTJ MAL PRST8 TISS HIFU,EAPG,DEF,,,,,NA,NA,NA,N,
="55920",PLACE NEEDLES PELVIC FOR RT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="55920",PLACE NEEDLES PELVIC FOR RT,EAPG,DEF,,,,,NA,NA,NA,N,
="56405",I & D OF VULVA/PERINEUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56405",I & D OF VULVA/PERINEUM,EAPG,DEF,,,,,NA,NA,NA,N,
="56420",DRAINAGE OF GLAND ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56420",DRAINAGE OF GLAND ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="56440",SURGERY FOR VULVA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56440",SURGERY FOR VULVA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="56441",LYSIS OF LABIAL LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="56441",LYSIS OF LABIAL LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="56442",HYMENOTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56442",HYMENOTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="56501",DESTROY VULVA LESIONS SIM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56501",DESTROY VULVA LESIONS SIM,EAPG,DEF,,,,,NA,NA,NA,N,
="56515",DESTROY VULVA LESION/S COMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56515",DESTROY VULVA LESION/S COMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="56605",BIOPSY OF VULVA/PERINEUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56605",BIOPSY OF VULVA/PERINEUM,EAPG,DEF,,,,,NA,NA,NA,N,
="56606",BIOPSY OF VULVA/PERINEUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56606",BIOPSY OF VULVA/PERINEUM,EAPG,DEF,,,,,NA,NA,NA,N,
="56620",PARTIAL REMOVAL OF VULVA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56620",PARTIAL REMOVAL OF VULVA,EAPG,DEF,,,,,NA,NA,NA,N,
="56625",COMPLETE REMOVAL OF VULVA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56625",COMPLETE REMOVAL OF VULVA,EAPG,DEF,,,,,NA,NA,NA,N,
="56700",PARTIAL REMOVAL OF HYMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56700",PARTIAL REMOVAL OF HYMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="56720",INCISION OF HYMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56720",INCISION OF HYMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="56740",REMOVE VAGINA GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56740",REMOVE VAGINA GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="56800",REPAIR OF VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56800",REPAIR OF VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="56805",REPAIR CLITORIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56805",REPAIR CLITORIS,EAPG,DEF,,,,,NA,NA,NA,N,
="56810",REPAIR OF PERINEUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56810",REPAIR OF PERINEUM,EAPG,DEF,,,,,NA,NA,NA,N,
="56820",EXAM OF VULVA W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56820",EXAM OF VULVA W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="56821",EXAM/BIOPSY OF VULVA W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="56821",EXAM/BIOPSY OF VULVA W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="57000",EXPLORATION OF VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57000",EXPLORATION OF VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57010",DRAINAGE OF PELVIC ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57010",DRAINAGE OF PELVIC ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="57020",DRAINAGE OF PELVIC FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57020",DRAINAGE OF PELVIC FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="57022",I & D VAGINAL HEMATOMA PP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57022",I & D VAGINAL HEMATOMA PP,EAPG,DEF,,,,,NA,NA,NA,N,
="57023",I & D VAG HEMATOMA NON-OB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57023",I & D VAG HEMATOMA NON-OB,EAPG,DEF,,,,,NA,NA,NA,N,
="57061",DESTROY VAG LESIONS SIMPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57061",DESTROY VAG LESIONS SIMPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="57065",DESTROY VAG LESIONS COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57065",DESTROY VAG LESIONS COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="57100",BIOPSY OF VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57100",BIOPSY OF VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57105",BIOPSY OF VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57105",BIOPSY OF VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57120",CLOSURE OF VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57120",CLOSURE OF VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57130",REMOVE VAGINA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57130",REMOVE VAGINA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="57135",REMOVE VAGINA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57135",REMOVE VAGINA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="57150",TREAT VAGINA INFECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57150",TREAT VAGINA INFECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="57155",INSERT UTERI TANDEM/OVOIDS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="57155",INSERT UTERI TANDEM/OVOIDS,EAPG,DEF,,,,,NA,NA,NA,Y,
="57156",INS VAG BRACHYTX DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57156",INS VAG BRACHYTX DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="57160",INSERT PESSARY/OTHER DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57160",INSERT PESSARY/OTHER DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="57170",FITTING OF DIAPHRAGM/CAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57170",FITTING OF DIAPHRAGM/CAP,EAPG,DEF,,,,,NA,NA,NA,N,
="57180",TREAT VAGINAL BLEEDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57180",TREAT VAGINAL BLEEDING,EAPG,DEF,,,,,NA,NA,NA,N,
="57200",REPAIR OF VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57200",REPAIR OF VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57210",REPAIR VAGINA/PERINEUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57210",REPAIR VAGINA/PERINEUM,EAPG,DEF,,,,,NA,NA,NA,N,
="57220",REVISION OF URETHRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57220",REVISION OF URETHRA,EAPG,DEF,,,,,NA,NA,NA,N,
="57230",REPAIR OF URETHRAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57230",REPAIR OF URETHRAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="57240",ANTERIOR COLPORRHAPHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57240",ANTERIOR COLPORRHAPHY,EAPG,DEF,,,,,NA,NA,NA,N,
="57250",REPAIR RECTUM & VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57250",REPAIR RECTUM & VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57260",CMBN ANT PST COLPRHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57260",CMBN ANT PST COLPRHY,EAPG,DEF,,,,,NA,NA,NA,N,
="57265",CMBN AP COLPRHY W/NTRCL RPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57265",CMBN AP COLPRHY W/NTRCL RPR,EAPG,DEF,,,,,NA,NA,NA,N,
="57267",INSERT MESH/PELVIC FLR ADDON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57267",INSERT MESH/PELVIC FLR ADDON,EAPG,DEF,,,,,NA,NA,NA,N,
="57268",REPAIR OF BOWEL BULGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57268",REPAIR OF BOWEL BULGE,EAPG,DEF,,,,,NA,NA,NA,N,
="57287",REVISE/REMOVE SLING REPAIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57287",REVISE/REMOVE SLING REPAIR,EAPG,DEF,,,,,NA,NA,NA,N,
="57288",REPAIR BLADDER DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57288",REPAIR BLADDER DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="57289",REPAIR BLADDER & VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57289",REPAIR BLADDER & VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57291",CONSTRUCTION OF VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57291",CONSTRUCTION OF VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57295",REVISE VAG GRAFT VIA VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57295",REVISE VAG GRAFT VIA VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57300",REPAIR RECTUM-VAGINA FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57300",REPAIR RECTUM-VAGINA FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="57310",REPAIR URETHROVAGINAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57310",REPAIR URETHROVAGINAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="57320",REPAIR BLADDER-VAGINA LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57320",REPAIR BLADDER-VAGINA LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="57400",DILATION OF VAGINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57400",DILATION OF VAGINA,EAPG,DEF,,,,,NA,NA,NA,N,
="57410",PELVIC EXAMINATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57410",PELVIC EXAMINATION,EAPG,DEF,,,,,NA,NA,NA,N,
="57415",REMOVE VAGINAL FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57415",REMOVE VAGINAL FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="57420",EXAM OF VAGINA W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57420",EXAM OF VAGINA W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="57421",EXAM/BIOPSY OF VAG W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57421",EXAM/BIOPSY OF VAG W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="57426",REVISE PROSTH VAG GRAFT LAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57426",REVISE PROSTH VAG GRAFT LAP,EAPG,DEF,,,,,NA,NA,NA,N,
="57452",EXAM OF CERVIX W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57452",EXAM OF CERVIX W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="57454",BX/CURETT OF CERVIX W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57454",BX/CURETT OF CERVIX W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="57455",BIOPSY OF CERVIX W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57455",BIOPSY OF CERVIX W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="57456",ENDOCERV CURETTAGE W/SCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57456",ENDOCERV CURETTAGE W/SCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="57460",BX OF CERVIX W/SCOPE LEEP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57460",BX OF CERVIX W/SCOPE LEEP,EAPG,DEF,,,,,NA,NA,NA,N,
="57461",CONZ OF CERVIX W/SCOPE LEEP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57461",CONZ OF CERVIX W/SCOPE LEEP,EAPG,DEF,,,,,NA,NA,NA,N,
="57500",BIOPSY OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57500",BIOPSY OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57505",ENDOCERVICAL CURETTAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57505",ENDOCERVICAL CURETTAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="57510",CAUTERIZATION OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57510",CAUTERIZATION OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57511",CRYOCAUTERY OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57511",CRYOCAUTERY OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57513",LASER SURGERY OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57513",LASER SURGERY OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57520",CONIZATION OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57520",CONIZATION OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57522",CONIZATION OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57522",CONIZATION OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57530",REMOVAL OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57530",REMOVAL OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57550",REMOVAL OF RESIDUAL CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57550",REMOVAL OF RESIDUAL CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57556",REMOVE CERVIX REPAIR BOWEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57556",REMOVE CERVIX REPAIR BOWEL,EAPG,DEF,,,,,NA,NA,NA,N,
="57558",D&C OF CERVICAL STUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57558",D&C OF CERVICAL STUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="57700",REVISION OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57700",REVISION OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57720",REVISION OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57720",REVISION OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="57800",DILATION OF CERVICAL CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57800",DILATION OF CERVICAL CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="57820",D & C OF RESIDUAL CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="57820",D & C OF RESIDUAL CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="58100",BIOPSY OF UTERUS LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58100",BIOPSY OF UTERUS LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="58110",BX DONE W/COLPOSCOPY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58110",BX DONE W/COLPOSCOPY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="58120",DILATION AND CURETTAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58120",DILATION AND CURETTAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="58145",MYOMECTOMY VAG METHOD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58145",MYOMECTOMY VAG METHOD,EAPG,DEF,,,,,NA,NA,NA,N,
="58260",VAGINAL HYSTERECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58260",VAGINAL HYSTERECTOMY,EAPG,DEF,,,,,NA,NA,NA,Y,
="58262",VAG HYST INCLUDING T/O,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58262",VAG HYST INCLUDING T/O,EAPG,DEF,,,,,NA,NA,NA,Y,
="58301",REMOVE INTRAUTERINE DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58301",REMOVE INTRAUTERINE DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="58340",CATHETER FOR HYSTEROGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,E,
="58340",CATHETER FOR HYSTEROGRAPHY,EAPG,DEF,,,,,NA,NA,NA,E,
="58345",REOPEN FALLOPIAN TUBE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="58345",REOPEN FALLOPIAN TUBE,EAPG,DEF,,,,,NA,NA,NA,E,
="58346",INSERT HEYMAN UTERI CAPSULE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58346",INSERT HEYMAN UTERI CAPSULE,EAPG,DEF,,,,,NA,NA,NA,Y,
="58350",REOPEN FALLOPIAN TUBE,PRXOVR,DEF,,,,,NA,NA,NA,E,
="58350",REOPEN FALLOPIAN TUBE,EAPG,DEF,,,,,NA,NA,NA,E,
="58353",ENDOMETR ABLATE THERMAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58353",ENDOMETR ABLATE THERMAL,EAPG,DEF,,,,,NA,NA,NA,N,
="58356",ENDOMETRIAL CRYOABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58356",ENDOMETRIAL CRYOABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="58541",LSH UTERUS 250 G OR LESS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58541",LSH UTERUS 250 G OR LESS,EAPG,DEF,,,,,NA,NA,NA,Y,
="58542",LSH W/T/O UT 250 G OR LESS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58542",LSH W/T/O UT 250 G OR LESS,EAPG,DEF,,,,,NA,NA,NA,Y,
="58543",LSH UTERUS ABOVE 250 G,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58543",LSH UTERUS ABOVE 250 G,EAPG,DEF,,,,,NA,NA,NA,Y,
="58544",LSH W/T/O UTERUS ABOVE 250 G,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58544",LSH W/T/O UTERUS ABOVE 250 G,EAPG,DEF,,,,,NA,NA,NA,Y,
="58545",LAPAROSCOPIC MYOMECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58545",LAPAROSCOPIC MYOMECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="58546",LAPARO-MYOMECTOMY COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58546",LAPARO-MYOMECTOMY COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="58550",LAPARO-ASST VAG HYSTERECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58550",LAPARO-ASST VAG HYSTERECTOMY,EAPG,DEF,,,,,NA,NA,NA,Y,
="58552",LAPARO-VAG HYST INCL T/O,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58552",LAPARO-VAG HYST INCL T/O,EAPG,DEF,,,,,NA,NA,NA,Y,
="58553",LAPARO-VAG HYST COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58553",LAPARO-VAG HYST COMPLEX,EAPG,DEF,,,,,NA,NA,NA,Y,
="58554",LAPARO-VAG HYST W/T/O COMPL,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58554",LAPARO-VAG HYST W/T/O COMPL,EAPG,DEF,,,,,NA,NA,NA,Y,
="58555",HYSTEROSCOPY DX SEP PROC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58555",HYSTEROSCOPY DX SEP PROC,EAPG,DEF,,,,,NA,NA,NA,N,
="58558",HYSTEROSCOPY BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58558",HYSTEROSCOPY BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="58559",HYSTEROSCOPY LYSIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58559",HYSTEROSCOPY LYSIS,EAPG,DEF,,,,,NA,NA,NA,N,
="58560",HYSTEROSCOPY RESECT SEPTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58560",HYSTEROSCOPY RESECT SEPTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="58561",HYSTEROSCOPY REMOVE MYOMA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58561",HYSTEROSCOPY REMOVE MYOMA,EAPG,DEF,,,,,NA,NA,NA,N,
="58562",HYSTEROSCOPY REMOVE FB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58562",HYSTEROSCOPY REMOVE FB,EAPG,DEF,,,,,NA,NA,NA,N,
="58563",HYSTEROSCOPY ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58563",HYSTEROSCOPY ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="58565",HYSTEROSCOPY STERILIZATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58565",HYSTEROSCOPY STERILIZATION,EAPG,DEF,,,,,NA,NA,NA,N,
="58570",TLH UTERUS 250 G OR LESS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58570",TLH UTERUS 250 G OR LESS,EAPG,DEF,,,,,NA,NA,NA,Y,
="58571",TLH W/T/O 250 G OR LESS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58571",TLH W/T/O 250 G OR LESS,EAPG,DEF,,,,,NA,NA,NA,Y,
="58573",TLH W/T/O UTERUS OVER 250 G,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58573",TLH W/T/O UTERUS OVER 250 G,EAPG,DEF,,,,,NA,NA,NA,Y,
="58600",DIVISION OF FALLOPIAN TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58600",DIVISION OF FALLOPIAN TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="58615",OCCLUDE FALLOPIAN TUBE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="58615",OCCLUDE FALLOPIAN TUBE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="58660",LAPAROSCOPY LYSIS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58660",LAPAROSCOPY LYSIS,EAPG,DEF,,,,,NA,NA,NA,Y,
="58661",LAPAROSCOPY REMOVE ADNEXA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58661",LAPAROSCOPY REMOVE ADNEXA,EAPG,DEF,,,,,NA,NA,NA,N,
="58662",LAPAROSCOPY EXCISE LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58662",LAPAROSCOPY EXCISE LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="58670",LAPAROSCOPY TUBAL CAUTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58670",LAPAROSCOPY TUBAL CAUTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="58671",LAPAROSCOPY TUBAL BLOCK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58671",LAPAROSCOPY TUBAL BLOCK,EAPG,DEF,,,,,NA,NA,NA,N,
="58672",LAPAROSCOPY FIMBRIOPLASTY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58672",LAPAROSCOPY FIMBRIOPLASTY,EAPG,DEF,,,,,NA,NA,NA,N,
="58673",LAPAROSCOPY SALPINGOSTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58673",LAPAROSCOPY SALPINGOSTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="58674",LAPS ABLTJ UTERINE FIBROIDS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="58674",LAPS ABLTJ UTERINE FIBROIDS,EAPG,DEF,,,,,NA,NA,NA,Y,
="58800",DRAINAGE OF OVARIAN CYST(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="58800",DRAINAGE OF OVARIAN CYST(S),EAPG,DEF,,,,,NA,NA,NA,N,
="58805",DRAINAGE OF OVARIAN CYST(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="58805",DRAINAGE OF OVARIAN CYST(S),EAPG,DEF,,,,,NA,NA,NA,N,
="58820",DRAIN OVARY ABSCESS OPEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="58820",DRAIN OVARY ABSCESS OPEN,EAPG,DEF,,,,,NA,NA,NA,N,
="58900",BIOPSY OF OVARY(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="58900",BIOPSY OF OVARY(S),EAPG,DEF,,,,,NA,NA,NA,N,
="59000",AMNIOCENTESIS DIAGNOSTIC,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="59000",AMNIOCENTESIS DIAGNOSTIC,EAPG,DEF,,,,,NA,NA,NA,Y,
="59001",AMNIOCENTESIS THERAPEUTIC,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="59001",AMNIOCENTESIS THERAPEUTIC,EAPG,DEF,,,,,NA,NA,NA,Y,
="59012",FETAL CORD PUNCTURE PRENATAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59012",FETAL CORD PUNCTURE PRENATAL,EAPG,DEF,,,,,NA,NA,NA,N,
="59015",CHORION BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59015",CHORION BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="59020",FETAL CONTRACT STRESS TEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59020",FETAL CONTRACT STRESS TEST,EAPG,DEF,,,,,NA,NA,NA,N,
="59025",FETAL NON-STRESS TEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59025",FETAL NON-STRESS TEST,EAPG,DEF,,,,,NA,NA,NA,N,
="59070",TRANSABDOM AMNIOINFUS W/US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59070",TRANSABDOM AMNIOINFUS W/US,EAPG,DEF,,,,,NA,NA,NA,N,
="59072",UMBILICAL CORD OCCLUD W/US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59072",UMBILICAL CORD OCCLUD W/US,EAPG,DEF,,,,,NA,NA,NA,N,
="59074",FETAL FLUID DRAINAGE W/US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59074",FETAL FLUID DRAINAGE W/US,EAPG,DEF,,,,,NA,NA,NA,N,
="59076",FETAL SHUNT PLACEMENT W/US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59076",FETAL SHUNT PLACEMENT W/US,EAPG,DEF,,,,,NA,NA,NA,N,
="59100",REMOVE UTERUS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59100",REMOVE UTERUS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="59150",TREAT ECTOPIC PREGNANCY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59150",TREAT ECTOPIC PREGNANCY,EAPG,DEF,,,,,NA,NA,NA,N,
="59151",TREAT ECTOPIC PREGNANCY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59151",TREAT ECTOPIC PREGNANCY,EAPG,DEF,,,,,NA,NA,NA,N,
="59160",D & C AFTER DELIVERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59160",D & C AFTER DELIVERY,EAPG,DEF,,,,,NA,NA,NA,N,
="59200",INSERT CERVICAL DILATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59200",INSERT CERVICAL DILATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="59300",EPISIOTOMY OR VAGINAL REPAIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59300",EPISIOTOMY OR VAGINAL REPAIR,EAPG,DEF,,,,,NA,NA,NA,N,
="59320",REVISION OF CERVIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59320",REVISION OF CERVIX,EAPG,DEF,,,,,NA,NA,NA,N,
="59412",ANTEPARTUM MANIPULATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59412",ANTEPARTUM MANIPULATION,EAPG,DEF,,,,,NA,NA,NA,N,
="59414",DELIVER PLACENTA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59414",DELIVER PLACENTA,EAPG,DEF,,,,,NA,NA,NA,N,
="59812",TREATMENT OF MISCARRIAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59812",TREATMENT OF MISCARRIAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="59820",CARE OF MISCARRIAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59820",CARE OF MISCARRIAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="59821",TREATMENT OF MISCARRIAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59821",TREATMENT OF MISCARRIAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="59840",ABORTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59840",ABORTION,EAPG,DEF,,,,,NA,NA,NA,N,
="59841",ABORTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59841",ABORTION,EAPG,DEF,,,,,NA,NA,NA,N,
="59866",ABORTION (MPR),PRXOVR,DEF,,,,,NA,NA,NA,N,
="59866",ABORTION (MPR),EAPG,DEF,,,,,NA,NA,NA,N,
="59870",EVACUATE MOLE OF UTERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59870",EVACUATE MOLE OF UTERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="59871",REMOVE CERCLAGE SUTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="59871",REMOVE CERCLAGE SUTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="60000",DRAIN THYROID/TONGUE CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60000",DRAIN THYROID/TONGUE CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="60100",BIOPSY OF THYROID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60100",BIOPSY OF THYROID,EAPG,DEF,,,,,NA,NA,NA,N,
="60200",REMOVE THYROID LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60200",REMOVE THYROID LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="60210",PARTIAL THYROID EXCISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60210",PARTIAL THYROID EXCISION,EAPG,DEF,,,,,NA,NA,NA,N,
="60212",PARTIAL THYROID EXCISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60212",PARTIAL THYROID EXCISION,EAPG,DEF,,,,,NA,NA,NA,N,
="60220",PARTIAL REMOVAL OF THYROID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60220",PARTIAL REMOVAL OF THYROID,EAPG,DEF,,,,,NA,NA,NA,N,
="60225",PARTIAL REMOVAL OF THYROID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60225",PARTIAL REMOVAL OF THYROID,EAPG,DEF,,,,,NA,NA,NA,N,
="60240",REMOVAL OF THYROID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60240",REMOVAL OF THYROID,EAPG,DEF,,,,,NA,NA,NA,N,
="60280",REMOVE THYROID DUCT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60280",REMOVE THYROID DUCT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="60281",REMOVE THYROID DUCT LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60281",REMOVE THYROID DUCT LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="60300",ASPIR/INJ THYROID CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60300",ASPIR/INJ THYROID CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="60500",EXPLORE PARATHYROID GLANDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="60500",EXPLORE PARATHYROID GLANDS,EAPG,DEF,,,,,NA,NA,NA,N,
="61000",REMOVE CRANIAL CAVITY FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61000",REMOVE CRANIAL CAVITY FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="61001",REMOVE CRANIAL CAVITY FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61001",REMOVE CRANIAL CAVITY FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="61020",REMOVE BRAIN CAVITY FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61020",REMOVE BRAIN CAVITY FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="61026",INJECTION INTO BRAIN CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61026",INJECTION INTO BRAIN CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="61050",REMOVE BRAIN CANAL FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61050",REMOVE BRAIN CANAL FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="61055",INJECTION INTO BRAIN CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61055",INJECTION INTO BRAIN CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="61070",BRAIN CANAL SHUNT PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61070",BRAIN CANAL SHUNT PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="61215",INSERT BRAIN-FLUID DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61215",INSERT BRAIN-FLUID DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="61330",DECOMPRESS EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61330",DECOMPRESS EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="61334",EXPLORE ORBIT/REMOVE OBJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61334",EXPLORE ORBIT/REMOVE OBJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="61770",INCISE SKULL FOR TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61770",INCISE SKULL FOR TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="61781",SCAN PROC CRANIAL INTRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61781",SCAN PROC CRANIAL INTRA,EAPG,DEF,,,,,NA,NA,NA,N,
="61782",SCAN PROC CRANIAL EXTRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61782",SCAN PROC CRANIAL EXTRA,EAPG,DEF,,,,,NA,NA,NA,N,
="61783",SCAN PROC SPINAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61783",SCAN PROC SPINAL,EAPG,DEF,,,,,NA,NA,NA,N,
="61790",TREAT TRIGEMINAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61790",TREAT TRIGEMINAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="61791",TREAT TRIGEMINAL TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61791",TREAT TRIGEMINAL TRACT,EAPG,DEF,,,,,NA,NA,NA,N,
="61795",BRAIN SURGERY USING COMPUTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61795",BRAIN SURGERY USING COMPUTER,EAPG,DEF,,,,,NA,NA,NA,N,
="61880",REVISE/REMOVE NEUROELECTRODE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61880",REVISE/REMOVE NEUROELECTRODE,EAPG,DEF,,,,,NA,NA,NA,N,
="61885",INSRT/REDO NEUROSTIM 1 ARRAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61885",INSRT/REDO NEUROSTIM 1 ARRAY,EAPG,DEF,,,,,NA,NA,NA,N,
="61886",IMPLANT NEUROSTIM ARRAYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61886",IMPLANT NEUROSTIM ARRAYS,EAPG,DEF,,,,,NA,NA,NA,N,
="61888",REVISE/REMOVE NEURORECEIVER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="61888",REVISE/REMOVE NEURORECEIVER,EAPG,DEF,,,,,NA,NA,NA,N,
="62160",NEUROENDOSCOPY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62160",NEUROENDOSCOPY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="62194",REPLACE/IRRIGATE CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62194",REPLACE/IRRIGATE CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="62225",REPLACE/IRRIGATE CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62225",REPLACE/IRRIGATE CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="62230",REPLACE/REVISE BRAIN SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62230",REPLACE/REVISE BRAIN SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="62252",CSF SHUNT REPROGRAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62252",CSF SHUNT REPROGRAM,EAPG,DEF,,,,,NA,NA,NA,N,
="62263",EPIDURAL LYSIS MULT SESSIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62263",EPIDURAL LYSIS MULT SESSIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="62264",EPIDURAL LYSIS ON SINGLE DAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62264",EPIDURAL LYSIS ON SINGLE DAY,EAPG,DEF,,,,,NA,NA,NA,N,
="62267",INTERDISCAL PERQ ASPIR DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62267",INTERDISCAL PERQ ASPIR DX,EAPG,DEF,,,,,NA,NA,NA,N,
="62268",DRAIN SPINAL CORD CYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62268",DRAIN SPINAL CORD CYST,EAPG,DEF,,,,,NA,NA,NA,N,
="62269",NEEDLE BIOPSY SPINAL CORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62269",NEEDLE BIOPSY SPINAL CORD,EAPG,DEF,,,,,NA,NA,NA,N,
="62270",DX LMBR SPI PNXR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62270",DX LMBR SPI PNXR,EAPG,DEF,,,,,NA,NA,NA,N,
="62272",THER SPI PNXR DRG CSF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62272",THER SPI PNXR DRG CSF,EAPG,DEF,,,,,NA,NA,NA,N,
="62273",INJECT EPIDURAL PATCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62273",INJECT EPIDURAL PATCH,EAPG,DEF,,,,,NA,NA,NA,N,
="62274",INJECT SPINAL ANESTHETIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62274",INJECT SPINAL ANESTHETIC,EAPG,DEF,,,,,NA,NA,NA,N,
="62275",INJECT SPINAL ANESTHETIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62275",INJECT SPINAL ANESTHETIC,EAPG,DEF,,,,,NA,NA,NA,N,
="62276",INJECT SPINAL ANESTHETIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62276",INJECT SPINAL ANESTHETIC,EAPG,DEF,,,,,NA,NA,NA,N,
="62277",INJECT SPINAL ANESTHETIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62277",INJECT SPINAL ANESTHETIC,EAPG,DEF,,,,,NA,NA,NA,N,
="62278",INJECT SPINAL ANESTHETIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62278",INJECT SPINAL ANESTHETIC,EAPG,DEF,,,,,NA,NA,NA,N,
="62279",INJECT SPINAL ANESTHETIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62279",INJECT SPINAL ANESTHETIC,EAPG,DEF,,,,,NA,NA,NA,N,
="62280",TREAT SPINAL CORD LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62280",TREAT SPINAL CORD LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="62281",TREAT SPINAL CORD LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62281",TREAT SPINAL CORD LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="62282",TREAT SPINAL CANAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62282",TREAT SPINAL CANAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="62284",INJECTION FOR MYELOGRAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62284",INJECTION FOR MYELOGRAM,EAPG,DEF,,,,,NA,NA,NA,N,
="62287",DCMPRN PX PERQ 1/MLT LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62287",DCMPRN PX PERQ 1/MLT LUMBAR,EAPG,DEF,,,,,NA,NA,NA,N,
="62288",INJECTION INTO SPINAL CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62288",INJECTION INTO SPINAL CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="62289",INJECTION INTO SPINAL CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62289",INJECTION INTO SPINAL CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="62290",NJX PX DISCOGRAPHY LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62290",NJX PX DISCOGRAPHY LUMBAR,EAPG,DEF,,,,,NA,NA,NA,N,
="62291",NJX PX DISCOGRAPHY CRV/THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62291",NJX PX DISCOGRAPHY CRV/THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="62292",NJX CHEMONUCLEOLYSIS LMBR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62292",NJX CHEMONUCLEOLYSIS LMBR,EAPG,DEF,,,,,NA,NA,NA,N,
="62294",INJECTION INTO SPINAL ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62294",INJECTION INTO SPINAL ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="62302",MYELOGRAPHY LUMBAR INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62302",MYELOGRAPHY LUMBAR INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="62303",MYELOGRAPHY LUMBAR INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62303",MYELOGRAPHY LUMBAR INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="62304",MYELOGRAPHY LUMBAR INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62304",MYELOGRAPHY LUMBAR INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="62305",MYELOGRAPHY LUMBAR INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62305",MYELOGRAPHY LUMBAR INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="62310",INJECT SPINE CERV/THORACIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62310",INJECT SPINE CERV/THORACIC,EAPG,DEF,,,,,NA,NA,NA,N,
="62311",INJECT SPINE LUMBAR/SACRAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62311",INJECT SPINE LUMBAR/SACRAL,EAPG,DEF,,,,,NA,NA,NA,N,
="62318",INJECT SPINE W/CATH CRV/THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62318",INJECT SPINE W/CATH CRV/THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="62319",INJECT SPINE W/CATH LMB/SCRL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62319",INJECT SPINE W/CATH LMB/SCRL,EAPG,DEF,,,,,NA,NA,NA,N,
="62320",NJX INTERLAMINAR CRV/THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62320",NJX INTERLAMINAR CRV/THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="62321",NJX INTERLAMINAR CRV/THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62321",NJX INTERLAMINAR CRV/THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="62322",NJX INTERLAMINAR LMBR/SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62322",NJX INTERLAMINAR LMBR/SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="62323",NJX INTERLAMINAR LMBR/SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62323",NJX INTERLAMINAR LMBR/SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="62324",NJX INTERLAMINAR CRV/THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62324",NJX INTERLAMINAR CRV/THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="62325",NJX INTERLAMINAR CRV/THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62325",NJX INTERLAMINAR CRV/THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="62326",NJX INTERLAMINAR LMBR/SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62326",NJX INTERLAMINAR LMBR/SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="62327",NJX INTERLAMINAR LMBR/SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62327",NJX INTERLAMINAR LMBR/SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="62328",DX LMBR SPI PNXR W/FLUOR/CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62328",DX LMBR SPI PNXR W/FLUOR/CT,EAPG,DEF,,,,,NA,NA,NA,N,
="62329",THER SPI PNXR CSF FLUOR/CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62329",THER SPI PNXR CSF FLUOR/CT,EAPG,DEF,,,,,NA,NA,NA,N,
="62350",IMPLANT SPINAL CANAL CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62350",IMPLANT SPINAL CANAL CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="62355",REMOVE SPINAL CANAL CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62355",REMOVE SPINAL CANAL CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="62360",INSERT SPINE INFUSION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62360",INSERT SPINE INFUSION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="62361",IMPLANT SPINE INFUSION PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62361",IMPLANT SPINE INFUSION PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="62362",IMPLANT SPINE INFUSION PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62362",IMPLANT SPINE INFUSION PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="62365",REMOVE SPINE INFUSION DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62365",REMOVE SPINE INFUSION DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="62367",ANALYZE SPINE INFUS PUMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62367",ANALYZE SPINE INFUS PUMP,EAPG,DEF,,,,,NA,NA,NA,N,
="62368",ANALYZE SP INF PUMP W/REPROG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62368",ANALYZE SP INF PUMP W/REPROG,EAPG,DEF,,,,,NA,NA,NA,N,
="62369",ANAL SP INF PMP W/REPRG&FILL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62369",ANAL SP INF PMP W/REPRG&FILL,EAPG,DEF,,,,,NA,NA,NA,N,
="62370",ANL SP INF PMP W/MDREPRG&FIL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62370",ANL SP INF PMP W/MDREPRG&FIL,EAPG,DEF,,,,,NA,NA,NA,N,
="62380",NDSC DCMPRN 1 NTRSPC LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="62380",NDSC DCMPRN 1 NTRSPC LUMBAR,EAPG,DEF,,,,,NA,NA,NA,N,
="63001",REMOVE SPINE LAMINA 1/2 CRVL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63001",REMOVE SPINE LAMINA 1/2 CRVL,EAPG,DEF,,,,,NA,NA,NA,N,
="63003",REMOVE SPINE LAMINA 1/2 THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63003",REMOVE SPINE LAMINA 1/2 THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="63005",REMOVE SPINE LAMINA 1/2 LMBR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63005",REMOVE SPINE LAMINA 1/2 LMBR,EAPG,DEF,,,,,NA,NA,NA,N,
="63020",NECK SPINE DISK SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63020",NECK SPINE DISK SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="63030",LOW BACK DISK SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63030",LOW BACK DISK SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="63042",LAMINOTOMY SINGLE LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63042",LAMINOTOMY SINGLE LUMBAR,EAPG,DEF,,,,,NA,NA,NA,N,
="63044",LAMINOTOMY ADDL LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63044",LAMINOTOMY ADDL LUMBAR,EAPG,DEF,,,,,NA,NA,NA,N,
="63045",LAM FACETEC & FORAMOT CRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63045",LAM FACETEC & FORAMOT CRV,EAPG,DEF,,,,,NA,NA,NA,N,
="63046",LAM FACETEC & FORAMOT THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63046",LAM FACETEC & FORAMOT THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="63047",LAM FACETEC & FORAMOT LUMBAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63047",LAM FACETEC & FORAMOT LUMBAR,EAPG,DEF,,,,,NA,NA,NA,N,
="63055",DECOMPRESS SPINAL CORD THRC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63055",DECOMPRESS SPINAL CORD THRC,EAPG,DEF,,,,,NA,NA,NA,N,
="63056",DECOMPRESS SPINAL CORD LMBR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63056",DECOMPRESS SPINAL CORD LMBR,EAPG,DEF,,,,,NA,NA,NA,N,
="63600",REMOVE SPINAL CORD LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63600",REMOVE SPINAL CORD LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="63610",STIMULATION OF SPINAL CORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63610",STIMULATION OF SPINAL CORD,EAPG,DEF,,,,,NA,NA,NA,N,
="63615",REMOVE LESION OF SPINAL CORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63615",REMOVE LESION OF SPINAL CORD,EAPG,DEF,,,,,NA,NA,NA,N,
="63650",IMPLANT NEUROELECTRODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63650",IMPLANT NEUROELECTRODES,EAPG,DEF,,,,,NA,NA,NA,N,
="63655",IMPLANT NEUROELECTRODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63655",IMPLANT NEUROELECTRODES,EAPG,DEF,,,,,NA,NA,NA,N,
="63660",REVISE/REMOVE NEUROELECTRODE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63660",REVISE/REMOVE NEUROELECTRODE,EAPG,DEF,,,,,NA,NA,NA,N,
="63661",REMOVE SPINE ELTRD PERQ ARAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63661",REMOVE SPINE ELTRD PERQ ARAY,EAPG,DEF,,,,,NA,NA,NA,N,
="63662",REMOVE SPINE ELTRD PLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63662",REMOVE SPINE ELTRD PLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="63663",REVISE SPINE ELTRD PERQ ARAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63663",REVISE SPINE ELTRD PERQ ARAY,EAPG,DEF,,,,,NA,NA,NA,N,
="63664",REVISE SPINE ELTRD PLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63664",REVISE SPINE ELTRD PLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="63685",INSRT/REDO SPINE N GENERATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63685",INSRT/REDO SPINE N GENERATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="63688",REVISE/REMOVE NEURORECEIVER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63688",REVISE/REMOVE NEURORECEIVER,EAPG,DEF,,,,,NA,NA,NA,N,
="63744",REVISION OF SPINAL SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63744",REVISION OF SPINAL SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="63746",REMOVAL OF SPINAL SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="63746",REMOVAL OF SPINAL SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="64400",NJX AA&/STRD TRIGEMINAL NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64400",NJX AA&/STRD TRIGEMINAL NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="64402",N BLOCK INJ FACIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64402",N BLOCK INJ FACIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="64405",NJX AA&/STRD GR OCPL NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64405",NJX AA&/STRD GR OCPL NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="64408",NJX AA&/STRD VAGUS NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64408",NJX AA&/STRD VAGUS NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="64410",N BLOCK INJ PHRENIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64410",N BLOCK INJ PHRENIC,EAPG,DEF,,,,,NA,NA,NA,N,
="64413",N BLOCK INJ CERVICAL PLEXUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64413",N BLOCK INJ CERVICAL PLEXUS,EAPG,DEF,,,,,NA,NA,NA,N,
="64415",NJX AA&/STRD BRCH PLXS IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64415",NJX AA&/STRD BRCH PLXS IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="64416",NJX AA&/STRD BRCH PL NFS IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64416",NJX AA&/STRD BRCH PL NFS IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="64417",NJX AA&/STRD AX NERVE IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64417",NJX AA&/STRD AX NERVE IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="64418",NJX AA&/STRD SPRSCAP NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64418",NJX AA&/STRD SPRSCAP NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="64420",NJX AA&/STRD NTRCOST NRV 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64420",NJX AA&/STRD NTRCOST NRV 1,EAPG,DEF,,,,,NA,NA,NA,N,
="64421",NJX AA&/STRD NTRCOST NRV EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64421",NJX AA&/STRD NTRCOST NRV EA,EAPG,DEF,,,,,NA,NA,NA,N,
="64425",NJX AA&/STRD II IH NERVES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64425",NJX AA&/STRD II IH NERVES,EAPG,DEF,,,,,NA,NA,NA,N,
="64430",NJX AA&/STRD PUDENDAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64430",NJX AA&/STRD PUDENDAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64435",NJX AA&/STRD PARACRV NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64435",NJX AA&/STRD PARACRV NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="64442",INJECTION FOR NERVE BLOCK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64442",INJECTION FOR NERVE BLOCK,EAPG,DEF,,,,,NA,NA,NA,N,
="64443",INJECT; NERVE BLOCK ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64443",INJECT; NERVE BLOCK ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64445",NJX AA&/STRD SCIATIC NRV IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64445",NJX AA&/STRD SCIATIC NRV IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="64446",NJX AA&/STRD SC NRV NFS IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64446",NJX AA&/STRD SC NRV NFS IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="64447",NJX AA&/STRD FEMORAL NRV IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64447",NJX AA&/STRD FEMORAL NRV IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="64448",NJX AA&/STRD FEM NRV NFS IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64448",NJX AA&/STRD FEM NRV NFS IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="64449",NJX AA&/STRD LMBR PLEX NFS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64449",NJX AA&/STRD LMBR PLEX NFS,EAPG,DEF,,,,,NA,NA,NA,N,
="64450",NJX AA&/STRD OTHER PN/BRANCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64450",NJX AA&/STRD OTHER PN/BRANCH,EAPG,DEF,,,,,NA,NA,NA,N,
="64451",NJX AA&/STRD NRV NRVTG SI JT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64451",NJX AA&/STRD NRV NRVTG SI JT,EAPG,DEF,,,,,NA,NA,NA,N,
="64454",NJX AA&/STRD GNCLR NRV BRNCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64454",NJX AA&/STRD GNCLR NRV BRNCH,EAPG,DEF,,,,,NA,NA,NA,N,
="64455",NJX AA&/STRD PLTR COM DG NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64455",NJX AA&/STRD PLTR COM DG NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="64461",PVB THORACIC SINGLE INJ SITE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64461",PVB THORACIC SINGLE INJ SITE,EAPG,DEF,,,,,NA,NA,NA,N,
="64462",PVB THORACIC 2ND+ INJ SITE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64462",PVB THORACIC 2ND+ INJ SITE,EAPG,DEF,,,,,NA,NA,NA,N,
="64463",PVB THORACIC CONT INFUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64463",PVB THORACIC CONT INFUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="64470",INJ PARAVERTEBRAL C/T,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64470",INJ PARAVERTEBRAL C/T,EAPG,DEF,,,,,NA,NA,NA,N,
="64472",INJ PARAVERTEBRAL C/T ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64472",INJ PARAVERTEBRAL C/T ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64475",INJ PARAVERTEBRAL L/S,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64475",INJ PARAVERTEBRAL L/S,EAPG,DEF,,,,,NA,NA,NA,N,
="64476",INJ PARAVERTEBRAL L/S ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64476",INJ PARAVERTEBRAL L/S ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64479",NJX AA&/STRD TFRM EPI C/T 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64479",NJX AA&/STRD TFRM EPI C/T 1,EAPG,DEF,,,,,NA,NA,NA,N,
="64480",NJX AA&/STRD TFRM EPI C/T EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64480",NJX AA&/STRD TFRM EPI C/T EA,EAPG,DEF,,,,,NA,NA,NA,N,
="64483",NJX AA&/STRD TFRM EPI L/S 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64483",NJX AA&/STRD TFRM EPI L/S 1,EAPG,DEF,,,,,NA,NA,NA,N,
="64484",NJX AA&/STRD TFRM EPI L/S EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64484",NJX AA&/STRD TFRM EPI L/S EA,EAPG,DEF,,,,,NA,NA,NA,N,
="64486",TAP BLOCK UNIL BY INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64486",TAP BLOCK UNIL BY INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="64487",TAP BLOCK UNI BY INFUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64487",TAP BLOCK UNI BY INFUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="64488",TAP BLOCK BI INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64488",TAP BLOCK BI INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="64489",TAP BLOCK BI BY INFUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64489",TAP BLOCK BI BY INFUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="64490",INJ PARAVERT F JNT C/T 1 LEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64490",INJ PARAVERT F JNT C/T 1 LEV,EAPG,DEF,,,,,NA,NA,NA,N,
="64491",INJ PARAVERT F JNT C/T 2 LEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64491",INJ PARAVERT F JNT C/T 2 LEV,EAPG,DEF,,,,,NA,NA,NA,N,
="64492",INJ PARAVERT F JNT C/T 3 LEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64492",INJ PARAVERT F JNT C/T 3 LEV,EAPG,DEF,,,,,NA,NA,NA,N,
="64493",INJ PARAVERT F JNT L/S 1 LEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64493",INJ PARAVERT F JNT L/S 1 LEV,EAPG,DEF,,,,,NA,NA,NA,N,
="64494",INJ PARAVERT F JNT L/S 2 LEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64494",INJ PARAVERT F JNT L/S 2 LEV,EAPG,DEF,,,,,NA,NA,NA,N,
="64495",INJ PARAVERT F JNT L/S 3 LEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64495",INJ PARAVERT F JNT L/S 3 LEV,EAPG,DEF,,,,,NA,NA,NA,N,
="64505",N BLOCK SPENOPALATINE GANGL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64505",N BLOCK SPENOPALATINE GANGL,EAPG,DEF,,,,,NA,NA,NA,N,
="64508",N BLOCK CAROTID SINUS S/P,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64508",N BLOCK CAROTID SINUS S/P,EAPG,DEF,,,,,NA,NA,NA,N,
="64510",N BLOCK STELLATE GANGLION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64510",N BLOCK STELLATE GANGLION,EAPG,DEF,,,,,NA,NA,NA,N,
="64517",N BLOCK INJ HYPOGAS PLXS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64517",N BLOCK INJ HYPOGAS PLXS,EAPG,DEF,,,,,NA,NA,NA,N,
="64520",N BLOCK LUMBAR/THORACIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64520",N BLOCK LUMBAR/THORACIC,EAPG,DEF,,,,,NA,NA,NA,N,
="64530",N BLOCK INJ CELIAC PELUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64530",N BLOCK INJ CELIAC PELUS,EAPG,DEF,,,,,NA,NA,NA,N,
="64553",IMPLANT NEUROELECTRODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64553",IMPLANT NEUROELECTRODES,EAPG,DEF,,,,,NA,NA,NA,N,
="64555",IMPLANT NEUROELECTRODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64555",IMPLANT NEUROELECTRODES,EAPG,DEF,,,,,NA,NA,NA,N,
="64561",IMPLANT NEUROELECTRODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64561",IMPLANT NEUROELECTRODES,EAPG,DEF,,,,,NA,NA,NA,N,
="64565",IMPLANT NEUROELECTRODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64565",IMPLANT NEUROELECTRODES,EAPG,DEF,,,,,NA,NA,NA,N,
="64566",NEUROELTRD STIM POST TIBIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64566",NEUROELTRD STIM POST TIBIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="64568",OPN IMPLTJ CRNL NRV NEA&PG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64568",OPN IMPLTJ CRNL NRV NEA&PG,EAPG,DEF,,,,,NA,NA,NA,N,
="64569",REVISE/REPL VAGUS N ELTRD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64569",REVISE/REPL VAGUS N ELTRD,EAPG,DEF,,,,,NA,NA,NA,N,
="64570",REMOVE VAGUS N ELTRD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64570",REMOVE VAGUS N ELTRD,EAPG,DEF,,,,,NA,NA,NA,N,
="64573",IMPLANT NEUROELECTRODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64573",IMPLANT NEUROELECTRODES,EAPG,DEF,,,,,NA,NA,NA,N,
="64575",OPN IMPLTJ NEA PERPH NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64575",OPN IMPLTJ NEA PERPH NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64577",IMPLANT NEUROELECTRODES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64577",IMPLANT NEUROELECTRODES,EAPG,DEF,,,,,NA,NA,NA,N,
="64580",OPN IMPLTJ NEA NEUROMUSCULAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64580",OPN IMPLTJ NEA NEUROMUSCULAR,EAPG,DEF,,,,,NA,NA,NA,N,
="64581",OPN IMPLTJ NEA SACRAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64581",OPN IMPLTJ NEA SACRAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64582",OPN MPLTJ HPGLSL NSTM ARY PG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64582",OPN MPLTJ HPGLSL NSTM ARY PG,EAPG,DEF,,,,,NA,NA,NA,N,
="64583",REV/RPLCT HPGLSL NSTM ARY PG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64583",REV/RPLCT HPGLSL NSTM ARY PG,EAPG,DEF,,,,,NA,NA,NA,N,
="64584",RMVL HPGLSL NSTIM ARY PG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64584",RMVL HPGLSL NSTIM ARY PG,EAPG,DEF,,,,,NA,NA,NA,N,
="64585",REVISE/REMOVE NEUROELECTRODE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64585",REVISE/REMOVE NEUROELECTRODE,EAPG,DEF,,,,,NA,NA,NA,N,
="64590",INSRT/REDO PN/GASTR STIMUL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64590",INSRT/REDO PN/GASTR STIMUL,EAPG,DEF,,,,,NA,NA,NA,N,
="64595",REVISE/RMV PN/GASTR STIMUL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64595",REVISE/RMV PN/GASTR STIMUL,EAPG,DEF,,,,,NA,NA,NA,N,
="64600",INJECTION TREATMENT OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64600",INJECTION TREATMENT OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64605",INJECTION TREATMENT OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64605",INJECTION TREATMENT OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64610",INJECTION TREATMENT OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64610",INJECTION TREATMENT OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64611",CHEMODENERV SALIV GLANDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64611",CHEMODENERV SALIV GLANDS,EAPG,DEF,,,,,NA,NA,NA,N,
="64612",DESTROY NERVE FACE MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64612",DESTROY NERVE FACE MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="64615",CHEMODENERV MUSC MIGRAINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64615",CHEMODENERV MUSC MIGRAINE,EAPG,DEF,,,,,NA,NA,NA,N,
="64616",CHEMODENERV MUSC NECK DYSTON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64616",CHEMODENERV MUSC NECK DYSTON,EAPG,DEF,,,,,NA,NA,NA,N,
="64617",CHEMODENER MUSCLE LARYNX EMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64617",CHEMODENER MUSCLE LARYNX EMG,EAPG,DEF,,,,,NA,NA,NA,N,
="64620",INJECTION TREATMENT OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64620",INJECTION TREATMENT OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64622",DESTR PARAVERTEBRL NERVE L/S,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64622",DESTR PARAVERTEBRL NERVE L/S,EAPG,DEF,,,,,NA,NA,NA,N,
="64623",DESTR PARAVERTEBRAL N ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64623",DESTR PARAVERTEBRAL N ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64624",DSTRJ NULYT AGT GNCLR NRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64624",DSTRJ NULYT AGT GNCLR NRV,EAPG,DEF,,,,,NA,NA,NA,N,
="64625",RF ABLTJ NRV NRVTG SI JT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64625",RF ABLTJ NRV NRVTG SI JT,EAPG,DEF,,,,,NA,NA,NA,N,
="64626",DESTR PARAVERTEBRL NERVE C/T,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64626",DESTR PARAVERTEBRL NERVE C/T,EAPG,DEF,,,,,NA,NA,NA,N,
="64627",DESTR PARAVERTEBRAL N ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64627",DESTR PARAVERTEBRAL N ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64628",TRML DSTRJ IOS BVN 1ST 2 L/S,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64628",TRML DSTRJ IOS BVN 1ST 2 L/S,EAPG,DEF,,,,,NA,NA,NA,N,
="64630",INJECTION TREATMENT OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64630",INJECTION TREATMENT OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64632",N BLOCK INJ COMMON DIGIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64632",N BLOCK INJ COMMON DIGIT,EAPG,DEF,,,,,NA,NA,NA,N,
="64633",DESTROY CERV/THOR FACET JNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64633",DESTROY CERV/THOR FACET JNT,EAPG,DEF,,,,,NA,NA,NA,N,
="64634",DESTROY C/TH FACET JNT ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64634",DESTROY C/TH FACET JNT ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="64635",DESTROY LUMB/SAC FACET JNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64635",DESTROY LUMB/SAC FACET JNT,EAPG,DEF,,,,,NA,NA,NA,N,
="64636",DESTROY L/S FACET JNT ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64636",DESTROY L/S FACET JNT ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="64640",INJECTION TREATMENT OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64640",INJECTION TREATMENT OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64642",CHEMODENERV 1 EXTREMITY 1-4,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64642",CHEMODENERV 1 EXTREMITY 1-4,EAPG,DEF,,,,,NA,NA,NA,N,
="64643",CHEMODENERV 1 EXTREM 1-4 EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64643",CHEMODENERV 1 EXTREM 1-4 EA,EAPG,DEF,,,,,NA,NA,NA,N,
="64644",CHEMODENERV 1 EXTREM 5/> MUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64644",CHEMODENERV 1 EXTREM 5/> MUS,EAPG,DEF,,,,,NA,NA,NA,N,
="64645",CHEMODENERV 1 EXTREM 5/> EA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64645",CHEMODENERV 1 EXTREM 5/> EA,EAPG,DEF,,,,,NA,NA,NA,N,
="64646",CHEMODENERV TRUNK MUSC 1-5,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64646",CHEMODENERV TRUNK MUSC 1-5,EAPG,DEF,,,,,NA,NA,NA,N,
="64647",CHEMODENERV TRUNK MUSC 6/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64647",CHEMODENERV TRUNK MUSC 6/>,EAPG,DEF,,,,,NA,NA,NA,N,
="64650",CHEMODENERV ECCRINE GLANDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64650",CHEMODENERV ECCRINE GLANDS,EAPG,DEF,,,,,NA,NA,NA,N,
="64653",CHEMODENERV ECCRINE GLANDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64653",CHEMODENERV ECCRINE GLANDS,EAPG,DEF,,,,,NA,NA,NA,N,
="64680",INJECTION TREATMENT OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64680",INJECTION TREATMENT OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64681",INJECTION TREATMENT OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64681",INJECTION TREATMENT OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64702",REVISE FINGER/TOE NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64702",REVISE FINGER/TOE NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64704",REVISE HAND/FOOT NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64704",REVISE HAND/FOOT NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64708",REVISE ARM/LEG NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64708",REVISE ARM/LEG NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64712",REVISION OF SCIATIC NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64712",REVISION OF SCIATIC NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64713",REVISION OF ARM NERVE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="64713",REVISION OF ARM NERVE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="64714",REVISE LOW BACK NERVE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="64714",REVISE LOW BACK NERVE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="64716",REVISION OF CRANIAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64716",REVISION OF CRANIAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64718",REVISE ULNAR NERVE AT ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64718",REVISE ULNAR NERVE AT ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="64719",REVISE ULNAR NERVE AT WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64719",REVISE ULNAR NERVE AT WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="64721",CARPAL TUNNEL SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64721",CARPAL TUNNEL SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="64722",RELIEVE PRESSURE ON NERVE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="64722",RELIEVE PRESSURE ON NERVE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="64726",RELEASE FOOT/TOE NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64726",RELEASE FOOT/TOE NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64727",INTERNAL NERVE REVISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64727",INTERNAL NERVE REVISION,EAPG,DEF,,,,,NA,NA,NA,N,
="64732",INCISION OF BROW NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64732",INCISION OF BROW NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64734",INCISION OF CHEEK NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64734",INCISION OF CHEEK NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64736",INCISION OF CHIN NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64736",INCISION OF CHIN NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64738",INCISION OF JAW NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64738",INCISION OF JAW NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64740",INCISION OF TONGUE NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64740",INCISION OF TONGUE NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64742",INCISION OF FACIAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64742",INCISION OF FACIAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64744",INCISE NERVE BACK OF HEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64744",INCISE NERVE BACK OF HEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="64746",INCISE DIAPHRAGM NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64746",INCISE DIAPHRAGM NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64761",INCISION OF PELVIS NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64761",INCISION OF PELVIS NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64763",INCISE HIP/THIGH NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64763",INCISE HIP/THIGH NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64766",INCISE HIP/THIGH NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64766",INCISE HIP/THIGH NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64771",SEVER CRANIAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64771",SEVER CRANIAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64772",INCISION OF SPINAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64772",INCISION OF SPINAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64774",REMOVE SKIN NERVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64774",REMOVE SKIN NERVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="64776",REMOVE DIGIT NERVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64776",REMOVE DIGIT NERVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="64778",DIGIT NERVE SURGERY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64778",DIGIT NERVE SURGERY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64782",REMOVE LIMB NERVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64782",REMOVE LIMB NERVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="64783",LIMB NERVE SURGERY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64783",LIMB NERVE SURGERY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64784",REMOVE NERVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64784",REMOVE NERVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="64786",REMOVE SCIATIC NERVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64786",REMOVE SCIATIC NERVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="64787",IMPLANT NERVE END,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64787",IMPLANT NERVE END,EAPG,DEF,,,,,NA,NA,NA,N,
="64788",REMOVE SKIN NERVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64788",REMOVE SKIN NERVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="64790",REMOVAL OF NERVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64790",REMOVAL OF NERVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="64792",REMOVAL OF NERVE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64792",REMOVAL OF NERVE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="64795",BIOPSY OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64795",BIOPSY OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64802",SYMPATHECTOMY CERVICAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64802",SYMPATHECTOMY CERVICAL,EAPG,DEF,,,,,NA,NA,NA,N,
="64820",SYMPATHECTOMY DIGITAL ARTERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64820",SYMPATHECTOMY DIGITAL ARTERY,EAPG,DEF,,,,,NA,NA,NA,N,
="64821",REMOVE SYMPATHETIC NERVES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64821",REMOVE SYMPATHETIC NERVES,EAPG,DEF,,,,,NA,NA,NA,N,
="64822",REMOVE SYMPATHETIC NERVES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64822",REMOVE SYMPATHETIC NERVES,EAPG,DEF,,,,,NA,NA,NA,N,
="64823",SYMPATHECTOMY SUPFC PALMAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64823",SYMPATHECTOMY SUPFC PALMAR,EAPG,DEF,,,,,NA,NA,NA,N,
="64831",REPAIR OF DIGIT NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64831",REPAIR OF DIGIT NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64832",REPAIR NERVE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64832",REPAIR NERVE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64834",REPAIR OF HAND OR FOOT NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64834",REPAIR OF HAND OR FOOT NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64835",REPAIR OF HAND OR FOOT NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64835",REPAIR OF HAND OR FOOT NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64836",REPAIR OF HAND OR FOOT NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64836",REPAIR OF HAND OR FOOT NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64837",REPAIR NERVE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64837",REPAIR NERVE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64840",REPAIR OF LEG NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64840",REPAIR OF LEG NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64856",REPAIR/TRANSPOSE NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64856",REPAIR/TRANSPOSE NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64857",REPAIR ARM/LEG NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64857",REPAIR ARM/LEG NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64858",REPAIR SCIATIC NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64858",REPAIR SCIATIC NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64859",NERVE SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64859",NERVE SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="64861",REPAIR OF ARM NERVES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64861",REPAIR OF ARM NERVES,EAPG,DEF,,,,,NA,NA,NA,N,
="64862",REPAIR OF LOW BACK NERVES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64862",REPAIR OF LOW BACK NERVES,EAPG,DEF,,,,,NA,NA,NA,N,
="64864",REPAIR OF FACIAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64864",REPAIR OF FACIAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64865",REPAIR OF FACIAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64865",REPAIR OF FACIAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64870",FUSION OF FACIAL/OTHER NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64870",FUSION OF FACIAL/OTHER NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64872",SUBSEQUENT REPAIR OF NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64872",SUBSEQUENT REPAIR OF NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="64874",REPAIR & REVISE NERVE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64874",REPAIR & REVISE NERVE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64876",REPAIR NERVE/SHORTEN BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64876",REPAIR NERVE/SHORTEN BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="64885",NERVE GRAFT HEAD/NECK 4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64886",NERVE GRAFT HEAD/NECK >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="64890",NERVE GRAFT HAND/FOOT 4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64891",NERVE GRAFT HAND/FOOT >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="64892",NERVE GRAFT ARM/LEG <4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64892",NERVE GRAFT ARM/LEG <4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="64893",NERVE GRAFT ARM/LEG >4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64893",NERVE GRAFT ARM/LEG >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="64895",NERVE GRAFT HAND/FOOT 4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64896",NERVE GRAFT HAND/FOOT >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="64897",NERVE GRAFT ARM/LEG 4 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64898",NERVE GRAFT ARM/LEG >4 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="64901",NERVE GRAFT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64901",NERVE GRAFT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64902",NERVE GRAFT ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64902",NERVE GRAFT ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="64905",NERVE PEDICLE TRANSFER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64905",NERVE PEDICLE TRANSFER,EAPG,DEF,,,,,NA,NA,NA,N,
="64907",NERVE PEDICLE TRANSFER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64907",NERVE PEDICLE TRANSFER,EAPG,DEF,,,,,NA,NA,NA,N,
="64910",NERVE REPAIR W/ALLOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64910",NERVE REPAIR W/ALLOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="64912",NRV RPR W/NRV ALGRFT 1ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64912",NRV RPR W/NRV ALGRFT 1ST,EAPG,DEF,,,,,NA,NA,NA,N,
="64913",NRV RPR W/NRV ALGRFT EA ADDL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="64913",NRV RPR W/NRV ALGRFT EA ADDL,EAPG,DEF,,,,,NA,NA,NA,N,
="65091",REVISE EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65091",REVISE EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65093",REVISE EYE WITH IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65093",REVISE EYE WITH IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65101",REMOVAL OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65101",REMOVAL OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65103",REMOVE EYE/INSERT IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65103",REMOVE EYE/INSERT IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65105",REMOVE EYE/ATTACH IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65105",REMOVE EYE/ATTACH IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65110",REMOVAL OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65110",REMOVAL OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65112",REMOVE EYE/REVISE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65112",REMOVE EYE/REVISE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="65114",REMOVE EYE/REVISE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65114",REMOVE EYE/REVISE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="65125",REVISE OCULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65125",REVISE OCULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65130",INSERT OCULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="65130",INSERT OCULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,Y,
="65135",INSERT OCULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="65135",INSERT OCULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,Y,
="65140",ATTACH OCULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="65140",ATTACH OCULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,Y,
="65150",REVISE OCULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="65150",REVISE OCULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,Y,
="65155",REINSERT OCULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="65155",REINSERT OCULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,Y,
="65175",REMOVAL OF OCULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65175",REMOVAL OF OCULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65205",REMOVE FOREIGN BODY FROM EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65205",REMOVE FOREIGN BODY FROM EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65210",REMOVE FOREIGN BODY FROM EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65210",REMOVE FOREIGN BODY FROM EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65220",REMOVE FOREIGN BODY FROM EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65220",REMOVE FOREIGN BODY FROM EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65222",REMOVE FOREIGN BODY FROM EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65222",REMOVE FOREIGN BODY FROM EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65235",REMOVE FOREIGN BODY FROM EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65235",REMOVE FOREIGN BODY FROM EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65260",REMOVE FOREIGN BODY FROM EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65260",REMOVE FOREIGN BODY FROM EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65265",REMOVE FOREIGN BODY FROM EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65265",REMOVE FOREIGN BODY FROM EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65270",REPAIR OF EYE WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65270",REPAIR OF EYE WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="65272",REPAIR OF EYE WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65272",REPAIR OF EYE WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="65275",REPAIR OF EYE WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65275",REPAIR OF EYE WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="65280",REPAIR OF EYE WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65280",REPAIR OF EYE WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="65285",REPAIR OF EYE WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65285",REPAIR OF EYE WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="65286",REPAIR OF EYE WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65286",REPAIR OF EYE WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="65290",REPAIR OF EYE SOCKET WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65290",REPAIR OF EYE SOCKET WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="65400",REMOVAL OF EYE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65400",REMOVAL OF EYE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="65410",BIOPSY OF CORNEA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65410",BIOPSY OF CORNEA,EAPG,DEF,,,,,NA,NA,NA,N,
="65420",REMOVAL OF EYE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65420",REMOVAL OF EYE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="65426",REMOVAL OF EYE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65426",REMOVAL OF EYE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="65430",CORNEAL SMEAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65430",CORNEAL SMEAR,EAPG,DEF,,,,,NA,NA,NA,N,
="65435",CURETTE/TREAT CORNEA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65435",CURETTE/TREAT CORNEA,EAPG,DEF,,,,,NA,NA,NA,N,
="65436",CURETTE/TREAT CORNEA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65436",CURETTE/TREAT CORNEA,EAPG,DEF,,,,,NA,NA,NA,N,
="65450",TREATMENT OF CORNEAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65450",TREATMENT OF CORNEAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="65600",REVISION OF CORNEA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65600",REVISION OF CORNEA,EAPG,DEF,,,,,NA,NA,NA,N,
="65710",CORNEAL TRANSPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65710",CORNEAL TRANSPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65730",CORNEAL TRANSPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65730",CORNEAL TRANSPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65750",CORNEAL TRANSPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65750",CORNEAL TRANSPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65755",CORNEAL TRANSPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65755",CORNEAL TRANSPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65756",CORNEAL TRNSPL ENDOTHELIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65756",CORNEAL TRNSPL ENDOTHELIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="65757",PREP CORNEAL ENDO ALLOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65757",PREP CORNEAL ENDO ALLOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="65770",REVISE CORNEA WITH IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65770",REVISE CORNEA WITH IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65772",CORRECTION OF ASTIGMATISM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65772",CORRECTION OF ASTIGMATISM,EAPG,DEF,,,,,NA,NA,NA,N,
="65775",CORRECTION OF ASTIGMATISM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65775",CORRECTION OF ASTIGMATISM,EAPG,DEF,,,,,NA,NA,NA,N,
="65778",COVER EYE W/MEMBRANE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65778",COVER EYE W/MEMBRANE,EAPG,DEF,,,,,NA,NA,NA,N,
="65779",COVER EYE W/MEMBRANE SUTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65779",COVER EYE W/MEMBRANE SUTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="65780",OCULAR RECONST TRANSPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65780",OCULAR RECONST TRANSPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65781",OCULAR RECONST TRANSPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65781",OCULAR RECONST TRANSPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65782",OCULAR RECONST TRANSPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65782",OCULAR RECONST TRANSPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="65785",IMPLTJ NTRSTRML CRNL RNG SEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65785",IMPLTJ NTRSTRML CRNL RNG SEG,EAPG,DEF,,,,,NA,NA,NA,N,
="65800",DRAINAGE OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65800",DRAINAGE OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65805",DRAINAGE OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65805",DRAINAGE OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65810",DRAINAGE OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65810",DRAINAGE OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65815",DRAINAGE OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65815",DRAINAGE OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65820",RELIEVE INNER EYE PRESSURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65820",RELIEVE INNER EYE PRESSURE,EAPG,DEF,,,,,NA,NA,NA,N,
="65850",INCISION OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65850",INCISION OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65855",TRABECULOPLASTY LASER SURG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65855",TRABECULOPLASTY LASER SURG,EAPG,DEF,,,,,NA,NA,NA,N,
="65860",INCISE INNER EYE ADHESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65860",INCISE INNER EYE ADHESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="65865",INCISE INNER EYE ADHESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65865",INCISE INNER EYE ADHESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="65870",INCISE INNER EYE ADHESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65870",INCISE INNER EYE ADHESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="65875",INCISE INNER EYE ADHESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65875",INCISE INNER EYE ADHESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="65880",INCISE INNER EYE ADHESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65880",INCISE INNER EYE ADHESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="65900",REMOVE EYE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65900",REMOVE EYE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="65920",REMOVE IMPLANT OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65920",REMOVE IMPLANT OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="65930",REMOVE BLOOD CLOT FROM EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="65930",REMOVE BLOOD CLOT FROM EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="66020",INJECTION TREATMENT OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66020",INJECTION TREATMENT OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="66030",INJECTION TREATMENT OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66030",INJECTION TREATMENT OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="66130",REMOVE EYE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66130",REMOVE EYE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="66150",GLAUCOMA SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66150",GLAUCOMA SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="66155",GLAUCOMA SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66155",GLAUCOMA SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="66160",GLAUCOMA SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66160",GLAUCOMA SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="66165",GLAUCOMA SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66165",GLAUCOMA SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="66170",GLAUCOMA SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66170",GLAUCOMA SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="66172",INCISION OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66172",INCISION OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="66174",TRLUML DIL AQ O/F CAN W/O ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66174",TRLUML DIL AQ O/F CAN W/O ST,EAPG,DEF,,,,,NA,NA,NA,N,
="66175",TRLUML DIL AQ O/F CAN W/ST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66175",TRLUML DIL AQ O/F CAN W/ST,EAPG,DEF,,,,,NA,NA,NA,N,
="66179",AQUEOUS SHUNT EYE W/O GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66179",AQUEOUS SHUNT EYE W/O GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="66180",AQUEOUS SHUNT EYE W/GRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66180",AQUEOUS SHUNT EYE W/GRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="66183",INSERT ANT DRAINAGE DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66183",INSERT ANT DRAINAGE DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="66184",REVISION OF AQUEOUS SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66184",REVISION OF AQUEOUS SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="66185",REVISE AQUEOUS SHUNT EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66185",REVISE AQUEOUS SHUNT EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="66220",REPAIR EYE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66220",REPAIR EYE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="66225",REPAIR/GRAFT EYE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66225",REPAIR/GRAFT EYE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="66250",FOLLOW-UP SURGERY OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66250",FOLLOW-UP SURGERY OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="66500",INCISION OF IRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66500",INCISION OF IRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66505",INCISION OF IRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66505",INCISION OF IRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66600",REMOVE IRIS AND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66600",REMOVE IRIS AND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="66605",REMOVAL OF IRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66605",REMOVAL OF IRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66625",REMOVAL OF IRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66625",REMOVAL OF IRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66630",REMOVAL OF IRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66630",REMOVAL OF IRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66635",REMOVAL OF IRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66635",REMOVAL OF IRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66680",REPAIR IRIS & CILIARY BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66680",REPAIR IRIS & CILIARY BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="66682",REPAIR IRIS & CILIARY BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66682",REPAIR IRIS & CILIARY BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="66700",DESTRUCTION CILIARY BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66700",DESTRUCTION CILIARY BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="66710",CILIARY TRANSSLERAL THERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66710",CILIARY TRANSSLERAL THERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="66711",ECP CILIARY BODY DESTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66711",ECP CILIARY BODY DESTRUCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="66720",DESTRUCTION CILIARY BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66720",DESTRUCTION CILIARY BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="66740",DESTRUCTION CILIARY BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66740",DESTRUCTION CILIARY BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="66761",REVISION OF IRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66761",REVISION OF IRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66762",REVISION OF IRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66762",REVISION OF IRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66770",REMOVAL OF INNER EYE LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66770",REMOVAL OF INNER EYE LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="66820",INCISION SECONDARY CATARACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66820",INCISION SECONDARY CATARACT,EAPG,DEF,,,,,NA,NA,NA,N,
="66821",AFTER CATARACT LASER SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66821",AFTER CATARACT LASER SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="66825",REPOSITION INTRAOCULAR LENS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66825",REPOSITION INTRAOCULAR LENS,EAPG,DEF,,,,,NA,NA,NA,N,
="66830",REMOVAL OF LENS LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66830",REMOVAL OF LENS LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="66840",REMOVAL OF LENS MATERIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66840",REMOVAL OF LENS MATERIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="66850",REMOVAL OF LENS MATERIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66850",REMOVAL OF LENS MATERIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="66852",REMOVAL OF LENS MATERIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66852",REMOVAL OF LENS MATERIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="66920",EXTRACTION OF LENS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66920",EXTRACTION OF LENS,EAPG,DEF,,,,,NA,NA,NA,N,
="66930",EXTRACTION OF LENS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66930",EXTRACTION OF LENS,EAPG,DEF,,,,,NA,NA,NA,N,
="66940",EXTRACTION OF LENS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66940",EXTRACTION OF LENS,EAPG,DEF,,,,,NA,NA,NA,N,
="66982",XCAPSL CTRC RMVL CPLX WO ECP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66982",XCAPSL CTRC RMVL CPLX WO ECP,EAPG,DEF,,,,,NA,NA,NA,N,
="66983",CATARACT SURG W/IOL 1 STAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66983",CATARACT SURG W/IOL 1 STAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="66984",XCAPSL CTRC RMVL W/O ECP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66984",XCAPSL CTRC RMVL W/O ECP,EAPG,DEF,,,,,NA,NA,NA,N,
="66985",INSERT LENS PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66985",INSERT LENS PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66986",EXCHANGE LENS PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66986",EXCHANGE LENS PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="66987",XCAPSL CTRC RMVL CPLX W/ECP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66987",XCAPSL CTRC RMVL CPLX W/ECP,EAPG,DEF,,,,,NA,NA,NA,N,
="66988",XCAPSL CTRC RMVL W/ECP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66988",XCAPSL CTRC RMVL W/ECP,EAPG,DEF,,,,,NA,NA,NA,N,
="66989",XCPSL CTRC RMVL CPLX INSJ 1+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66989",XCPSL CTRC RMVL CPLX INSJ 1+,EAPG,DEF,,,,,NA,NA,NA,N,
="66990",OPHTHALMIC ENDOSCOPE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66990",OPHTHALMIC ENDOSCOPE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="66991",XCAPSL CTRC RMVL INSJ 1+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="66991",XCAPSL CTRC RMVL INSJ 1+,EAPG,DEF,,,,,NA,NA,NA,N,
="67005",PARTIAL REMOVAL OF EYE FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67005",PARTIAL REMOVAL OF EYE FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="67010",PARTIAL REMOVAL OF EYE FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67010",PARTIAL REMOVAL OF EYE FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="67015",RELEASE OF EYE FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67015",RELEASE OF EYE FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="67025",REPLACE EYE FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67025",REPLACE EYE FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="67027",IMPLANT EYE DRUG SYSTEM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67027",IMPLANT EYE DRUG SYSTEM,EAPG,DEF,,,,,NA,NA,NA,N,
="67028",INJECTION EYE DRUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67028",INJECTION EYE DRUG,EAPG,DEF,,,,,NA,NA,NA,N,
="67030",INCISE INNER EYE STRANDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67030",INCISE INNER EYE STRANDS,EAPG,DEF,,,,,NA,NA,NA,N,
="67031",LASER SURGERY EYE STRANDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67031",LASER SURGERY EYE STRANDS,EAPG,DEF,,,,,NA,NA,NA,N,
="67036",REMOVAL OF INNER EYE FLUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67036",REMOVAL OF INNER EYE FLUID,EAPG,DEF,,,,,NA,NA,NA,N,
="67038",STRIP RETINAL MEMBRANE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67038",STRIP RETINAL MEMBRANE,EAPG,DEF,,,,,NA,NA,NA,N,
="67039",LASER TREATMENT OF RETINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67039",LASER TREATMENT OF RETINA,EAPG,DEF,,,,,NA,NA,NA,N,
="67040",LASER TREATMENT OF RETINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67040",LASER TREATMENT OF RETINA,EAPG,DEF,,,,,NA,NA,NA,N,
="67041",VIT FOR MACULAR PUCKER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67041",VIT FOR MACULAR PUCKER,EAPG,DEF,,,,,NA,NA,NA,N,
="67042",VIT FOR MACULAR HOLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67042",VIT FOR MACULAR HOLE,EAPG,DEF,,,,,NA,NA,NA,N,
="67043",VIT FOR MEMBRANE DISSECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67043",VIT FOR MEMBRANE DISSECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67101",REPAIR DETACHED RETINA CRTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67101",REPAIR DETACHED RETINA CRTX,EAPG,DEF,,,,,NA,NA,NA,N,
="67105",REPAIR DETACHED RETINA PC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67105",REPAIR DETACHED RETINA PC,EAPG,DEF,,,,,NA,NA,NA,N,
="67107",REPAIR DETACHED RETINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67107",REPAIR DETACHED RETINA,EAPG,DEF,,,,,NA,NA,NA,N,
="67108",REPAIR DETACHED RETINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67108",REPAIR DETACHED RETINA,EAPG,DEF,,,,,NA,NA,NA,N,
="67109",REP.DETACH.RETINA-TECHNIQUE;NOT 67102/08,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67109",REP.DETACH.RETINA-TECHNIQUE;NOT 67102/08,EAPG,DEF,,,,,NA,NA,NA,N,
="67110",REPAIR DETACHED RETINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67110",REPAIR DETACHED RETINA,EAPG,DEF,,,,,NA,NA,NA,N,
="67112",REREPAIR DETACHED RETINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67112",REREPAIR DETACHED RETINA,EAPG,DEF,,,,,NA,NA,NA,N,
="67113",REPAIR RETINAL DETACH CPLX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67113",REPAIR RETINAL DETACH CPLX,EAPG,DEF,,,,,NA,NA,NA,N,
="67115",RELEASE ENCIRCLING MATERIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67115",RELEASE ENCIRCLING MATERIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="67120",REMOVE EYE IMPLANT MATERIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67120",REMOVE EYE IMPLANT MATERIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="67121",REMOVE EYE IMPLANT MATERIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67121",REMOVE EYE IMPLANT MATERIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="67141",PROPH RTA DTCHMNT CRTX DTHRM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67141",PROPH RTA DTCHMNT CRTX DTHRM,EAPG,DEF,,,,,NA,NA,NA,N,
="67145",PROPH RTA DTCHMNT PC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67145",PROPH RTA DTCHMNT PC,EAPG,DEF,,,,,NA,NA,NA,N,
="67208",TREATMENT OF RETINAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67208",TREATMENT OF RETINAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="67210",TREATMENT OF RETINAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67210",TREATMENT OF RETINAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="67218",TREATMENT OF RETINAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67218",TREATMENT OF RETINAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="67220",TREATMENT OF CHOROID LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67220",TREATMENT OF CHOROID LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="67221",OCULAR PHOTODYNAMIC THER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67221",OCULAR PHOTODYNAMIC THER,EAPG,DEF,,,,,NA,NA,NA,N,
="67225",EYE PHOTODYNAMIC THER ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67225",EYE PHOTODYNAMIC THER ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="67227",DSTRJ EXTENSIVE RETINOPATHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67227",DSTRJ EXTENSIVE RETINOPATHY,EAPG,DEF,,,,,NA,NA,NA,N,
="67228",TREATMENT X10SV RETINOPATHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67228",TREATMENT X10SV RETINOPATHY,EAPG,DEF,,,,,NA,NA,NA,N,
="67229",TR RETINAL LES PRETERM INF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67229",TR RETINAL LES PRETERM INF,EAPG,DEF,,,,,NA,NA,NA,N,
="67250",REINFORCE EYE WALL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67250",REINFORCE EYE WALL,EAPG,DEF,,,,,NA,NA,NA,N,
="67255",REINFORCE/GRAFT EYE WALL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67255",REINFORCE/GRAFT EYE WALL,EAPG,DEF,,,,,NA,NA,NA,N,
="67311",REVISE EYE MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67311",REVISE EYE MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="67312",REVISE TWO EYE MUSCLES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67312",REVISE TWO EYE MUSCLES,EAPG,DEF,,,,,NA,NA,NA,N,
="67314",REVISE EYE MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67314",REVISE EYE MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="67316",REVISE TWO EYE MUSCLES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67316",REVISE TWO EYE MUSCLES,EAPG,DEF,,,,,NA,NA,NA,N,
="67318",REVISE EYE MUSCLE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="67318",REVISE EYE MUSCLE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="67320",REVISE EYE MUSCLE(S) ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67320",REVISE EYE MUSCLE(S) ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="67331",EYE SURGERY FOLLOW-UP ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67331",EYE SURGERY FOLLOW-UP ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="67332",REREVISE EYE MUSCLES ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67332",REREVISE EYE MUSCLES ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="67334",REVISE EYE MUSCLE W/SUTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67334",REVISE EYE MUSCLE W/SUTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="67335",EYE SUTURE DURING SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67335",EYE SUTURE DURING SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="67340",REVISE EYE MUSCLE ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67340",REVISE EYE MUSCLE ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="67343",RELEASE EYE TISSUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67343",RELEASE EYE TISSUE,EAPG,DEF,,,,,NA,NA,NA,N,
="67345",DESTROY NERVE OF EYE MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67345",DESTROY NERVE OF EYE MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="67346",BIOPSY EYE MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67346",BIOPSY EYE MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="67350",BIOPSY EYE MUSCLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67350",BIOPSY EYE MUSCLE,EAPG,DEF,,,,,NA,NA,NA,N,
="67400",EXPLORE/BIOPSY EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67400",EXPLORE/BIOPSY EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67405",EXPLORE/DRAIN EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67405",EXPLORE/DRAIN EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67412",EXPLORE/TREAT EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67412",EXPLORE/TREAT EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67413",EXPLORE/TREAT EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67413",EXPLORE/TREAT EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67414",EXPLR/DECOMPRESS EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67414",EXPLR/DECOMPRESS EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67415",ASPIRATION ORBITAL CONTENTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67415",ASPIRATION ORBITAL CONTENTS,EAPG,DEF,,,,,NA,NA,NA,N,
="67420",EXPLORE/TREAT EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67420",EXPLORE/TREAT EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67430",EXPLORE/TREAT EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67430",EXPLORE/TREAT EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67440",EXPLORE/DRAIN EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67440",EXPLORE/DRAIN EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67445",EXPLR/DECOMPRESS EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67445",EXPLR/DECOMPRESS EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67450",EXPLORE/BIOPSY EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67450",EXPLORE/BIOPSY EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67500",INJECT/TREAT EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67500",INJECT/TREAT EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67505",INJECT/TREAT EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67505",INJECT/TREAT EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67515",INJECT/TREAT EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67515",INJECT/TREAT EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="67550",INSERT EYE SOCKET IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67550",INSERT EYE SOCKET IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="67560",REVISE EYE SOCKET IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67560",REVISE EYE SOCKET IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="67570",DECOMPRESS OPTIC NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67570",DECOMPRESS OPTIC NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="67700",DRAINAGE OF EYELID ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67700",DRAINAGE OF EYELID ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="67710",INCISION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67710",INCISION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67715",INCISION OF EYELID FOLD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67715",INCISION OF EYELID FOLD,EAPG,DEF,,,,,NA,NA,NA,N,
="67800",REMOVE EYELID LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67800",REMOVE EYELID LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="67801",REMOVE EYELID LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67801",REMOVE EYELID LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="67805",REMOVE EYELID LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67805",REMOVE EYELID LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="67808",REMOVE EYELID LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="67808",REMOVE EYELID LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="67810",BIOPSY EYELID & LID MARGIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67810",BIOPSY EYELID & LID MARGIN,EAPG,DEF,,,,,NA,NA,NA,N,
="67820",REVISE EYELASHES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67820",REVISE EYELASHES,EAPG,DEF,,,,,NA,NA,NA,N,
="67825",REVISE EYELASHES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67825",REVISE EYELASHES,EAPG,DEF,,,,,NA,NA,NA,N,
="67830",REVISE EYELASHES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67830",REVISE EYELASHES,EAPG,DEF,,,,,NA,NA,NA,N,
="67835",REVISE EYELASHES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67835",REVISE EYELASHES,EAPG,DEF,,,,,NA,NA,NA,N,
="67840",REMOVE EYELID LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67840",REMOVE EYELID LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="67850",TREAT EYELID LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67850",TREAT EYELID LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="67875",CLOSURE OF EYELID BY SUTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67875",CLOSURE OF EYELID BY SUTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="67880",REVISION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67880",REVISION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67882",REVISION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67882",REVISION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67900",REPAIR BROW DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="67900",REPAIR BROW DEFECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="67901",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="67901",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="67902",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="67902",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="67903",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="67903",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="67904",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="67904",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="67906",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="67906",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="67908",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="67908",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="67909",REVISE EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67909",REVISE EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67911",REVISE EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="67911",REVISE EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="67912",CORRECTION EYELID W/IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67912",CORRECTION EYELID W/IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="67914",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67914",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67915",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67915",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67916",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67916",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67917",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67917",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67921",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67921",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67922",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67922",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67923",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67923",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67924",REPAIR EYELID DEFECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67924",REPAIR EYELID DEFECT,EAPG,DEF,,,,,NA,NA,NA,N,
="67930",REPAIR EYELID WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67930",REPAIR EYELID WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="67935",REPAIR EYELID WOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67935",REPAIR EYELID WOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="67938",REMOVE EYELID FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67938",REMOVE EYELID FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="67950",REVISION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67950",REVISION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67961",REVISION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67961",REVISION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67966",REVISION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67966",REVISION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67971",RECONSTRUCTION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67971",RECONSTRUCTION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67973",RECONSTRUCTION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67973",RECONSTRUCTION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67974",RECONSTRUCTION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67974",RECONSTRUCTION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="67975",RECONSTRUCTION OF EYELID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="67975",RECONSTRUCTION OF EYELID,EAPG,DEF,,,,,NA,NA,NA,N,
="68020",INCISE/DRAIN EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68020",INCISE/DRAIN EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68040",TREATMENT OF EYELID LESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68040",TREATMENT OF EYELID LESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="68100",BIOPSY OF EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68100",BIOPSY OF EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68110",REMOVE EYELID LINING LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68110",REMOVE EYELID LINING LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="68115",REMOVE EYELID LINING LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68115",REMOVE EYELID LINING LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="68130",REMOVE EYELID LINING LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68130",REMOVE EYELID LINING LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="68135",REMOVE EYELID LINING LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68135",REMOVE EYELID LINING LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="68200",TREAT EYELID BY INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68200",TREAT EYELID BY INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="68320",REVISE/GRAFT EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68320",REVISE/GRAFT EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68325",REVISE/GRAFT EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68325",REVISE/GRAFT EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68326",REVISE/GRAFT EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68326",REVISE/GRAFT EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68328",REVISE/GRAFT EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68328",REVISE/GRAFT EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68330",REVISE EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68330",REVISE EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68335",REVISE/GRAFT EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68335",REVISE/GRAFT EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68340",SEPARATE EYELID ADHESIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68340",SEPARATE EYELID ADHESIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="68360",REVISE EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68360",REVISE EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68362",REVISE EYELID LINING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68362",REVISE EYELID LINING,EAPG,DEF,,,,,NA,NA,NA,N,
="68371",HARVEST EYE TISSUE ALOGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68371",HARVEST EYE TISSUE ALOGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="68400",INCISE/DRAIN TEAR GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68400",INCISE/DRAIN TEAR GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="68420",INCISE/DRAIN TEAR SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68420",INCISE/DRAIN TEAR SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="68440",INCISE TEAR DUCT OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68440",INCISE TEAR DUCT OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="68500",REMOVAL OF TEAR GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68500",REMOVAL OF TEAR GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="68505",PARTIAL REMOVAL TEAR GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68505",PARTIAL REMOVAL TEAR GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="68510",BIOPSY OF TEAR GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68510",BIOPSY OF TEAR GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="68520",REMOVAL OF TEAR SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68520",REMOVAL OF TEAR SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="68525",BIOPSY OF TEAR SAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68525",BIOPSY OF TEAR SAC,EAPG,DEF,,,,,NA,NA,NA,N,
="68530",CLEARANCE OF TEAR DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68530",CLEARANCE OF TEAR DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="68540",REMOVE TEAR GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68540",REMOVE TEAR GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="68550",REMOVE TEAR GLAND LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68550",REMOVE TEAR GLAND LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="68700",REPAIR TEAR DUCTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68700",REPAIR TEAR DUCTS,EAPG,DEF,,,,,NA,NA,NA,N,
="68705",REVISE TEAR DUCT OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68705",REVISE TEAR DUCT OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="68720",CREATE TEAR SAC DRAIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68720",CREATE TEAR SAC DRAIN,EAPG,DEF,,,,,NA,NA,NA,N,
="68745",CREATE TEAR DUCT DRAIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68745",CREATE TEAR DUCT DRAIN,EAPG,DEF,,,,,NA,NA,NA,N,
="68750",CREATE TEAR DUCT DRAIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68750",CREATE TEAR DUCT DRAIN,EAPG,DEF,,,,,NA,NA,NA,N,
="68760",CLOSE TEAR DUCT OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68760",CLOSE TEAR DUCT OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="68761",CLOSE TEAR DUCT OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68761",CLOSE TEAR DUCT OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="68770",CLOSE TEAR SYSTEM FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68770",CLOSE TEAR SYSTEM FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="68801",DILATE TEAR DUCT OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68801",DILATE TEAR DUCT OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="68810",PROBE NASOLACRIMAL DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68810",PROBE NASOLACRIMAL DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="68811",PROBE NASOLACRIMAL DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68811",PROBE NASOLACRIMAL DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="68815",PROBE NASOLACRIMAL DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68815",PROBE NASOLACRIMAL DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="68816",PROBE NL DUCT W/BALLOON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68816",PROBE NL DUCT W/BALLOON,EAPG,DEF,,,,,NA,NA,NA,N,
="68840",EXPLORE/IRRIGATE TEAR DUCTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68840",EXPLORE/IRRIGATE TEAR DUCTS,EAPG,DEF,,,,,NA,NA,NA,N,
="68850",INJECTION FOR TEAR SAC X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="68850",INJECTION FOR TEAR SAC X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="69000",DRAIN EXTERNAL EAR LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69000",DRAIN EXTERNAL EAR LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="69005",DRAIN EXTERNAL EAR LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69005",DRAIN EXTERNAL EAR LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="69020",DRAIN OUTER EAR CANAL LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69020",DRAIN OUTER EAR CANAL LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="69100",BIOPSY OF EXTERNAL EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69100",BIOPSY OF EXTERNAL EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="69105",BIOPSY OF EXTERNAL EAR CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69105",BIOPSY OF EXTERNAL EAR CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="69110",REMOVE EXTERNAL EAR PARTIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69110",REMOVE EXTERNAL EAR PARTIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="69120",REMOVAL OF EXTERNAL EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69120",REMOVAL OF EXTERNAL EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="69140",REMOVE EAR CANAL LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="69140",REMOVE EAR CANAL LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="69145",REMOVE EAR CANAL LESION(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="69145",REMOVE EAR CANAL LESION(S),EAPG,DEF,,,,,NA,NA,NA,N,
="69150",EXTENSIVE EAR CANAL SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69150",EXTENSIVE EAR CANAL SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="69200",CLEAR OUTER EAR CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69200",CLEAR OUTER EAR CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="69205",CLEAR OUTER EAR CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69205",CLEAR OUTER EAR CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="69209",REMOVE IMPACTED EAR WAX UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69209",REMOVE IMPACTED EAR WAX UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="69210",REMOVE IMPACTED EAR WAX UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69210",REMOVE IMPACTED EAR WAX UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="69220",CLEAN OUT MASTOID CAVITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69220",CLEAN OUT MASTOID CAVITY,EAPG,DEF,,,,,NA,NA,NA,N,
="69222",CLEAN OUT MASTOID CAVITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69222",CLEAN OUT MASTOID CAVITY,EAPG,DEF,,,,,NA,NA,NA,N,
="69300",REVISE EXTERNAL EAR,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="69300",REVISE EXTERNAL EAR,EAPG,DEF,,,,,NA,NA,NA,Y,
="69310",REBUILD OUTER EAR CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69310",REBUILD OUTER EAR CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="69320",REBUILD OUTER EAR CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69320",REBUILD OUTER EAR CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="69420",INCISION OF EARDRUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69420",INCISION OF EARDRUM,EAPG,DEF,,,,,NA,NA,NA,N,
="69421",INCISION OF EARDRUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69421",INCISION OF EARDRUM,EAPG,DEF,,,,,NA,NA,NA,N,
="69424",REMOVE VENTILATING TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69424",REMOVE VENTILATING TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="69433",CREATE EARDRUM OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69433",CREATE EARDRUM OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="69436",CREATE EARDRUM OPENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69436",CREATE EARDRUM OPENING,EAPG,DEF,,,,,NA,NA,NA,N,
="69440",EXPLORATION OF MIDDLE EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69440",EXPLORATION OF MIDDLE EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="69450",EARDRUM REVISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69450",EARDRUM REVISION,EAPG,DEF,,,,,NA,NA,NA,N,
="69501",MASTOIDECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69501",MASTOIDECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="69502",MASTOIDECTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69502",MASTOIDECTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="69505",REMOVE MASTOID STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69505",REMOVE MASTOID STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69511",EXTENSIVE MASTOID SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69511",EXTENSIVE MASTOID SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="69530",EXTENSIVE MASTOID SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69530",EXTENSIVE MASTOID SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="69540",REMOVE EAR LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69540",REMOVE EAR LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="69550",REMOVE EAR LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69550",REMOVE EAR LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="69552",REMOVE EAR LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69552",REMOVE EAR LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="69601",MASTOID SURGERY REVISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69601",MASTOID SURGERY REVISION,EAPG,DEF,,,,,NA,NA,NA,N,
="69602",MASTOID SURGERY REVISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69602",MASTOID SURGERY REVISION,EAPG,DEF,,,,,NA,NA,NA,N,
="69603",MASTOID SURGERY REVISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69603",MASTOID SURGERY REVISION,EAPG,DEF,,,,,NA,NA,NA,N,
="69604",MASTOID SURGERY REVISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69604",MASTOID SURGERY REVISION,EAPG,DEF,,,,,NA,NA,NA,N,
="69605",MASTOID SURGERY REVISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69605",MASTOID SURGERY REVISION,EAPG,DEF,,,,,NA,NA,NA,N,
="69610",REPAIR OF EARDRUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69610",REPAIR OF EARDRUM,EAPG,DEF,,,,,NA,NA,NA,N,
="69620",REPAIR OF EARDRUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69620",REPAIR OF EARDRUM,EAPG,DEF,,,,,NA,NA,NA,N,
="69631",REPAIR EARDRUM STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69631",REPAIR EARDRUM STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69632",REBUILD EARDRUM STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69632",REBUILD EARDRUM STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69633",REBUILD EARDRUM STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69633",REBUILD EARDRUM STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69635",REPAIR EARDRUM STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69635",REPAIR EARDRUM STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69636",REBUILD EARDRUM STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69636",REBUILD EARDRUM STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69637",REBUILD EARDRUM STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69637",REBUILD EARDRUM STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69641",REVISE MIDDLE EAR & MASTOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69641",REVISE MIDDLE EAR & MASTOID,EAPG,DEF,,,,,NA,NA,NA,N,
="69642",REVISE MIDDLE EAR & MASTOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69642",REVISE MIDDLE EAR & MASTOID,EAPG,DEF,,,,,NA,NA,NA,N,
="69643",REVISE MIDDLE EAR & MASTOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69643",REVISE MIDDLE EAR & MASTOID,EAPG,DEF,,,,,NA,NA,NA,N,
="69644",REVISE MIDDLE EAR & MASTOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69644",REVISE MIDDLE EAR & MASTOID,EAPG,DEF,,,,,NA,NA,NA,N,
="69645",REVISE MIDDLE EAR & MASTOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69645",REVISE MIDDLE EAR & MASTOID,EAPG,DEF,,,,,NA,NA,NA,N,
="69646",REVISE MIDDLE EAR & MASTOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69646",REVISE MIDDLE EAR & MASTOID,EAPG,DEF,,,,,NA,NA,NA,N,
="69650",RELEASE MIDDLE EAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69650",RELEASE MIDDLE EAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="69660",REVISE MIDDLE EAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69660",REVISE MIDDLE EAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="69661",REVISE MIDDLE EAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69661",REVISE MIDDLE EAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="69662",REVISE MIDDLE EAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69662",REVISE MIDDLE EAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="69666",REPAIR MIDDLE EAR STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69666",REPAIR MIDDLE EAR STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69667",REPAIR MIDDLE EAR STRUCTURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69667",REPAIR MIDDLE EAR STRUCTURES,EAPG,DEF,,,,,NA,NA,NA,N,
="69670",REMOVE MASTOID AIR CELLS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69670",REMOVE MASTOID AIR CELLS,EAPG,DEF,,,,,NA,NA,NA,N,
="69676",REMOVE MIDDLE EAR NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69676",REMOVE MIDDLE EAR NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="69700",CLOSE MASTOID FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69700",CLOSE MASTOID FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="69705",NPS SURG DILAT EUST TUBE UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69705",NPS SURG DILAT EUST TUBE UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="69706",NPS SURG DILAT EUST TUBE BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69706",NPS SURG DILAT EUST TUBE BI,EAPG,DEF,,,,,NA,NA,NA,N,
="69711",REMOVE/REPAIR HEARING AID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69711",REMOVE/REPAIR HEARING AID,EAPG,DEF,,,,,NA,NA,NA,N,
="69714",IMPL OI IMPLT SKULL PERQ ESP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69714",IMPL OI IMPLT SKULL PERQ ESP,EAPG,DEF,,,,,NA,NA,NA,N,
="69715",TEMPLE BNE IMPLNT W/STIMULAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69715",TEMPLE BNE IMPLNT W/STIMULAT,EAPG,DEF,,,,,NA,NA,NA,N,
="69716",IMPL OI IMPLT SK TC ESP<100,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69716",IMPL OI IMPLT SK TC ESP<100,EAPG,DEF,,,,,NA,NA,NA,N,
="69717",RPLCMT OI IMPLT SKL PRQ ESP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69717",RPLCMT OI IMPLT SKL PRQ ESP,EAPG,DEF,,,,,NA,NA,NA,N,
="69718",REVISE TEMPLE BONE IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69718",REVISE TEMPLE BONE IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="69719",RPLCM OI IMPLT SK TC ESP<100,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69719",RPLCM OI IMPLT SK TC ESP<100,EAPG,DEF,,,,,NA,NA,NA,N,
="69720",RELEASE FACIAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69720",RELEASE FACIAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="69726",RMV NTR OI IMPLT SKL PRQ ESP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69726",RMV NTR OI IMPLT SKL PRQ ESP,EAPG,DEF,,,,,NA,NA,NA,N,
="69727",RMV NTR OI IMP SK TC ESP<100,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69727",RMV NTR OI IMP SK TC ESP<100,EAPG,DEF,,,,,NA,NA,NA,N,
="69728",RMV NTR OI IMP SKTC ESP>=100,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69728",RMV NTR OI IMP SKTC ESP>=100,EAPG,DEF,,,,,NA,NA,NA,N,
="69729",IMPL OI IMPLT SK TC ESP>=100,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="69729",IMPL OI IMPLT SK TC ESP>=100,EAPG,DEF,,,,,NA,NA,NA,Y,
="69730",RPLC OI IMPLT SK TC ESP>=100,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="69730",RPLC OI IMPLT SK TC ESP>=100,EAPG,DEF,,,,,NA,NA,NA,Y,
="69740",REPAIR FACIAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69740",REPAIR FACIAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="69745",REPAIR FACIAL NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69745",REPAIR FACIAL NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="69801",INCISE INNER EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69801",INCISE INNER EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="69802",INCISE INNER EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69802",INCISE INNER EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="69805",EXPLORE INNER EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69805",EXPLORE INNER EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="69806",EXPLORE INNER EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69806",EXPLORE INNER EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="69820",ESTABLISH INNER EAR WINDOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69820",ESTABLISH INNER EAR WINDOW,EAPG,DEF,,,,,NA,NA,NA,N,
="69840",REVISE INNER EAR WINDOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69840",REVISE INNER EAR WINDOW,EAPG,DEF,,,,,NA,NA,NA,N,
="69905",REMOVE INNER EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69905",REMOVE INNER EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="69910",REMOVE INNER EAR & MASTOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69910",REMOVE INNER EAR & MASTOID,EAPG,DEF,,,,,NA,NA,NA,N,
="69915",INCISE INNER EAR NERVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69915",INCISE INNER EAR NERVE,EAPG,DEF,,,,,NA,NA,NA,N,
="69930",IMPLANT COCHLEAR DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69930",IMPLANT COCHLEAR DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="69990",MICROSURGERY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="69990",MICROSURGERY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="70010",CONTRAST X-RAY OF BRAIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70010",CONTRAST X-RAY OF BRAIN,EAPG,DEF,,,,,NA,NA,NA,N,
="70015",CONTRAST X-RAY OF BRAIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70015",CONTRAST X-RAY OF BRAIN,EAPG,DEF,,,,,NA,NA,NA,N,
="70030",X-RAY EYE FOR FOREIGN BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70030",X-RAY EYE FOR FOREIGN BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="70100",X-RAY EXAM OF JAW <4VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70100",X-RAY EXAM OF JAW <4VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="70110",X-RAY EXAM OF JAW 4/> VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70110",X-RAY EXAM OF JAW 4/> VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="70120",X-RAY EXAM OF MASTOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70120",X-RAY EXAM OF MASTOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="70130",X-RAY EXAM OF MASTOIDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70130",X-RAY EXAM OF MASTOIDS,EAPG,DEF,,,,,NA,NA,NA,N,
="70134",X-RAY EXAM OF MIDDLE EAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70134",X-RAY EXAM OF MIDDLE EAR,EAPG,DEF,,,,,NA,NA,NA,N,
="70140",X-RAY EXAM OF FACIAL BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70140",X-RAY EXAM OF FACIAL BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="70150",X-RAY EXAM OF FACIAL BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70150",X-RAY EXAM OF FACIAL BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="70160",X-RAY EXAM OF NASAL BONES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70160",X-RAY EXAM OF NASAL BONES,EAPG,DEF,,,,,NA,NA,NA,N,
="70170",X-RAY EXAM OF TEAR DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70170",X-RAY EXAM OF TEAR DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="70190",X-RAY EXAM OF EYE SOCKETS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70190",X-RAY EXAM OF EYE SOCKETS,EAPG,DEF,,,,,NA,NA,NA,N,
="70200",X-RAY EXAM OF EYE SOCKETS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70200",X-RAY EXAM OF EYE SOCKETS,EAPG,DEF,,,,,NA,NA,NA,N,
="70210",X-RAY EXAM OF SINUSES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70210",X-RAY EXAM OF SINUSES,EAPG,DEF,,,,,NA,NA,NA,N,
="70220",X-RAY EXAM OF SINUSES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70220",X-RAY EXAM OF SINUSES,EAPG,DEF,,,,,NA,NA,NA,N,
="70240",X-RAY EXAM PITUITARY SADDLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70240",X-RAY EXAM PITUITARY SADDLE,EAPG,DEF,,,,,NA,NA,NA,N,
="70250",X-RAY EXAM OF SKULL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70250",X-RAY EXAM OF SKULL,EAPG,DEF,,,,,NA,NA,NA,N,
="70260",X-RAY EXAM OF SKULL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70260",X-RAY EXAM OF SKULL,EAPG,DEF,,,,,NA,NA,NA,N,
="70300",X-RAY EXAM OF TEETH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70300",X-RAY EXAM OF TEETH,EAPG,DEF,,,,,NA,NA,NA,N,
="70310",X-RAY EXAM OF TEETH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70310",X-RAY EXAM OF TEETH,EAPG,DEF,,,,,NA,NA,NA,N,
="70320",FULL MOUTH X-RAY OF TEETH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70320",FULL MOUTH X-RAY OF TEETH,EAPG,DEF,,,,,NA,NA,NA,N,
="70328",X-RAY EXAM OF JAW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70328",X-RAY EXAM OF JAW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="70330",X-RAY EXAM OF JAW JOINTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70330",X-RAY EXAM OF JAW JOINTS,EAPG,DEF,,,,,NA,NA,NA,N,
="70332",X-RAY EXAM OF JAW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70332",X-RAY EXAM OF JAW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="70336",MAGNETIC IMAGE JAW JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70336",MAGNETIC IMAGE JAW JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="70350",X-RAY HEAD FOR ORTHODONTIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70350",X-RAY HEAD FOR ORTHODONTIA,EAPG,DEF,,,,,NA,NA,NA,N,
="70355",PANORAMIC X-RAY OF JAWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70355",PANORAMIC X-RAY OF JAWS,EAPG,DEF,,,,,NA,NA,NA,N,
="70360",X-RAY EXAM OF NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70360",X-RAY EXAM OF NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="70370",THROAT X-RAY & FLUOROSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70370",THROAT X-RAY & FLUOROSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="70371",SPEECH EVALUATION COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70371",SPEECH EVALUATION COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="70373",CONTRAST X-RAY OF LARYNX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70373",CONTRAST X-RAY OF LARYNX,EAPG,DEF,,,,,NA,NA,NA,N,
="70380",X-RAY EXAM OF SALIVARY GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70380",X-RAY EXAM OF SALIVARY GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="70390",X-RAY EXAM OF SALIVARY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70390",X-RAY EXAM OF SALIVARY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="70450",CT HEAD/BRAIN W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70450",CT HEAD/BRAIN W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70460",CT HEAD/BRAIN W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70460",CT HEAD/BRAIN W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70470",CT HEAD/BRAIN W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70470",CT HEAD/BRAIN W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70480",CT ORBIT/EAR/FOSSA W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70480",CT ORBIT/EAR/FOSSA W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70481",CT ORBIT/EAR/FOSSA W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70481",CT ORBIT/EAR/FOSSA W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70482",CT ORBIT/EAR/FOSSA W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70482",CT ORBIT/EAR/FOSSA W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70486",CT MAXILLOFACIAL W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70486",CT MAXILLOFACIAL W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70487",CT MAXILLOFACIAL W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70487",CT MAXILLOFACIAL W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70488",CT MAXILLOFACIAL W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70488",CT MAXILLOFACIAL W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70490",CT SOFT TISSUE NECK W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70490",CT SOFT TISSUE NECK W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70491",CT SOFT TISSUE NECK W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70491",CT SOFT TISSUE NECK W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70492",CT SFT TSUE NCK W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70492",CT SFT TSUE NCK W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70496",CT ANGIOGRAPHY HEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70496",CT ANGIOGRAPHY HEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="70498",CT ANGIOGRAPHY NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70498",CT ANGIOGRAPHY NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="70540",MRI ORBIT/FACE/NECK W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70540",MRI ORBIT/FACE/NECK W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70541",MAGNETIC IMAGE; HEAD (MRA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="70541",MAGNETIC IMAGE; HEAD (MRA),EAPG,DEF,,,,,NA,NA,NA,N,
="70542",MRI ORBIT/FACE/NECK W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70542",MRI ORBIT/FACE/NECK W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70543",MRI ORBT/FAC/NCK W/O &W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70543",MRI ORBT/FAC/NCK W/O &W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70544",MR ANGIOGRAPHY HEAD W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70544",MR ANGIOGRAPHY HEAD W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70545",MR ANGIOGRAPHY HEAD W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70545",MR ANGIOGRAPHY HEAD W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70546",MR ANGIOGRAPH HEAD W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70546",MR ANGIOGRAPH HEAD W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70547",MR ANGIOGRAPHY NECK W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70547",MR ANGIOGRAPHY NECK W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70548",MR ANGIOGRAPHY NECK W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70548",MR ANGIOGRAPHY NECK W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70549",MR ANGIOGRAPH NECK W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70549",MR ANGIOGRAPH NECK W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70551",MRI BRAIN STEM W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70551",MRI BRAIN STEM W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70552",MRI BRAIN STEM W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70552",MRI BRAIN STEM W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70553",MRI BRAIN STEM W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70553",MRI BRAIN STEM W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70554",FMRI BRAIN BY TECH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70554",FMRI BRAIN BY TECH,EAPG,DEF,,,,,NA,NA,NA,N,
="70555",FMRI BRAIN BY PHYS/PSYCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70555",FMRI BRAIN BY PHYS/PSYCH,EAPG,DEF,,,,,NA,NA,NA,N,
="70557",MRI BRAIN W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70557",MRI BRAIN W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70558",MRI BRAIN W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70558",MRI BRAIN W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="70559",MRI BRAIN W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="70559",MRI BRAIN W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="71010",CHEST X-RAY 1 VIEW FRONTAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71010",CHEST X-RAY 1 VIEW FRONTAL,EAPG,DEF,,,,,NA,NA,NA,N,
="71015",CHEST X-RAY STEREO FRONTAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71015",CHEST X-RAY STEREO FRONTAL,EAPG,DEF,,,,,NA,NA,NA,N,
="71020",CHEST X-RAY 2VW FRONTAL&LATL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71020",CHEST X-RAY 2VW FRONTAL&LATL,EAPG,DEF,,,,,NA,NA,NA,N,
="71021",CHEST X-RAY FRNT LAT LORDOTC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71021",CHEST X-RAY FRNT LAT LORDOTC,EAPG,DEF,,,,,NA,NA,NA,N,
="71022",CHEST X-RAY FRNT LAT OBLIQUE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71022",CHEST X-RAY FRNT LAT OBLIQUE,EAPG,DEF,,,,,NA,NA,NA,N,
="71023",CHEST X-RAY AND FLUOROSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71023",CHEST X-RAY AND FLUOROSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="71030",CHEST X-RAY 4/> VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71030",CHEST X-RAY 4/> VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71034",CHEST X-RAY&FLUORO 4/> VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71034",CHEST X-RAY&FLUORO 4/> VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71035",CHEST X-RAY SPECIAL VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71035",CHEST X-RAY SPECIAL VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71036",X-RAY GUIDANCE FOR BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71036",X-RAY GUIDANCE FOR BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="71038",X-RAY GUIDANCE FOR BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71038",X-RAY GUIDANCE FOR BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="71040",CONTRAST X-RAY OF BRONCHI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71040",CONTRAST X-RAY OF BRONCHI,EAPG,DEF,,,,,NA,NA,NA,N,
="71045",X-RAY EXAM CHEST 1 VIEW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71045",X-RAY EXAM CHEST 1 VIEW,EAPG,DEF,,,,,NA,NA,NA,N,
="71046",X-RAY EXAM CHEST 2 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71046",X-RAY EXAM CHEST 2 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71047",X-RAY EXAM CHEST 3 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71047",X-RAY EXAM CHEST 3 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71048",X-RAY EXAM CHEST 4+ VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71048",X-RAY EXAM CHEST 4+ VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71060",CONTRAST X-RAY OF BRONCHI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71060",CONTRAST X-RAY OF BRONCHI,EAPG,DEF,,,,,NA,NA,NA,N,
="71090",X-RAY & PACEMAKER INSERTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71090",X-RAY & PACEMAKER INSERTION,EAPG,DEF,,,,,NA,NA,NA,N,
="71100",X-RAY EXAM RIBS UNI 2 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71100",X-RAY EXAM RIBS UNI 2 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71101",X-RAY EXAM UNILAT RIBS/CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71101",X-RAY EXAM UNILAT RIBS/CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="71110",X-RAY EXAM RIBS BIL 3 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71110",X-RAY EXAM RIBS BIL 3 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71111",X-RAY EXAM RIBS/CHEST4/> VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71111",X-RAY EXAM RIBS/CHEST4/> VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71120",X-RAY EXAM BREASTBONE 2/>VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71120",X-RAY EXAM BREASTBONE 2/>VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71130",X-RAY STRENOCLAVIC JT 3/>VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71130",X-RAY STRENOCLAVIC JT 3/>VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="71250",CT THORAX DX C-,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71250",CT THORAX DX C-,EAPG,DEF,,,,,NA,NA,NA,N,
="71260",CT THORAX DX C+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71260",CT THORAX DX C+,EAPG,DEF,,,,,NA,NA,NA,N,
="71270",CT THORAX DX C-/C+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71270",CT THORAX DX C-/C+,EAPG,DEF,,,,,NA,NA,NA,N,
="71271",CT THORAX LUNG CANCER SCR C-,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71271",CT THORAX LUNG CANCER SCR C-,EAPG,DEF,,,,,NA,NA,NA,N,
="71275",CT ANGIOGRAPHY CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71275",CT ANGIOGRAPHY CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="71550",MRI CHEST W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71550",MRI CHEST W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="71551",MRI CHEST W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71551",MRI CHEST W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="71552",MRI CHEST W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71552",MRI CHEST W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="71555",MRI ANGIO CHEST W OR W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="71555",MRI ANGIO CHEST W OR W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72010",X-RAY EXAM SPINE AP&LAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72010",X-RAY EXAM SPINE AP&LAT,EAPG,DEF,,,,,NA,NA,NA,N,
="72020",X-RAY EXAM OF SPINE 1 VIEW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72020",X-RAY EXAM OF SPINE 1 VIEW,EAPG,DEF,,,,,NA,NA,NA,N,
="72040",X-RAY EXAM NECK SPINE 2-3 VW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72040",X-RAY EXAM NECK SPINE 2-3 VW,EAPG,DEF,,,,,NA,NA,NA,N,
="72050",X-RAY EXAM NECK SPINE 4/5VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72050",X-RAY EXAM NECK SPINE 4/5VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="72052",X-RAY EXAM NECK SPINE 6/>VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72052",X-RAY EXAM NECK SPINE 6/>VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="72069",X-RAY EXAM TRUNK SPINE STAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72069",X-RAY EXAM TRUNK SPINE STAND,EAPG,DEF,,,,,NA,NA,NA,N,
="72070",X-RAY EXAM THORAC SPINE 2VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72070",X-RAY EXAM THORAC SPINE 2VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="72072",X-RAY EXAM THORAC SPINE 3VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72072",X-RAY EXAM THORAC SPINE 3VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="72074",X-RAY EXAM THORAC SPINE4/>VW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72074",X-RAY EXAM THORAC SPINE4/>VW,EAPG,DEF,,,,,NA,NA,NA,N,
="72080",X-RAY EXAM THORACOLMB 2/> VW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72080",X-RAY EXAM THORACOLMB 2/> VW,EAPG,DEF,,,,,NA,NA,NA,N,
="72081",X-RAY EXAM ENTIRE SPI 1 VW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72081",X-RAY EXAM ENTIRE SPI 1 VW,EAPG,DEF,,,,,NA,NA,NA,N,
="72082",X-RAY EXAM ENTIRE SPI 2/3 VW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72082",X-RAY EXAM ENTIRE SPI 2/3 VW,EAPG,DEF,,,,,NA,NA,NA,N,
="72083",X-RAY EXAM ENTIRE SPI 4/5 VW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72083",X-RAY EXAM ENTIRE SPI 4/5 VW,EAPG,DEF,,,,,NA,NA,NA,N,
="72084",X-RAY EXAM ENTIRE SPI 6/> VW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72084",X-RAY EXAM ENTIRE SPI 6/> VW,EAPG,DEF,,,,,NA,NA,NA,N,
="72090",X-RAY EXAM SCLOIOSIS ERECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72090",X-RAY EXAM SCLOIOSIS ERECT,EAPG,DEF,,,,,NA,NA,NA,N,
="72100",X-RAY EXAM L-S SPINE 2/3 VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72100",X-RAY EXAM L-S SPINE 2/3 VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="72110",X-RAY EXAM L-2 SPINE 4/>VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72110",X-RAY EXAM L-2 SPINE 4/>VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="72114",X-RAY EXAM L-S SPINE BENDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72114",X-RAY EXAM L-S SPINE BENDING,EAPG,DEF,,,,,NA,NA,NA,N,
="72120",X-RAY BEND ONLY L-S SPINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72120",X-RAY BEND ONLY L-S SPINE,EAPG,DEF,,,,,NA,NA,NA,N,
="72125",CT NECK SPINE W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72125",CT NECK SPINE W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72126",CT NECK SPINE W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72126",CT NECK SPINE W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72127",CT NECK SPINE W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72127",CT NECK SPINE W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72128",CT CHEST SPINE W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72128",CT CHEST SPINE W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72129",CT CHEST SPINE W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72129",CT CHEST SPINE W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72130",CT CHEST SPINE W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72130",CT CHEST SPINE W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72131",CT LUMBAR SPINE W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72131",CT LUMBAR SPINE W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72132",CT LUMBAR SPINE W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72132",CT LUMBAR SPINE W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72133",CT LUMBAR SPINE W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72133",CT LUMBAR SPINE W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72141",MRI NECK SPINE W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72141",MRI NECK SPINE W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72142",MRI NECK SPINE W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72142",MRI NECK SPINE W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72146",MRI CHEST SPINE W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72146",MRI CHEST SPINE W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72147",MRI CHEST SPINE W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72147",MRI CHEST SPINE W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72148",MRI LUMBAR SPINE W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72148",MRI LUMBAR SPINE W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72149",MRI LUMBAR SPINE W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72149",MRI LUMBAR SPINE W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72156",MRI NECK SPINE W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72156",MRI NECK SPINE W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72157",MRI CHEST SPINE W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72157",MRI CHEST SPINE W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72158",MRI LUMBAR SPINE W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72158",MRI LUMBAR SPINE W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72159",MR ANGIO SPINE W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72159",MR ANGIO SPINE W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72170",X-RAY EXAM OF PELVIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72170",X-RAY EXAM OF PELVIS,EAPG,DEF,,,,,NA,NA,NA,N,
="72190",X-RAY EXAM OF PELVIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72190",X-RAY EXAM OF PELVIS,EAPG,DEF,,,,,NA,NA,NA,N,
="72191",CT ANGIOGRAPH PELV W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72191",CT ANGIOGRAPH PELV W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72192",CT PELVIS W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72192",CT PELVIS W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72193",CT PELVIS W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72193",CT PELVIS W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72194",CT PELVIS W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72194",CT PELVIS W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72195",MRI PELVIS W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72195",MRI PELVIS W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72196",MRI PELVIS W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72196",MRI PELVIS W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72197",MRI PELVIS W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72197",MRI PELVIS W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72198",MR ANGIO PELVIS W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72198",MR ANGIO PELVIS W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="72200",X-RAY EXAM SI JOINTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72200",X-RAY EXAM SI JOINTS,EAPG,DEF,,,,,NA,NA,NA,N,
="72202",X-RAY EXAM SI JOINTS 3/> VWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72202",X-RAY EXAM SI JOINTS 3/> VWS,EAPG,DEF,,,,,NA,NA,NA,N,
="72220",X-RAY EXAM SACRUM TAILBONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72220",X-RAY EXAM SACRUM TAILBONE,EAPG,DEF,,,,,NA,NA,NA,N,
="72240",MYELOGRAPHY NECK SPINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72240",MYELOGRAPHY NECK SPINE,EAPG,DEF,,,,,NA,NA,NA,N,
="72255",MYELOGRAPHY THORACIC SPINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72255",MYELOGRAPHY THORACIC SPINE,EAPG,DEF,,,,,NA,NA,NA,N,
="72265",MYELOGRAPHY L-S SPINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72265",MYELOGRAPHY L-S SPINE,EAPG,DEF,,,,,NA,NA,NA,N,
="72270",MYELOGPHY 2/> SPINE REGIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72270",MYELOGPHY 2/> SPINE REGIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="72275",EPIDUROGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72275",EPIDUROGRAPHY,EAPG,DEF,,,,,NA,NA,NA,N,
="72285",DISCOGRAPHY CERV/THOR SPINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72285",DISCOGRAPHY CERV/THOR SPINE,EAPG,DEF,,,,,NA,NA,NA,N,
="72291",PERQ VERTE/SACROPLSTY FLUOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72291",PERQ VERTE/SACROPLSTY FLUOR,EAPG,DEF,,,,,NA,NA,NA,N,
="72292",PERQ VERTE/SACROPLSTY CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72292",PERQ VERTE/SACROPLSTY CT,EAPG,DEF,,,,,NA,NA,NA,N,
="72295",X-RAY OF LOWER SPINE DISK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="72295",X-RAY OF LOWER SPINE DISK,EAPG,DEF,,,,,NA,NA,NA,N,
="73000",X-RAY EXAM OF COLLAR BONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73000",X-RAY EXAM OF COLLAR BONE,EAPG,DEF,,,,,NA,NA,NA,N,
="73010",X-RAY EXAM OF SHOULDER BLADE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73010",X-RAY EXAM OF SHOULDER BLADE,EAPG,DEF,,,,,NA,NA,NA,N,
="73020",X-RAY EXAM OF SHOULDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73020",X-RAY EXAM OF SHOULDER,EAPG,DEF,,,,,NA,NA,NA,N,
="73030",X-RAY EXAM OF SHOULDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73030",X-RAY EXAM OF SHOULDER,EAPG,DEF,,,,,NA,NA,NA,N,
="73040",CONTRAST X-RAY OF SHOULDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73040",CONTRAST X-RAY OF SHOULDER,EAPG,DEF,,,,,NA,NA,NA,N,
="73050",X-RAY EXAM OF SHOULDERS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73050",X-RAY EXAM OF SHOULDERS,EAPG,DEF,,,,,NA,NA,NA,N,
="73060",X-RAY EXAM OF HUMERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73060",X-RAY EXAM OF HUMERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="73070",X-RAY EXAM OF ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73070",X-RAY EXAM OF ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="73080",X-RAY EXAM OF ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73080",X-RAY EXAM OF ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="73085",CONTRAST X-RAY OF ELBOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73085",CONTRAST X-RAY OF ELBOW,EAPG,DEF,,,,,NA,NA,NA,N,
="73090",X-RAY EXAM OF FOREARM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73090",X-RAY EXAM OF FOREARM,EAPG,DEF,,,,,NA,NA,NA,N,
="73092",X-RAY EXAM OF ARM INFANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73092",X-RAY EXAM OF ARM INFANT,EAPG,DEF,,,,,NA,NA,NA,N,
="73100",X-RAY EXAM OF WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73100",X-RAY EXAM OF WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="73110",X-RAY EXAM OF WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73110",X-RAY EXAM OF WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="73115",CONTRAST X-RAY OF WRIST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73115",CONTRAST X-RAY OF WRIST,EAPG,DEF,,,,,NA,NA,NA,N,
="73120",X-RAY EXAM OF HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73120",X-RAY EXAM OF HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="73130",X-RAY EXAM OF HAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73130",X-RAY EXAM OF HAND,EAPG,DEF,,,,,NA,NA,NA,N,
="73140",X-RAY EXAM OF FINGER(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="73140",X-RAY EXAM OF FINGER(S),EAPG,DEF,,,,,NA,NA,NA,N,
="73200",CT UPPER EXTREMITY W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73200",CT UPPER EXTREMITY W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73201",CT UPPER EXTREMITY W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73201",CT UPPER EXTREMITY W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73202",CT UPPR EXTREMITY W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73202",CT UPPR EXTREMITY W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73206",CT ANGIO UPR EXTRM W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73206",CT ANGIO UPR EXTRM W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73218",MRI UPPER EXTREMITY W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73218",MRI UPPER EXTREMITY W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73219",MRI UPPER EXTREMITY W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73219",MRI UPPER EXTREMITY W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73220",MRI UPPR EXTREMITY W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73220",MRI UPPR EXTREMITY W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73221",MRI JOINT UPR EXTREM W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73221",MRI JOINT UPR EXTREM W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73222",MRI JOINT UPR EXTREM W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73222",MRI JOINT UPR EXTREM W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73223",MRI JOINT UPR EXTR W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73223",MRI JOINT UPR EXTR W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73225",MR ANGIO UPR EXTR W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73225",MR ANGIO UPR EXTR W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73500",X-RAY EXAM OF HIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73500",X-RAY EXAM OF HIP,EAPG,DEF,,,,,NA,NA,NA,N,
="73501",X-RAY EXAM HIP UNI 1 VIEW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73501",X-RAY EXAM HIP UNI 1 VIEW,EAPG,DEF,,,,,NA,NA,NA,N,
="73502",X-RAY EXAM HIP UNI 2-3 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73502",X-RAY EXAM HIP UNI 2-3 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="73503",X-RAY EXAM HIP UNI 4/> VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73503",X-RAY EXAM HIP UNI 4/> VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="73510",X-RAY EXAM OF HIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73510",X-RAY EXAM OF HIP,EAPG,DEF,,,,,NA,NA,NA,N,
="73520",X-RAY EXAM OF HIPS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73520",X-RAY EXAM OF HIPS,EAPG,DEF,,,,,NA,NA,NA,N,
="73521",X-RAY EXAM HIPS BI 2 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73521",X-RAY EXAM HIPS BI 2 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="73522",X-RAY EXAM HIPS BI 3-4 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73522",X-RAY EXAM HIPS BI 3-4 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="73523",X-RAY EXAM HIPS BI 5/> VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73523",X-RAY EXAM HIPS BI 5/> VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="73525",CONTRAST X-RAY OF HIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73525",CONTRAST X-RAY OF HIP,EAPG,DEF,,,,,NA,NA,NA,N,
="73530",X-RAY EXAM OF HIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73530",X-RAY EXAM OF HIP,EAPG,DEF,,,,,NA,NA,NA,N,
="73540",X-RAY EXAM OF PELVIS & HIPS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73540",X-RAY EXAM OF PELVIS & HIPS,EAPG,DEF,,,,,NA,NA,NA,N,
="73542",X-RAY EXAM SACROILIAC JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73542",X-RAY EXAM SACROILIAC JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="73550",X-RAY EXAM OF THIGH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73550",X-RAY EXAM OF THIGH,EAPG,DEF,,,,,NA,NA,NA,N,
="73551",X-RAY EXAM OF FEMUR 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73551",X-RAY EXAM OF FEMUR 1,EAPG,DEF,,,,,NA,NA,NA,N,
="73552",X-RAY EXAM OF FEMUR 2/>,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73552",X-RAY EXAM OF FEMUR 2/>,EAPG,DEF,,,,,NA,NA,NA,N,
="73560",X-RAY EXAM OF KNEE 1 OR 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73560",X-RAY EXAM OF KNEE 1 OR 2,EAPG,DEF,,,,,NA,NA,NA,N,
="73562",X-RAY EXAM OF KNEE 3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73562",X-RAY EXAM OF KNEE 3,EAPG,DEF,,,,,NA,NA,NA,N,
="73564",X-RAY EXAM KNEE 4 OR MORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73564",X-RAY EXAM KNEE 4 OR MORE,EAPG,DEF,,,,,NA,NA,NA,N,
="73565",X-RAY EXAM OF KNEES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73565",X-RAY EXAM OF KNEES,EAPG,DEF,,,,,NA,NA,NA,N,
="73580",CONTRAST X-RAY OF KNEE JOINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73580",CONTRAST X-RAY OF KNEE JOINT,EAPG,DEF,,,,,NA,NA,NA,N,
="73590",X-RAY EXAM OF LOWER LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73590",X-RAY EXAM OF LOWER LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="73592",X-RAY EXAM OF LEG INFANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73592",X-RAY EXAM OF LEG INFANT,EAPG,DEF,,,,,NA,NA,NA,N,
="73600",X-RAY EXAM OF ANKLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73600",X-RAY EXAM OF ANKLE,EAPG,DEF,,,,,NA,NA,NA,N,
="73610",X-RAY EXAM OF ANKLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73610",X-RAY EXAM OF ANKLE,EAPG,DEF,,,,,NA,NA,NA,N,
="73615",CONTRAST X-RAY OF ANKLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73615",CONTRAST X-RAY OF ANKLE,EAPG,DEF,,,,,NA,NA,NA,N,
="73620",X-RAY EXAM OF FOOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73620",X-RAY EXAM OF FOOT,EAPG,DEF,,,,,NA,NA,NA,N,
="73630",X-RAY EXAM OF FOOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73630",X-RAY EXAM OF FOOT,EAPG,DEF,,,,,NA,NA,NA,N,
="73650",X-RAY EXAM OF HEEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73650",X-RAY EXAM OF HEEL,EAPG,DEF,,,,,NA,NA,NA,N,
="73660",X-RAY EXAM OF TOE(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="73660",X-RAY EXAM OF TOE(S),EAPG,DEF,,,,,NA,NA,NA,N,
="73700",CT LOWER EXTREMITY W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73700",CT LOWER EXTREMITY W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73701",CT LOWER EXTREMITY W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73701",CT LOWER EXTREMITY W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73702",CT LWR EXTREMITY W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73702",CT LWR EXTREMITY W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73706",CT ANGIO LWR EXTR W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73706",CT ANGIO LWR EXTR W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73718",MRI LOWER EXTREMITY W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73718",MRI LOWER EXTREMITY W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73719",MRI LOWER EXTREMITY W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73719",MRI LOWER EXTREMITY W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73720",MRI LWR EXTREMITY W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73720",MRI LWR EXTREMITY W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73721",MRI JNT OF LWR EXTRE W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73721",MRI JNT OF LWR EXTRE W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73722",MRI JOINT OF LWR EXTR W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73722",MRI JOINT OF LWR EXTR W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73723",MRI JOINT LWR EXTR W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73723",MRI JOINT LWR EXTR W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="73725",MR ANG LWR EXT W OR W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="73725",MR ANG LWR EXT W OR W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74000",X-RAY EXAM OF ABDOMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74000",X-RAY EXAM OF ABDOMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="74010",X-RAY EXAM OF ABDOMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74010",X-RAY EXAM OF ABDOMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="74018",X-RAY EXAM ABDOMEN 1 VIEW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74018",X-RAY EXAM ABDOMEN 1 VIEW,EAPG,DEF,,,,,NA,NA,NA,N,
="74019",X-RAY EXAM ABDOMEN 2 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74019",X-RAY EXAM ABDOMEN 2 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="74020",X-RAY EXAM OF ABDOMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74020",X-RAY EXAM OF ABDOMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="74021",X-RAY EXAM ABDOMEN 3+ VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74021",X-RAY EXAM ABDOMEN 3+ VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="74022",X-RAY EXAM COMPLETE ABDOMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74022",X-RAY EXAM COMPLETE ABDOMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="74150",CT ABDOMEN W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74150",CT ABDOMEN W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74160",CT ABDOMEN W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74160",CT ABDOMEN W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74170",CT ABDOMEN W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74170",CT ABDOMEN W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74174",CT ANGIO ABD&PELV W/O&W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74174",CT ANGIO ABD&PELV W/O&W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74175",CT ANGIO ABDOM W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74175",CT ANGIO ABDOM W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74176",CT ABD & PELVIS W/O CONTRAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74176",CT ABD & PELVIS W/O CONTRAST,EAPG,DEF,,,,,NA,NA,NA,N,
="74177",CT ABD & PELV W/CONTRAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74177",CT ABD & PELV W/CONTRAST,EAPG,DEF,,,,,NA,NA,NA,N,
="74178",CT ABD & PELV 1/> REGNS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74178",CT ABD & PELV 1/> REGNS,EAPG,DEF,,,,,NA,NA,NA,N,
="74181",MRI ABDOMEN W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74181",MRI ABDOMEN W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74182",MRI ABDOMEN W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74182",MRI ABDOMEN W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74183",MRI ABDOMEN W/O & W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74183",MRI ABDOMEN W/O & W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74185",MRI ANGIO ABDOM W ORW/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74185",MRI ANGIO ABDOM W ORW/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74190",X-RAY EXAM OF PERITONEUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74190",X-RAY EXAM OF PERITONEUM,EAPG,DEF,,,,,NA,NA,NA,N,
="74210",X-RAY XM PHRNX&/CRV ESOPH C+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74210",X-RAY XM PHRNX&/CRV ESOPH C+,EAPG,DEF,,,,,NA,NA,NA,N,
="74220",X-RAY XM ESOPHAGUS 1CNTRST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74220",X-RAY XM ESOPHAGUS 1CNTRST,EAPG,DEF,,,,,NA,NA,NA,N,
="74221",X-RAY XM ESOPHAGUS 2CNTRST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74221",X-RAY XM ESOPHAGUS 2CNTRST,EAPG,DEF,,,,,NA,NA,NA,N,
="74230",X-RAY XM SWLNG FUNCJ C+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74230",X-RAY XM SWLNG FUNCJ C+,EAPG,DEF,,,,,NA,NA,NA,N,
="74235",REMOVE ESOPHAGUS OBSTRUCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74235",REMOVE ESOPHAGUS OBSTRUCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="74240",X-RAY XM UPR GI TRC 1CNTRST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74240",X-RAY XM UPR GI TRC 1CNTRST,EAPG,DEF,,,,,NA,NA,NA,N,
="74241",X-RAY UPPER GI DELAY W/KUB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74241",X-RAY UPPER GI DELAY W/KUB,EAPG,DEF,,,,,NA,NA,NA,N,
="74245",X-RAY UPPER GI&SMALL INTEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74245",X-RAY UPPER GI&SMALL INTEST,EAPG,DEF,,,,,NA,NA,NA,N,
="74246",X-RAY XM UPR GI TRC 2CNTRST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74246",X-RAY XM UPR GI TRC 2CNTRST,EAPG,DEF,,,,,NA,NA,NA,N,
="74247",CONTRST X-RAY UPPR GI TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74247",CONTRST X-RAY UPPR GI TRACT,EAPG,DEF,,,,,NA,NA,NA,N,
="74248",X-RAY SM INT F-THRU STD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74248",X-RAY SM INT F-THRU STD,EAPG,DEF,,,,,NA,NA,NA,N,
="74249",CONTRST X-RAY UPPR GI TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74249",CONTRST X-RAY UPPR GI TRACT,EAPG,DEF,,,,,NA,NA,NA,N,
="74250",X-RAY XM SM INT 1CNTRST STD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74250",X-RAY XM SM INT 1CNTRST STD,EAPG,DEF,,,,,NA,NA,NA,N,
="74251",X-RAY XM SM INT 2CNTRST STD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74251",X-RAY XM SM INT 2CNTRST STD,EAPG,DEF,,,,,NA,NA,NA,N,
="74260",X-RAY EXAM OF SMALL BOWEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74260",X-RAY EXAM OF SMALL BOWEL,EAPG,DEF,,,,,NA,NA,NA,N,
="74261",CT COLONOGRAPHY DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74261",CT COLONOGRAPHY DX,EAPG,DEF,,,,,NA,NA,NA,N,
="74262",CT COLONOGRAPHY DX W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74262",CT COLONOGRAPHY DX W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="74263",CT COLONOGRAPHY SCREENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74263",CT COLONOGRAPHY SCREENING,EAPG,DEF,,,,,NA,NA,NA,N,
="74270",X-RAY XM COLON 1CNTRST STD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74270",X-RAY XM COLON 1CNTRST STD,EAPG,DEF,,,,,NA,NA,NA,N,
="74280",X-RAY XM COLON 2CNTRST STD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74280",X-RAY XM COLON 2CNTRST STD,EAPG,DEF,,,,,NA,NA,NA,N,
="74283",THER NMA RDCTJ INTUS/OBSTRCJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74283",THER NMA RDCTJ INTUS/OBSTRCJ,EAPG,DEF,,,,,NA,NA,NA,N,
="74290",CONTRAST X-RAY GALLBLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74290",CONTRAST X-RAY GALLBLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="74291",CONTRAST X-RAYS GALLBLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74291",CONTRAST X-RAYS GALLBLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="74300",X-RAY BILE DUCTS/PANCREAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74300",X-RAY BILE DUCTS/PANCREAS,EAPG,DEF,,,,,NA,NA,NA,N,
="74301",X-RAYS AT SURGERY ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74301",X-RAYS AT SURGERY ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="74305",X-RAY BILE DUCTS/PANCREAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74305",X-RAY BILE DUCTS/PANCREAS,EAPG,DEF,,,,,NA,NA,NA,N,
="74320",CONTRAST X-RAY OF BILE DUCTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74320",CONTRAST X-RAY OF BILE DUCTS,EAPG,DEF,,,,,NA,NA,NA,N,
="74327",X-RAY BILE STONE REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74327",X-RAY BILE STONE REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="74328",X-RAY BILE DUCT ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74328",X-RAY BILE DUCT ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="74329",X-RAY FOR PANCREAS ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74329",X-RAY FOR PANCREAS ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="74330",X-RAY BILE/PANC ENDOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74330",X-RAY BILE/PANC ENDOSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="74340",X-RAY GUIDE FOR GI TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74340",X-RAY GUIDE FOR GI TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="74350",X-RAY GUIDE; STOMACH TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74350",X-RAY GUIDE; STOMACH TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="74355",X-RAY GUIDE INTESTINAL TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74355",X-RAY GUIDE INTESTINAL TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="74360",X-RAY GUIDE GI DILATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74360",X-RAY GUIDE GI DILATION,EAPG,DEF,,,,,NA,NA,NA,N,
="74363",X-RAY BILE DUCT DILATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74363",X-RAY BILE DUCT DILATION,EAPG,DEF,,,,,NA,NA,NA,N,
="74400",UROGRAPHY IV +-KUB TOMOG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74400",UROGRAPHY IV +-KUB TOMOG,EAPG,DEF,,,,,NA,NA,NA,N,
="74410",UROGRAPHY NFS DRIP&/BOLUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74410",UROGRAPHY NFS DRIP&/BOLUS,EAPG,DEF,,,,,NA,NA,NA,N,
="74415",UROGRAPHY NFS DRIP&/BLS W/NF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74415",UROGRAPHY NFS DRIP&/BLS W/NF,EAPG,DEF,,,,,NA,NA,NA,N,
="74420",UROGRAPHY RTRGR +-KUB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74420",UROGRAPHY RTRGR +-KUB,EAPG,DEF,,,,,NA,NA,NA,N,
="74425",UROGRAPHY ANTEGRADE RS&I,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74425",UROGRAPHY ANTEGRADE RS&I,EAPG,DEF,,,,,NA,NA,NA,N,
="74430",CONTRAST X-RAY BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74430",CONTRAST X-RAY BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="74440",X-RAY MALE GENITAL TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74440",X-RAY MALE GENITAL TRACT,EAPG,DEF,,,,,NA,NA,NA,N,
="74445",X-RAY EXAM OF PENIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74445",X-RAY EXAM OF PENIS,EAPG,DEF,,,,,NA,NA,NA,N,
="74450",X-RAY URETHRA/BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74450",X-RAY URETHRA/BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="74455",X-RAY URETHRA/BLADDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74455",X-RAY URETHRA/BLADDER,EAPG,DEF,,,,,NA,NA,NA,N,
="74470",X-RAY EXAM OF KIDNEY LESION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74470",X-RAY EXAM OF KIDNEY LESION,EAPG,DEF,,,,,NA,NA,NA,N,
="74475",X-RAY CONTROL CATH INSERT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74475",X-RAY CONTROL CATH INSERT,EAPG,DEF,,,,,NA,NA,NA,N,
="74480",X-RAY CONTROL CATH INSERT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74480",X-RAY CONTROL CATH INSERT,EAPG,DEF,,,,,NA,NA,NA,N,
="74485",DILATION URTR/URT RS&I,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74485",DILATION URTR/URT RS&I,EAPG,DEF,,,,,NA,NA,NA,N,
="74710",X-RAY MEASUREMENT OF PELVIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74710",X-RAY MEASUREMENT OF PELVIS,EAPG,DEF,,,,,NA,NA,NA,N,
="74712",MRI FETAL SNGL/1ST GESTATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74712",MRI FETAL SNGL/1ST GESTATION,EAPG,DEF,,,,,NA,NA,NA,N,
="74713",MRI FETAL EA ADDL GESTATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74713",MRI FETAL EA ADDL GESTATION,EAPG,DEF,,,,,NA,NA,NA,N,
="74740",X-RAY FEMALE GENITAL TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74740",X-RAY FEMALE GENITAL TRACT,EAPG,DEF,,,,,NA,NA,NA,N,
="74742",X-RAY FALLOPIAN TUBE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74742",X-RAY FALLOPIAN TUBE,EAPG,DEF,,,,,NA,NA,NA,N,
="74775",X-RAY EXAM OF PERINEUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="74775",X-RAY EXAM OF PERINEUM,EAPG,DEF,,,,,NA,NA,NA,N,
="75552",HEART MRI FOR MORPH W/O DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75552",HEART MRI FOR MORPH W/O DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="75553",HEART MRI FOR MORPH W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75553",HEART MRI FOR MORPH W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="75554",CARDIAC MRI/FUNCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75554",CARDIAC MRI/FUNCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="75555",CARDIAC MRI/LIMITED STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75555",CARDIAC MRI/LIMITED STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="75557",CARDIAC MRI FOR MORPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75557",CARDIAC MRI FOR MORPH,EAPG,DEF,,,,,NA,NA,NA,N,
="75559",CARDIAC MRI W/STRESS IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75559",CARDIAC MRI W/STRESS IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="75561",CARDIAC MRI FOR MORPH W/DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75561",CARDIAC MRI FOR MORPH W/DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="75563",CARD MRI W/STRESS IMG & DYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75563",CARD MRI W/STRESS IMG & DYE,EAPG,DEF,,,,,NA,NA,NA,N,
="75565",CARD MRI VELOC FLOW MAPPING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75565",CARD MRI VELOC FLOW MAPPING,EAPG,DEF,,,,,NA,NA,NA,N,
="75571",CT HRT W/O DYE W/CA TEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75571",CT HRT W/O DYE W/CA TEST,EAPG,DEF,,,,,NA,NA,NA,N,
="75572",CT HRT W/3D IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75572",CT HRT W/3D IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="75573",CT HRT C+ STRUX CGEN HRT DS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75573",CT HRT C+ STRUX CGEN HRT DS,EAPG,DEF,,,,,NA,NA,NA,N,
="75574",CT ANGIO HRT W/3D IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75574",CT ANGIO HRT W/3D IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="75600",CONTRAST EXAM THORACIC AORTA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75600",CONTRAST EXAM THORACIC AORTA,EAPG,DEF,,,,,NA,NA,NA,N,
="75605",CONTRAST EXAM THORACIC AORTA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75605",CONTRAST EXAM THORACIC AORTA,EAPG,DEF,,,,,NA,NA,NA,N,
="75625",CONTRAST EXAM ABDOMINL AORTA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75625",CONTRAST EXAM ABDOMINL AORTA,EAPG,DEF,,,,,NA,NA,NA,N,
="75630",X-RAY AORTA LEG ARTERIES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75630",X-RAY AORTA LEG ARTERIES,EAPG,DEF,,,,,NA,NA,NA,N,
="75635",CT ANGIO ABDOMINAL ARTERIES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75635",CT ANGIO ABDOMINAL ARTERIES,EAPG,DEF,,,,,NA,NA,NA,N,
="75650",ARTERY X-RAYS HEAD & NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75650",ARTERY X-RAYS HEAD & NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="75656",ANGIGO CERVICOCEREBRAL 3/4 VESSEL SUP IN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75656",ANGIGO CERVICOCEREBRAL 3/4 VESSEL SUP IN,EAPG,DEF,,,,,NA,NA,NA,N,
="75658",ARTERY X-RAYS ARM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75658",ARTERY X-RAYS ARM,EAPG,DEF,,,,,NA,NA,NA,N,
="75660",ARTERY X-RAYS HEAD & NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75660",ARTERY X-RAYS HEAD & NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="75662",ARTERY X-RAYS HEAD & NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75662",ARTERY X-RAYS HEAD & NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="75665",ARTERY X-RAYS HEAD & NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75665",ARTERY X-RAYS HEAD & NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="75671",ARTERY X-RAYS HEAD & NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75671",ARTERY X-RAYS HEAD & NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="75676",ARTERY X-RAYS NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75676",ARTERY X-RAYS NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="75680",ARTERY X-RAYS NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75680",ARTERY X-RAYS NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="75685",ARTERY X-RAYS SPINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75685",ARTERY X-RAYS SPINE,EAPG,DEF,,,,,NA,NA,NA,N,
="75705",ARTERY X-RAYS SPINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75705",ARTERY X-RAYS SPINE,EAPG,DEF,,,,,NA,NA,NA,N,
="75710",ARTERY X-RAYS ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75710",ARTERY X-RAYS ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="75716",ARTERY X-RAYS ARMS/LEGS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75716",ARTERY X-RAYS ARMS/LEGS,EAPG,DEF,,,,,NA,NA,NA,N,
="75722",ARTERY X-RAYS KIDNEY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75722",ARTERY X-RAYS KIDNEY,EAPG,DEF,,,,,NA,NA,NA,N,
="75724",ARTERY X-RAYS KIDNEYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75724",ARTERY X-RAYS KIDNEYS,EAPG,DEF,,,,,NA,NA,NA,N,
="75726",ARTERY X-RAYS ABDOMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75726",ARTERY X-RAYS ABDOMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="75731",ARTERY X-RAYS ADRENAL GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75731",ARTERY X-RAYS ADRENAL GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="75733",ARTERY X-RAYS ADRENALS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75733",ARTERY X-RAYS ADRENALS,EAPG,DEF,,,,,NA,NA,NA,N,
="75736",ARTERY X-RAYS PELVIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75736",ARTERY X-RAYS PELVIS,EAPG,DEF,,,,,NA,NA,NA,N,
="75741",ARTERY X-RAYS LUNG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75741",ARTERY X-RAYS LUNG,EAPG,DEF,,,,,NA,NA,NA,N,
="75743",ARTERY X-RAYS LUNGS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75743",ARTERY X-RAYS LUNGS,EAPG,DEF,,,,,NA,NA,NA,N,
="75746",ARTERY X-RAYS LUNG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75746",ARTERY X-RAYS LUNG,EAPG,DEF,,,,,NA,NA,NA,N,
="75756",ARTERY X-RAYS CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75756",ARTERY X-RAYS CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="75774",ARTERY X-RAY EACH VESSEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75774",ARTERY X-RAY EACH VESSEL,EAPG,DEF,,,,,NA,NA,NA,N,
="75790",VISUALIZE A-V SHUNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75790",VISUALIZE A-V SHUNT,EAPG,DEF,,,,,NA,NA,NA,N,
="75791",AV DIALYSIS SHUNT IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75791",AV DIALYSIS SHUNT IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="75801",LYMPH VESSEL X-RAY ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75801",LYMPH VESSEL X-RAY ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="75803",LYMPH VESSEL X-RAY ARMS/LEGS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75803",LYMPH VESSEL X-RAY ARMS/LEGS,EAPG,DEF,,,,,NA,NA,NA,N,
="75805",LYMPH VESSEL X-RAY TRUNK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75805",LYMPH VESSEL X-RAY TRUNK,EAPG,DEF,,,,,NA,NA,NA,N,
="75807",LYMPH VESSEL X-RAY TRUNK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75807",LYMPH VESSEL X-RAY TRUNK,EAPG,DEF,,,,,NA,NA,NA,N,
="75809",NONVASCULAR SHUNT X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75809",NONVASCULAR SHUNT X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="75810",VEIN X-RAY SPLEEN/LIVER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75810",VEIN X-RAY SPLEEN/LIVER,EAPG,DEF,,,,,NA,NA,NA,N,
="75820",VEIN X-RAY ARM/LEG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75820",VEIN X-RAY ARM/LEG,EAPG,DEF,,,,,NA,NA,NA,N,
="75822",VEIN X-RAY ARMS/LEGS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75822",VEIN X-RAY ARMS/LEGS,EAPG,DEF,,,,,NA,NA,NA,N,
="75825",VEIN X-RAY TRUNK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75825",VEIN X-RAY TRUNK,EAPG,DEF,,,,,NA,NA,NA,N,
="75827",VEIN X-RAY CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75827",VEIN X-RAY CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="75831",VEIN X-RAY KIDNEY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75831",VEIN X-RAY KIDNEY,EAPG,DEF,,,,,NA,NA,NA,N,
="75833",VEIN X-RAY KIDNEYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75833",VEIN X-RAY KIDNEYS,EAPG,DEF,,,,,NA,NA,NA,N,
="75840",VEIN X-RAY ADRENAL GLAND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75840",VEIN X-RAY ADRENAL GLAND,EAPG,DEF,,,,,NA,NA,NA,N,
="75842",VEIN X-RAY ADRENAL GLANDS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75842",VEIN X-RAY ADRENAL GLANDS,EAPG,DEF,,,,,NA,NA,NA,N,
="75860",VEIN X-RAY NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75860",VEIN X-RAY NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="75870",VEIN X-RAY SKULL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75870",VEIN X-RAY SKULL,EAPG,DEF,,,,,NA,NA,NA,N,
="75872",VEIN X-RAY SKULL EPIDURAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75872",VEIN X-RAY SKULL EPIDURAL,EAPG,DEF,,,,,NA,NA,NA,N,
="75880",VEIN X-RAY EYE SOCKET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75880",VEIN X-RAY EYE SOCKET,EAPG,DEF,,,,,NA,NA,NA,N,
="75885",VEIN X-RAY LIVER W/HEMODYNAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75885",VEIN X-RAY LIVER W/HEMODYNAM,EAPG,DEF,,,,,NA,NA,NA,N,
="75887",VEIN X-RAY LIVER W/O HEMODYN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75887",VEIN X-RAY LIVER W/O HEMODYN,EAPG,DEF,,,,,NA,NA,NA,N,
="75889",VEIN X-RAY LIVER W/HEMODYNAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75889",VEIN X-RAY LIVER W/HEMODYNAM,EAPG,DEF,,,,,NA,NA,NA,N,
="75891",VEIN X-RAY LIVER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75891",VEIN X-RAY LIVER,EAPG,DEF,,,,,NA,NA,NA,N,
="75893",VENOUS SAMPLING BY CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75893",VENOUS SAMPLING BY CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="75894",X-RAYS TRANSCATH THERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75894",X-RAYS TRANSCATH THERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="75896",X-RAYS TRANSCATH THERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75896",X-RAYS TRANSCATH THERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="75898",FOLLOW-UP ANGIOGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75898",FOLLOW-UP ANGIOGRAPHY,EAPG,DEF,,,,,NA,NA,NA,N,
="75900",INTRAVASCULAR CATH EXCHANGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75900",INTRAVASCULAR CATH EXCHANGE,EAPG,DEF,,,,,NA,NA,NA,N,
="75901",REMOVE CVA DEVICE OBSTRUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75901",REMOVE CVA DEVICE OBSTRUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="75902",REMOVE CVA LUMEN OBSTRUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75902",REMOVE CVA LUMEN OBSTRUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="75940",X-RAY PLACEMENT VEIN FILTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75940",X-RAY PLACEMENT VEIN FILTER,EAPG,DEF,,,,,NA,NA,NA,N,
="75942",LLIAC ANEURYSM ENDOVAS RPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75942",LLIAC ANEURYSM ENDOVAS RPR,EAPG,DEF,,,,,NA,NA,NA,N,
="75945",INTRAVASCULAR US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75945",INTRAVASCULAR US,EAPG,DEF,,,,,NA,NA,NA,N,
="75946",INTRAVASCULAR US ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75946",INTRAVASCULAR US ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="75952",ENDOVASC REPAIR ABDOM AORTA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75952",ENDOVASC REPAIR ABDOM AORTA,EAPG,DEF,,,,,NA,NA,NA,N,
="75953",ABDOM ANEURYSM ENDOVAS RPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75953",ABDOM ANEURYSM ENDOVAS RPR,EAPG,DEF,,,,,NA,NA,NA,N,
="75954",ILIAC ANEURYSM ENDOVAS RPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75954",ILIAC ANEURYSM ENDOVAS RPR,EAPG,DEF,,,,,NA,NA,NA,N,
="75956",XRAY ENDOVASC THOR AO REPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75956",XRAY ENDOVASC THOR AO REPR,EAPG,DEF,,,,,NA,NA,NA,N,
="75957",XRAY ENDOVASC THOR AO REPR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75957",XRAY ENDOVASC THOR AO REPR,EAPG,DEF,,,,,NA,NA,NA,N,
="75958",XRAY PLACE PROX EXT THOR AO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75958",XRAY PLACE PROX EXT THOR AO,EAPG,DEF,,,,,NA,NA,NA,N,
="75959",XRAY PLACE DIST EXT THOR AO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75959",XRAY PLACE DIST EXT THOR AO,EAPG,DEF,,,,,NA,NA,NA,N,
="75960",TRANSCATH IV STENT RS&I,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75960",TRANSCATH IV STENT RS&I,EAPG,DEF,,,,,NA,NA,NA,N,
="75961",RETRIEVAL BROKEN CATHETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75961",RETRIEVAL BROKEN CATHETER,EAPG,DEF,,,,,NA,NA,NA,N,
="75962",REPAIR ARTERIAL BLOCKAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75962",REPAIR ARTERIAL BLOCKAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="75964",REPAIR ARTERY BLOCKAGE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75964",REPAIR ARTERY BLOCKAGE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="75966",REPAIR ARTERIAL BLOCKAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75966",REPAIR ARTERIAL BLOCKAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="75968",REPAIR ARTERY BLOCKAGE EACH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75968",REPAIR ARTERY BLOCKAGE EACH,EAPG,DEF,,,,,NA,NA,NA,N,
="75970",VASCULAR BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75970",VASCULAR BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="75971",TRANSCATHETER BIOPSY COMPLETE PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75971",TRANSCATHETER BIOPSY COMPLETE PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="75978",REPAIR VENOUS BLOCKAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75978",REPAIR VENOUS BLOCKAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="75980",CONTRAST XRAY EXAM BILE DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75980",CONTRAST XRAY EXAM BILE DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="75982",CONTRAST XRAY EXAM BILE DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75982",CONTRAST XRAY EXAM BILE DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="75984",XRAY CONTROL CATHETER CHANGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75984",XRAY CONTROL CATHETER CHANGE,EAPG,DEF,,,,,NA,NA,NA,N,
="75989",ABSCESS DRAINAGE UNDER X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75989",ABSCESS DRAINAGE UNDER X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="75992",ATHERECTOMY; X-RAY EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75992",ATHERECTOMY; X-RAY EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="75993",ATHERECTOMY; X-RAY EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75993",ATHERECTOMY; X-RAY EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="75994",ATHERECTOMY; X-RAY EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75994",ATHERECTOMY; X-RAY EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="75995",ATHERECTOMY; X-RAY EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75995",ATHERECTOMY; X-RAY EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="75996",ATHERECTOMY; X-RAY EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75996",ATHERECTOMY; X-RAY EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="75998",FLUOROGUIDE FOR VEIN DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="75998",FLUOROGUIDE FOR VEIN DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="76000",FLUOROSCOPY <1 HR PHYS/QHP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76000",FLUOROSCOPY <1 HR PHYS/QHP,EAPG,DEF,,,,,NA,NA,NA,N,
="76001",FLUOROSCOPE EXAM EXTENSIVE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76001",FLUOROSCOPE EXAM EXTENSIVE,EAPG,DEF,,,,,NA,NA,NA,N,
="76003",NEEDLE LOCALIZATION BY X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76003",NEEDLE LOCALIZATION BY X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="76005",FLUOROGUIDE FOR SPINE INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76005",FLUOROGUIDE FOR SPINE INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="76006",X-RAY STRESS VIEW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76006",X-RAY STRESS VIEW,EAPG,DEF,,,,,NA,NA,NA,N,
="76010",X-RAY NOSE TO RECTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76010",X-RAY NOSE TO RECTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="76012",PERCUT VERTEBROPLASTY FLUOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76012",PERCUT VERTEBROPLASTY FLUOR,EAPG,DEF,,,,,NA,NA,NA,N,
="76013",PERCUT VERTEBROPLASTY; CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76013",PERCUT VERTEBROPLASTY; CT,EAPG,DEF,,,,,NA,NA,NA,N,
="76020",X-RAYS FOR BONE AGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76020",X-RAYS FOR BONE AGE,EAPG,DEF,,,,,NA,NA,NA,N,
="76040",X-RAYS; BONE EVALUATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76040",X-RAYS; BONE EVALUATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76061",X-RAYS; BONE SURVEY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76061",X-RAYS; BONE SURVEY,EAPG,DEF,,,,,NA,NA,NA,N,
="76062",X-RAYS; BONE SURVEY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76062",X-RAYS; BONE SURVEY,EAPG,DEF,,,,,NA,NA,NA,N,
="76065",X-RAYS; BONE EVALUATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76065",X-RAYS; BONE EVALUATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76066",JOINT SURVEY; SINGLE VIEW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76066",JOINT SURVEY; SINGLE VIEW,EAPG,DEF,,,,,NA,NA,NA,N,
="76070",CT BONE DENSITY; AXIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76070",CT BONE DENSITY; AXIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="76071",CT BONE DENSITY; PERIPHERAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76071",CT BONE DENSITY; PERIPHERAL,EAPG,DEF,,,,,NA,NA,NA,N,
="76075",DXA BONE DENSITY; AXIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76075",DXA BONE DENSITY; AXIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="76076",DXA BONE DENSITY/PERIPHERAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76076",DXA BONE DENSITY/PERIPHERAL,EAPG,DEF,,,,,NA,NA,NA,N,
="76077",DXA BONE DENSITY/V-FRACTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76077",DXA BONE DENSITY/V-FRACTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="76078",RADIOGRAPHIC ABSORPTIOMETRY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76078",RADIOGRAPHIC ABSORPTIOMETRY,EAPG,DEF,,,,,NA,NA,NA,N,
="76080",X-RAY EXAM OF FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76080",X-RAY EXAM OF FISTULA,EAPG,DEF,,,,,NA,NA,NA,N,
="76082",COMPUTER MAMMOGRAM ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76082",COMPUTER MAMMOGRAM ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="76083",COMPUTER MAMMOGRAM ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76083",COMPUTER MAMMOGRAM ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="76085",COMPUTER MAMMOGRAM ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76085",COMPUTER MAMMOGRAM ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="76086",X-RAY OF MAMMARY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76086",X-RAY OF MAMMARY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="76088",X-RAY OF MAMMARY DUCTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76088",X-RAY OF MAMMARY DUCTS,EAPG,DEF,,,,,NA,NA,NA,N,
="76090",MAMMOGRAM; ONE BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76090",MAMMOGRAM; ONE BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="76091",MAMMOGRAM; BOTH BREASTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76091",MAMMOGRAM; BOTH BREASTS,EAPG,DEF,,,,,NA,NA,NA,N,
="76092",MAMMOGRAM; SCREENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76092",MAMMOGRAM; SCREENING,EAPG,DEF,,,,,NA,NA,NA,N,
="76093",MAGNETIC IMAGE; BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76093",MAGNETIC IMAGE; BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="76094",MAGNETIC IMAGE; BOTH BREASTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76094",MAGNETIC IMAGE; BOTH BREASTS,EAPG,DEF,,,,,NA,NA,NA,N,
="76095",STEREOTACTIC BREAST BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76095",STEREOTACTIC BREAST BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="76096",X-RAY OF NEEDLE WIRE; BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76096",X-RAY OF NEEDLE WIRE; BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="76098",X-RAY EXAM SURGICAL SPECIMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76098",X-RAY EXAM SURGICAL SPECIMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="76100",X-RAY EXAM OF BODY SECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76100",X-RAY EXAM OF BODY SECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="76101",COMPLEX BODY SECTION X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76101",COMPLEX BODY SECTION X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="76102",COMPLEX BODY SECTION X-RAYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76102",COMPLEX BODY SECTION X-RAYS,EAPG,DEF,,,,,NA,NA,NA,N,
="76120",CINE/VIDEO X-RAYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76120",CINE/VIDEO X-RAYS,EAPG,DEF,,,,,NA,NA,NA,N,
="76125",CINE/VIDEO X-RAYS ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76125",CINE/VIDEO X-RAYS ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="76140",X-RAY CONSULTATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76140",X-RAY CONSULTATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76145",MED PHYSIC DOS EVAL RAD EXPS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76145",MED PHYSIC DOS EVAL RAD EXPS,EAPG,DEF,,,,,NA,NA,NA,N,
="76150",X-RAY EXAM; DRY PROCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76150",X-RAY EXAM; DRY PROCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="76350",SPECIAL X-RAY CONTRAST STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76350",SPECIAL X-RAY CONTRAST STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="76355",CT SCAN FOR LOCALIZATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76355",CT SCAN FOR LOCALIZATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76360",CT SCAN FOR NEEDLE BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76360",CT SCAN FOR NEEDLE BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="76362",CT GUIDE FOR TISSUE ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76362",CT GUIDE FOR TISSUE ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76365",CAT SCAN FOR CYST ASPIRATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76365",CAT SCAN FOR CYST ASPIRATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76370",CT SCAN FOR THERAPY GUIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76370",CT SCAN FOR THERAPY GUIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="76375",3D/HOLOGRAPH RECONSTR ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76375",3D/HOLOGRAPH RECONSTR ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="76376",3D RENDER W/INTRP POSTPROCES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76376",3D RENDER W/INTRP POSTPROCES,EAPG,DEF,,,,,NA,NA,NA,N,
="76377",3D RENDER W/INTRP POSTPROCES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76377",3D RENDER W/INTRP POSTPROCES,EAPG,DEF,,,,,NA,NA,NA,N,
="76380",CAT SCAN FOLLOW-UP STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76380",CAT SCAN FOLLOW-UP STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="76390",MR SPECTROSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76390",MR SPECTROSCOPY,EAPG,DEF,,,,,NA,NA,NA,N,
="76391",MR ELASTOGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="76391",MR ELASTOGRAPHY,EAPG,DEF,,,,,NA,NA,NA,Y,
="76393",MR GUIDANCE FOR NEEDLE PLACE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76393",MR GUIDANCE FOR NEEDLE PLACE,EAPG,DEF,,,,,NA,NA,NA,N,
="76394",MRI FOR TISSUE ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76394",MRI FOR TISSUE ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76400",MAGNETIC IMAGE; BONE MARROW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76400",MAGNETIC IMAGE; BONE MARROW,EAPG,DEF,,,,,NA,NA,NA,N,
="76490",US FOR TISSUE ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76490",US FOR TISSUE ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76496",UNLISTED FLUOROSCOPIC PX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76496",UNLISTED FLUOROSCOPIC PX,EAPG,DEF,,,,,NA,NA,NA,N,
="76497",UNLISTED CT PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76497",UNLISTED CT PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="76498",UNLISTED MR PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76498",UNLISTED MR PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="76499",UNLISTED DX RADIOGRAPHIC PX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76499",UNLISTED DX RADIOGRAPHIC PX,EAPG,DEF,,,,,NA,NA,NA,N,
="76506",ECHO EXAM OF HEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76506",ECHO EXAM OF HEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="76510",OPH US DX B-SCAN&QUAN A-SCAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76510",OPH US DX B-SCAN&QUAN A-SCAN,EAPG,DEF,,,,,NA,NA,NA,N,
="76511",OPH US DX QUAN A-SCAN ONLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76511",OPH US DX QUAN A-SCAN ONLY,EAPG,DEF,,,,,NA,NA,NA,N,
="76512",OPH US DX B-SCAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76512",OPH US DX B-SCAN,EAPG,DEF,,,,,NA,NA,NA,N,
="76513",OPH US DX ANT SGM US UNI/BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76513",OPH US DX ANT SGM US UNI/BI,EAPG,DEF,,,,,NA,NA,NA,N,
="76514",ECHO EXAM OF EYE THICKNESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76514",ECHO EXAM OF EYE THICKNESS,EAPG,DEF,,,,,NA,NA,NA,N,
="76516",ECHO EXAM OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76516",ECHO EXAM OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="76519",ECHO EXAM OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76519",ECHO EXAM OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="76529",ECHO EXAM OF EYE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76529",ECHO EXAM OF EYE,EAPG,DEF,,,,,NA,NA,NA,N,
="76536",US EXAM OF HEAD AND NECK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76536",US EXAM OF HEAD AND NECK,EAPG,DEF,,,,,NA,NA,NA,N,
="76604",US EXAM CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76604",US EXAM CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="76641",ULTRASOUND BREAST COMPLETE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76641",ULTRASOUND BREAST COMPLETE,EAPG,DEF,,,,,NA,NA,NA,N,
="76642",ULTRASOUND BREAST LIMITED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76642",ULTRASOUND BREAST LIMITED,EAPG,DEF,,,,,NA,NA,NA,N,
="76645",US EXAM BREAST(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="76645",US EXAM BREAST(S),EAPG,DEF,,,,,NA,NA,NA,N,
="76700",US EXAM ABDOM COMPLETE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76700",US EXAM ABDOM COMPLETE,EAPG,DEF,,,,,NA,NA,NA,N,
="76705",ECHO EXAM OF ABDOMEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76705",ECHO EXAM OF ABDOMEN,EAPG,DEF,,,,,NA,NA,NA,N,
="76770",US EXAM ABDO BACK WALL COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76770",US EXAM ABDO BACK WALL COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="76775",US EXAM ABDO BACK WALL LIM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76775",US EXAM ABDO BACK WALL LIM,EAPG,DEF,,,,,NA,NA,NA,N,
="76776",US EXAM K TRANSPL W/DOPPLER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76776",US EXAM K TRANSPL W/DOPPLER,EAPG,DEF,,,,,NA,NA,NA,N,
="76778",US EXAM KIDNEY TRANSPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76778",US EXAM KIDNEY TRANSPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="76800",US EXAM SPINAL CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76800",US EXAM SPINAL CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="76801",OB US < 14 WKS SINGLE FETUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76801",OB US < 14 WKS SINGLE FETUS,EAPG,DEF,,,,,NA,NA,NA,N,
="76802",OB US < 14 WKS ADDL FETUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76802",OB US < 14 WKS ADDL FETUS,EAPG,DEF,,,,,NA,NA,NA,N,
="76805",OB US >= 14 WKS SNGL FETUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76805",OB US >= 14 WKS SNGL FETUS,EAPG,DEF,,,,,NA,NA,NA,N,
="76810",OB US >= 14 WKS ADDL FETUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76810",OB US >= 14 WKS ADDL FETUS,EAPG,DEF,,,,,NA,NA,NA,N,
="76811",OB US DETAILED SNGL FETUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76811",OB US DETAILED SNGL FETUS,EAPG,DEF,,,,,NA,NA,NA,N,
="76812",OB US DETAILED ADDL FETUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76812",OB US DETAILED ADDL FETUS,EAPG,DEF,,,,,NA,NA,NA,N,
="76813",OB US NUCHAL MEAS 1 GEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76813",OB US NUCHAL MEAS 1 GEST,EAPG,DEF,,,,,NA,NA,NA,N,
="76814",OB US NUCHAL MEAS ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76814",OB US NUCHAL MEAS ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="76815",OB US LIMITED FETUS(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="76815",OB US LIMITED FETUS(S),EAPG,DEF,,,,,NA,NA,NA,N,
="76816",OB US FOLLOW-UP PER FETUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76816",OB US FOLLOW-UP PER FETUS,EAPG,DEF,,,,,NA,NA,NA,N,
="76817",TRANSVAGINAL US OBSTETRIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76817",TRANSVAGINAL US OBSTETRIC,EAPG,DEF,,,,,NA,NA,NA,N,
="76818",FETAL BIOPHYS PROFILE W/NST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76818",FETAL BIOPHYS PROFILE W/NST,EAPG,DEF,,,,,NA,NA,NA,N,
="76819",FETAL BIOPHYS PROFIL W/O NST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76819",FETAL BIOPHYS PROFIL W/O NST,EAPG,DEF,,,,,NA,NA,NA,N,
="76820",UMBILICAL ARTERY ECHO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76820",UMBILICAL ARTERY ECHO,EAPG,DEF,,,,,NA,NA,NA,N,
="76821",MIDDLE CEREBRAL ARTERY ECHO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76821",MIDDLE CEREBRAL ARTERY ECHO,EAPG,DEF,,,,,NA,NA,NA,N,
="76825",ECHO EXAM OF FETAL HEART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76825",ECHO EXAM OF FETAL HEART,EAPG,DEF,,,,,NA,NA,NA,N,
="76826",ECHO EXAM OF FETAL HEART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76826",ECHO EXAM OF FETAL HEART,EAPG,DEF,,,,,NA,NA,NA,N,
="76827",ECHO EXAM OF FETAL HEART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76827",ECHO EXAM OF FETAL HEART,EAPG,DEF,,,,,NA,NA,NA,N,
="76828",ECHO EXAM OF FETAL HEART,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76828",ECHO EXAM OF FETAL HEART,EAPG,DEF,,,,,NA,NA,NA,N,
="76830",TRANSVAGINAL US NON-OB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76830",TRANSVAGINAL US NON-OB,EAPG,DEF,,,,,NA,NA,NA,N,
="76831",ECHO EXAM UTERUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76831",ECHO EXAM UTERUS,EAPG,DEF,,,,,NA,NA,NA,N,
="76856",US EXAM PELVIC COMPLETE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76856",US EXAM PELVIC COMPLETE,EAPG,DEF,,,,,NA,NA,NA,N,
="76857",US EXAM PELVIC LIMITED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76857",US EXAM PELVIC LIMITED,EAPG,DEF,,,,,NA,NA,NA,N,
="76870",US EXAM SCROTUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76870",US EXAM SCROTUM,EAPG,DEF,,,,,NA,NA,NA,N,
="76872",US TRANSRECTAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76872",US TRANSRECTAL,EAPG,DEF,,,,,NA,NA,NA,N,
="76873",ECHOGRAP TRANS R PROS STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76873",ECHOGRAP TRANS R PROS STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="76881",US COMPL JOINT R-T W/IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76881",US COMPL JOINT R-T W/IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="76882",US LMTD JT/FCL EVL NVASC XTR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76882",US LMTD JT/FCL EVL NVASC XTR,EAPG,DEF,,,,,NA,NA,NA,N,
="76883",US NRV&ACC STRUX 1XTR COMPRE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76883",US NRV&ACC STRUX 1XTR COMPRE,EAPG,DEF,,,,,NA,NA,NA,N,
="76885",US EXAM INFANT HIPS DYNAMIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76885",US EXAM INFANT HIPS DYNAMIC,EAPG,DEF,,,,,NA,NA,NA,N,
="76886",US EXAM INFANT HIPS STATIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76886",US EXAM INFANT HIPS STATIC,EAPG,DEF,,,,,NA,NA,NA,N,
="76930",ECHO GUIDE CARDIOCENTESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76930",ECHO GUIDE CARDIOCENTESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="76932",ECHO GUIDE FOR HEART BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76932",ECHO GUIDE FOR HEART BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="76934",ECHO GUIDE FOR CHEST TAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76934",ECHO GUIDE FOR CHEST TAP,EAPG,DEF,,,,,NA,NA,NA,N,
="76936",ECHO GUIDE FOR ARTERY REPAIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76936",ECHO GUIDE FOR ARTERY REPAIR,EAPG,DEF,,,,,NA,NA,NA,N,
="76937",US GUIDE VASCULAR ACCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76937",US GUIDE VASCULAR ACCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="76938",ECHO EXAM FOR DRAINAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76938",ECHO EXAM FOR DRAINAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="76940",US GUIDE TISSUE ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76940",US GUIDE TISSUE ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76941",ECHO GUIDE FOR TRANSFUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76941",ECHO GUIDE FOR TRANSFUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="76942",ECHO GUIDE FOR BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76942",ECHO GUIDE FOR BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="76945",ECHO GUIDE VILLUS SAMPLING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76945",ECHO GUIDE VILLUS SAMPLING,EAPG,DEF,,,,,NA,NA,NA,N,
="76946",ECHO GUIDE FOR AMNIOCENTESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76946",ECHO GUIDE FOR AMNIOCENTESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="76948",ECHO GUIDE OVA ASPIRATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76948",ECHO GUIDE OVA ASPIRATION,EAPG,DEF,,,,,NA,NA,NA,N,
="76950",ECHO GUIDANCE RADIOTHERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76950",ECHO GUIDANCE RADIOTHERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="76960",ECHO GUIDANCE RADIOTHERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76960",ECHO GUIDANCE RADIOTHERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="76965",ECHO GUIDANCE RADIOTHERAPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76965",ECHO GUIDANCE RADIOTHERAPY,EAPG,DEF,,,,,NA,NA,NA,N,
="76970",ULTRASOUND EXAM FOLLOW-UP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76970",ULTRASOUND EXAM FOLLOW-UP,EAPG,DEF,,,,,NA,NA,NA,N,
="76975",GI ENDOSCOPIC ULTRASOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76975",GI ENDOSCOPIC ULTRASOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="76977",US BONE DENSITY MEASURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76977",US BONE DENSITY MEASURE,EAPG,DEF,,,,,NA,NA,NA,N,
="76986",ULTRASOUND GUIDE INTRAOPER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76986",ULTRASOUND GUIDE INTRAOPER,EAPG,DEF,,,,,NA,NA,NA,N,
="76998",US GUIDE INTRAOP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76998",US GUIDE INTRAOP,EAPG,DEF,,,,,NA,NA,NA,N,
="76999",ECHO EXAMINATION PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="76999",ECHO EXAMINATION PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="77001",FLUOROGUIDE FOR VEIN DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77001",FLUOROGUIDE FOR VEIN DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="77002",NEEDLE LOCALIZATION BY XRAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77002",NEEDLE LOCALIZATION BY XRAY,EAPG,DEF,,,,,NA,NA,NA,N,
="77003",FLUOROGUIDE FOR SPINE INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77003",FLUOROGUIDE FOR SPINE INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="77011",CT SCAN FOR LOCALIZATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77011",CT SCAN FOR LOCALIZATION,EAPG,DEF,,,,,NA,NA,NA,N,
="77012",CT SCAN FOR NEEDLE BIOPSY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77012",CT SCAN FOR NEEDLE BIOPSY,EAPG,DEF,,,,,NA,NA,NA,N,
="77013",CT GUIDE FOR TISSUE ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77013",CT GUIDE FOR TISSUE ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="77014",CT SCAN FOR THERAPY GUIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77014",CT SCAN FOR THERAPY GUIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="77021",MRI GUIDANCE NDL PLMT RS&I,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77021",MRI GUIDANCE NDL PLMT RS&I,EAPG,DEF,,,,,NA,NA,NA,N,
="77022",MRI GDN PARNCHYMA TISS ABLTJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77022",MRI GDN PARNCHYMA TISS ABLTJ,EAPG,DEF,,,,,NA,NA,NA,N,
="77031",STEREOTACT GUIDE FOR BRST BX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77031",STEREOTACT GUIDE FOR BRST BX,EAPG,DEF,,,,,NA,NA,NA,N,
="77032",GUIDANCE FOR NEEDLE BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77032",GUIDANCE FOR NEEDLE BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="77051",COMPUTER DX MAMMOGRAM ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77051",COMPUTER DX MAMMOGRAM ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="77052",COMP SCREEN MAMMOGRAM ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77052",COMP SCREEN MAMMOGRAM ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="77053",X-RAY OF MAMMARY DUCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77053",X-RAY OF MAMMARY DUCT,EAPG,DEF,,,,,NA,NA,NA,N,
="77054",X-RAY OF MAMMARY DUCTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77054",X-RAY OF MAMMARY DUCTS,EAPG,DEF,,,,,NA,NA,NA,N,
="77055",MAMMOGRAM ONE BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77055",MAMMOGRAM ONE BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="77056",MAMMOGRAM BOTH BREASTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77056",MAMMOGRAM BOTH BREASTS,EAPG,DEF,,,,,NA,NA,NA,N,
="77057",MAMMOGRAM SCREENING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77057",MAMMOGRAM SCREENING,EAPG,DEF,,,,,NA,NA,NA,N,
="77058",MRI ONE BREAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77058",MRI ONE BREAST,EAPG,DEF,,,,,NA,NA,NA,N,
="77059",MRI BOTH BREASTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77059",MRI BOTH BREASTS,EAPG,DEF,,,,,NA,NA,NA,N,
="77071",X-RAY STRESS VIEW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77071",X-RAY STRESS VIEW,EAPG,DEF,,,,,NA,NA,NA,N,
="77072",X-RAYS FOR BONE AGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77072",X-RAYS FOR BONE AGE,EAPG,DEF,,,,,NA,NA,NA,N,
="77073",X-RAYS BONE LENGTH STUDIES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77073",X-RAYS BONE LENGTH STUDIES,EAPG,DEF,,,,,NA,NA,NA,N,
="77074",X-RAYS BONE SURVEY LIMITED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77074",X-RAYS BONE SURVEY LIMITED,EAPG,DEF,,,,,NA,NA,NA,N,
="77075",X-RAYS BONE SURVEY COMPLETE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77075",X-RAYS BONE SURVEY COMPLETE,EAPG,DEF,,,,,NA,NA,NA,N,
="77076",X-RAYS BONE SURVEY INFANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77076",X-RAYS BONE SURVEY INFANT,EAPG,DEF,,,,,NA,NA,NA,N,
="77077",JOINT SURVEY SINGLE VIEW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77077",JOINT SURVEY SINGLE VIEW,EAPG,DEF,,,,,NA,NA,NA,N,
="77078",CT BONE DENSITY AXIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77078",CT BONE DENSITY AXIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="77079",CT BONE DENSITY PERIPHERAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77079",CT BONE DENSITY PERIPHERAL,EAPG,DEF,,,,,NA,NA,NA,N,
="77080",DXA BONE DENSITY AXIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77080",DXA BONE DENSITY AXIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="77081",DXA BONE DENSITY/PERIPHERAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77081",DXA BONE DENSITY/PERIPHERAL,EAPG,DEF,,,,,NA,NA,NA,N,
="77082",DXA BONE DENSITY VERT FX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77082",DXA BONE DENSITY VERT FX,EAPG,DEF,,,,,NA,NA,NA,N,
="77083",RADIOGRAPHIC ABSORPTIOMETRY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77083",RADIOGRAPHIC ABSORPTIOMETRY,EAPG,DEF,,,,,NA,NA,NA,N,
="77084",MAGNETIC IMAGE BONE MARROW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77084",MAGNETIC IMAGE BONE MARROW,EAPG,DEF,,,,,NA,NA,NA,N,
="77085",DXA BONE DENSITY STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77085",DXA BONE DENSITY STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="77086",FRACTURE ASSESSMENT VIA DXA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77086",FRACTURE ASSESSMENT VIA DXA,EAPG,DEF,,,,,NA,NA,NA,N,
="77280",SET RADIATION THERAPY FIELD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77280",SET RADIATION THERAPY FIELD,EAPG,DEF,,,,,NA,NA,NA,N,
="77285",SET RADIATION THERAPY FIELD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77285",SET RADIATION THERAPY FIELD,EAPG,DEF,,,,,NA,NA,NA,N,
="77290",SET RADIATION THERAPY FIELD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77290",SET RADIATION THERAPY FIELD,EAPG,DEF,,,,,NA,NA,NA,N,
="77293",RESPIRATOR MOTION MGMT SIMUL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77293",RESPIRATOR MOTION MGMT SIMUL,EAPG,DEF,,,,,NA,NA,NA,N,
="77295",3-D RADIOTHERAPY PLAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77295",3-D RADIOTHERAPY PLAN,EAPG,DEF,,,,,NA,NA,NA,N,
="77299",UNLISTED PX THER RAD TX PLNG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77299",UNLISTED PX THER RAD TX PLNG,EAPG,DEF,,,,,NA,NA,NA,N,
="77300",RADIATION THERAPY DOSE PLAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77300",RADIATION THERAPY DOSE PLAN,EAPG,DEF,,,,,NA,NA,NA,N,
="77301",RADIOTHERAPY DOSE PLAN IMRT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77301",RADIOTHERAPY DOSE PLAN IMRT,EAPG,DEF,,,,,NA,NA,NA,N,
="77306",TELETHX ISODOSE PLAN SIMPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77306",TELETHX ISODOSE PLAN SIMPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="77307",TELETHX ISODOSE PLAN CPLX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77307",TELETHX ISODOSE PLAN CPLX,EAPG,DEF,,,,,NA,NA,NA,N,
="77316",BRACHYTX ISODOSE PLAN SIMPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77316",BRACHYTX ISODOSE PLAN SIMPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="77317",BRACHYTX ISODOSE INTERMED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77317",BRACHYTX ISODOSE INTERMED,EAPG,DEF,,,,,NA,NA,NA,N,
="77318",BRACHYTX ISODOSE COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77318",BRACHYTX ISODOSE COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="77321",SPECIAL TELETX PORT PLAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77321",SPECIAL TELETX PORT PLAN,EAPG,DEF,,,,,NA,NA,NA,N,
="77331",SPECIAL RADIATION DOSIMETRY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77331",SPECIAL RADIATION DOSIMETRY,EAPG,DEF,,,,,NA,NA,NA,N,
="77332",RADIATION TREATMENT AID(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="77332",RADIATION TREATMENT AID(S),EAPG,DEF,,,,,NA,NA,NA,N,
="77333",RADIATION TREATMENT AID(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="77333",RADIATION TREATMENT AID(S),EAPG,DEF,,,,,NA,NA,NA,N,
="77334",RADIATION TREATMENT AID(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="77334",RADIATION TREATMENT AID(S),EAPG,DEF,,,,,NA,NA,NA,N,
="77336",RADIATION PHYSICS CONSULT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77336",RADIATION PHYSICS CONSULT,EAPG,DEF,,,,,NA,NA,NA,N,
="77338",DESIGN MLC DEVICE FOR IMRT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77338",DESIGN MLC DEVICE FOR IMRT,EAPG,DEF,,,,,NA,NA,NA,N,
="77370",RADIATION PHYSICS CONSULT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77370",RADIATION PHYSICS CONSULT,EAPG,DEF,,,,,NA,NA,NA,N,
="77385",NTSTY MODUL RAD TX DLVR SMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77385",NTSTY MODUL RAD TX DLVR SMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="77386",NTSTY MODUL RAD TX DLVR CPLX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77386",NTSTY MODUL RAD TX DLVR CPLX,EAPG,DEF,,,,,NA,NA,NA,N,
="77387",GUIDANCE FOR RADJ TX DLVR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77387",GUIDANCE FOR RADJ TX DLVR,EAPG,DEF,,,,,NA,NA,NA,N,
="77399",UNLISTED PX MED RADJ PHYSICS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77399",UNLISTED PX MED RADJ PHYSICS,EAPG,DEF,,,,,NA,NA,NA,N,
="77401",RADIATION TREATMENT DELIVERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77401",RADIATION TREATMENT DELIVERY,EAPG,DEF,,,,,NA,NA,NA,N,
="77402",RADIATION TREATMENT DELIVERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77402",RADIATION TREATMENT DELIVERY,EAPG,DEF,,,,,NA,NA,NA,N,
="77407",RADIATION TREATMENT DELIVERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77407",RADIATION TREATMENT DELIVERY,EAPG,DEF,,,,,NA,NA,NA,N,
="77412",RADIATION TREATMENT DELIVERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77412",RADIATION TREATMENT DELIVERY,EAPG,DEF,,,,,NA,NA,NA,N,
="77417",RADIOLOGY PORT IMAGES(S),PRXOVR,DEF,,,,,NA,NA,NA,N,
="77417",RADIOLOGY PORT IMAGES(S),EAPG,DEF,,,,,NA,NA,NA,N,
="77422",NEUTRON BEAM TX SIMPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77422",NEUTRON BEAM TX SIMPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="77423",NEUTRON BEAM TX COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77423",NEUTRON BEAM TX COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="77424",IO RAD TX DELIVERY BY X-RAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77424",IO RAD TX DELIVERY BY X-RAY,EAPG,DEF,,,,,NA,NA,NA,N,
="77425",IO RAD TX DELIVER BY ELCTRNS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77425",IO RAD TX DELIVER BY ELCTRNS,EAPG,DEF,,,,,NA,NA,NA,N,
="77435",SBRT MANAGEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77435",SBRT MANAGEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="77470",SPECIAL RADIATION TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77470",SPECIAL RADIATION TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="77520",PROTON TRMT SIMPLE W/O COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77520",PROTON TRMT SIMPLE W/O COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="77522",PROTON TRMT SIMPLE W/COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77522",PROTON TRMT SIMPLE W/COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="77523",PROTON TRMT INTERMEDIATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77523",PROTON TRMT INTERMEDIATE,EAPG,DEF,,,,,NA,NA,NA,N,
="77525",PROTON TREATMENT COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77525",PROTON TREATMENT COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="77600",HYPERTHERMIA TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77600",HYPERTHERMIA TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="77605",HYPERTHERMIA TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77605",HYPERTHERMIA TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="77610",HYPERTHERMIA TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77610",HYPERTHERMIA TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="77615",HYPERTHERMIA TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77615",HYPERTHERMIA TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="77620",HYPERTHERMIA TREATMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77620",HYPERTHERMIA TREATMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="77750",INFUSE RADIOACTIVE MATERIALS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77750",INFUSE RADIOACTIVE MATERIALS,EAPG,DEF,,,,,NA,NA,NA,N,
="77761",APPLY INTRCAV RADIAT SIMPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77761",APPLY INTRCAV RADIAT SIMPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="77762",APPLY INTRCAV RADIAT INTERM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77762",APPLY INTRCAV RADIAT INTERM,EAPG,DEF,,,,,NA,NA,NA,N,
="77763",APPLY INTRCAV RADIAT COMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77763",APPLY INTRCAV RADIAT COMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="77767",HDR RDNCL SKN SURF BRACHYTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77767",HDR RDNCL SKN SURF BRACHYTX,EAPG,DEF,,,,,NA,NA,NA,N,
="77768",HDR RDNCL SKN SURF BRACHYTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77768",HDR RDNCL SKN SURF BRACHYTX,EAPG,DEF,,,,,NA,NA,NA,N,
="77770",HDR RDNCL NTRSTL/ICAV BRCHTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77770",HDR RDNCL NTRSTL/ICAV BRCHTX,EAPG,DEF,,,,,NA,NA,NA,N,
="77771",HDR RDNCL NTRSTL/ICAV BRCHTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77771",HDR RDNCL NTRSTL/ICAV BRCHTX,EAPG,DEF,,,,,NA,NA,NA,N,
="77772",HDR RDNCL NTRSTL/ICAV BRCHTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77772",HDR RDNCL NTRSTL/ICAV BRCHTX,EAPG,DEF,,,,,NA,NA,NA,N,
="77778",APPLY INTERSTIT RADIAT COMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77778",APPLY INTERSTIT RADIAT COMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="77789",APPLY SURF LDR RADIONUCLIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77789",APPLY SURF LDR RADIONUCLIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="77790",RADIATION HANDLING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77790",RADIATION HANDLING,EAPG,DEF,,,,,NA,NA,NA,N,
="77799",UNLISTED PX CLIN BRACHYTX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="77799",UNLISTED PX CLIN BRACHYTX,EAPG,DEF,,,,,NA,NA,NA,N,
="78012",THYROID UPTAKE MEASUREMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78012",THYROID UPTAKE MEASUREMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="78013",THYROID IMAGING W/BLOOD FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78013",THYROID IMAGING W/BLOOD FLOW,EAPG,DEF,,,,,NA,NA,NA,N,
="78014",THYROID IMAGING W/BLOOD FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78014",THYROID IMAGING W/BLOOD FLOW,EAPG,DEF,,,,,NA,NA,NA,N,
="78015",THYROID MET IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78015",THYROID MET IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78016",THYROID MET IMAGING/STUDIES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78016",THYROID MET IMAGING/STUDIES,EAPG,DEF,,,,,NA,NA,NA,N,
="78018",THYROID MET IMAGING BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78018",THYROID MET IMAGING BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="78020",THYROID MET UPTAKE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78020",THYROID MET UPTAKE,EAPG,DEF,,,,,NA,NA,NA,N,
="78070",PARATHYROID PLANAR IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78070",PARATHYROID PLANAR IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78071",PARATHYRD PLANAR W/WO SUBTRJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78071",PARATHYRD PLANAR W/WO SUBTRJ,EAPG,DEF,,,,,NA,NA,NA,N,
="78072",PARATHYRD PLANAR W/SPECT&CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78072",PARATHYRD PLANAR W/SPECT&CT,EAPG,DEF,,,,,NA,NA,NA,N,
="78075",ADRENAL CORTEX & MEDULLA IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78075",ADRENAL CORTEX & MEDULLA IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="78099",UNLISTED ENDOCRINE PX DX NUC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78099",UNLISTED ENDOCRINE PX DX NUC,EAPG,DEF,,,,,NA,NA,NA,N,
="78102",BONE MARROW IMAGING LTD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78102",BONE MARROW IMAGING LTD,EAPG,DEF,,,,,NA,NA,NA,N,
="78103",BONE MARROW IMAGING MULT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78103",BONE MARROW IMAGING MULT,EAPG,DEF,,,,,NA,NA,NA,N,
="78104",BONE MARROW IMAGING BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78104",BONE MARROW IMAGING BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="78110",PLASMA VOLUME SINGLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78110",PLASMA VOLUME SINGLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78111",PLASMA VOLUME MULTIPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78111",PLASMA VOLUME MULTIPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78120",RED CELL MASS SINGLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78120",RED CELL MASS SINGLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78121",RED CELL MASS MULTIPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78121",RED CELL MASS MULTIPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78122",BLOOD VOLUME,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78122",BLOOD VOLUME,EAPG,DEF,,,,,NA,NA,NA,N,
="78130",RED CELL SURVIVAL STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78130",RED CELL SURVIVAL STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78135",RED CELL SURVIVAL KINETICS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78135",RED CELL SURVIVAL KINETICS,EAPG,DEF,,,,,NA,NA,NA,N,
="78140",RED CELL SEQUESTRATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78140",RED CELL SEQUESTRATION,EAPG,DEF,,,,,NA,NA,NA,N,
="78185",SPLEEN IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78185",SPLEEN IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78190",PLATELET SURVIVAL KINETICS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78190",PLATELET SURVIVAL KINETICS,EAPG,DEF,,,,,NA,NA,NA,N,
="78191",PLATELET SURVIVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78191",PLATELET SURVIVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="78195",LYMPH SYSTEM IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78195",LYMPH SYSTEM IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78199",UNLSTD HEMATOP RET/ENDO LYMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78199",UNLSTD HEMATOP RET/ENDO LYMP,EAPG,DEF,,,,,NA,NA,NA,N,
="78201",LIVER IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78201",LIVER IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78202",LIVER IMAGING WITH FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78202",LIVER IMAGING WITH FLOW,EAPG,DEF,,,,,NA,NA,NA,N,
="78205",LIVER IMAGING (3D),PRXOVR,DEF,,,,,NA,NA,NA,N,
="78205",LIVER IMAGING (3D),EAPG,DEF,,,,,NA,NA,NA,N,
="78206",LIVER IMAGE (3D) WITH FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78206",LIVER IMAGE (3D) WITH FLOW,EAPG,DEF,,,,,NA,NA,NA,N,
="78215",LIVER AND SPLEEN IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78215",LIVER AND SPLEEN IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78216",LIVER & SPLEEN IMAGE/FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78216",LIVER & SPLEEN IMAGE/FLOW,EAPG,DEF,,,,,NA,NA,NA,N,
="78226",HEPATOBILIARY SYSTEM IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78226",HEPATOBILIARY SYSTEM IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78227",HEPATOBIL SYST IMAGE W/DRUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78227",HEPATOBIL SYST IMAGE W/DRUG,EAPG,DEF,,,,,NA,NA,NA,N,
="78230",SALIVARY GLAND IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78230",SALIVARY GLAND IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78231",SERIAL SALIVARY IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78231",SERIAL SALIVARY IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78232",SALIVARY GLAND FUNCTION EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78232",SALIVARY GLAND FUNCTION EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="78258",ESOPHAGEAL MOTILITY STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78258",ESOPHAGEAL MOTILITY STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78261",GASTRIC MUCOSA IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78261",GASTRIC MUCOSA IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78262",GASTROESOPHAGEAL REFLUX EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78262",GASTROESOPHAGEAL REFLUX EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="78264",GASTRIC EMPTYING IMAG STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78264",GASTRIC EMPTYING IMAG STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78265",GASTRIC EMPTYING IMAG STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78265",GASTRIC EMPTYING IMAG STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78266",GASTRIC EMPTYING IMAG STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78266",GASTRIC EMPTYING IMAG STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78270",VIT B-12 ABSORPTION EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78270",VIT B-12 ABSORPTION EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="78271",VIT B-12 ABSRP EXAM INT FAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78271",VIT B-12 ABSRP EXAM INT FAC,EAPG,DEF,,,,,NA,NA,NA,N,
="78272",VIT B-12 ABSORP COMBINED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78272",VIT B-12 ABSORP COMBINED,EAPG,DEF,,,,,NA,NA,NA,N,
="78278",ACUTE GI BLOOD LOSS IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78278",ACUTE GI BLOOD LOSS IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78282",GI PROTEIN LOSS EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78282",GI PROTEIN LOSS EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="78290",MECKELS DIVERT EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78290",MECKELS DIVERT EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="78291",LEVEEN/SHUNT PATENCY EXAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78291",LEVEEN/SHUNT PATENCY EXAM,EAPG,DEF,,,,,NA,NA,NA,N,
="78299",UNLISTED GI PX DX NUC MED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78299",UNLISTED GI PX DX NUC MED,EAPG,DEF,,,,,NA,NA,NA,N,
="78300",BONE IMAGING LIMITED AREA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78300",BONE IMAGING LIMITED AREA,EAPG,DEF,,,,,NA,NA,NA,N,
="78305",BONE IMAGING MULTIPLE AREAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78305",BONE IMAGING MULTIPLE AREAS,EAPG,DEF,,,,,NA,NA,NA,N,
="78306",BONE IMAGING WHOLE BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78306",BONE IMAGING WHOLE BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="78315",BONE IMAGING 3 PHASE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78315",BONE IMAGING 3 PHASE,EAPG,DEF,,,,,NA,NA,NA,N,
="78320",BONE IMAGING (3D),PRXOVR,DEF,,,,,NA,NA,NA,N,
="78320",BONE IMAGING (3D),EAPG,DEF,,,,,NA,NA,NA,N,
="78399",UNLISTED MUSCSKEL PX DX NUC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78399",UNLISTED MUSCSKEL PX DX NUC,EAPG,DEF,,,,,NA,NA,NA,N,
="78414",NON-IMAGING HEART FUNCTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78414",NON-IMAGING HEART FUNCTION,EAPG,DEF,,,,,NA,NA,NA,N,
="78428",CARDIAC SHUNT IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78428",CARDIAC SHUNT IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78429",MYOCRD IMG PET 1 STD W/CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78429",MYOCRD IMG PET 1 STD W/CT,EAPG,DEF,,,,,NA,NA,NA,N,
="78430",MYOCRD IMG PET RST/STRS W/CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78430",MYOCRD IMG PET RST/STRS W/CT,EAPG,DEF,,,,,NA,NA,NA,N,
="78431",MYOCRD IMG PET RST&STRS CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78431",MYOCRD IMG PET RST&STRS CT,EAPG,DEF,,,,,NA,NA,NA,N,
="78432",MYOCRD IMG PET 2RTRACER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78432",MYOCRD IMG PET 2RTRACER,EAPG,DEF,,,,,NA,NA,NA,N,
="78433",MYOCRD IMG PET 2RTRACER CT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78433",MYOCRD IMG PET 2RTRACER CT,EAPG,DEF,,,,,NA,NA,NA,N,
="78434",AQMBF PET REST & RX STRESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78434",AQMBF PET REST & RX STRESS,EAPG,DEF,,,,,NA,NA,NA,N,
="78445",VASCULAR FLOW IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78445",VASCULAR FLOW IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78451",HT MUSCLE IMAGE SPECT SING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78451",HT MUSCLE IMAGE SPECT SING,EAPG,DEF,,,,,NA,NA,NA,N,
="78452",HT MUSCLE IMAGE SPECT MULT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78452",HT MUSCLE IMAGE SPECT MULT,EAPG,DEF,,,,,NA,NA,NA,N,
="78453",HT MUSCLE IMAGE PLANAR SING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78453",HT MUSCLE IMAGE PLANAR SING,EAPG,DEF,,,,,NA,NA,NA,N,
="78454",HT MUSC IMAGE PLANAR MULT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78454",HT MUSC IMAGE PLANAR MULT,EAPG,DEF,,,,,NA,NA,NA,N,
="78456",ACUTE VENOUS THROMBUS IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78456",ACUTE VENOUS THROMBUS IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="78457",VENOUS THROMBOSIS IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78457",VENOUS THROMBOSIS IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78458",VEN THROMBOSIS IMAGES BILAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78458",VEN THROMBOSIS IMAGES BILAT,EAPG,DEF,,,,,NA,NA,NA,N,
="78459",MYOCRD IMG PET SINGLE STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78459",MYOCRD IMG PET SINGLE STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78466",HEART INFARCT IMAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78466",HEART INFARCT IMAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="78468",HEART INFARCT IMAGE (EF),PRXOVR,DEF,,,,,NA,NA,NA,N,
="78468",HEART INFARCT IMAGE (EF),EAPG,DEF,,,,,NA,NA,NA,N,
="78469",HEART INFARCT IMAGE (3D),PRXOVR,DEF,,,,,NA,NA,NA,N,
="78469",HEART INFARCT IMAGE (3D),EAPG,DEF,,,,,NA,NA,NA,N,
="78472",GATED HEART PLANAR SINGLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78472",GATED HEART PLANAR SINGLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78473",GATED HEART MULTIPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78473",GATED HEART MULTIPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78481",HEART FIRST PASS SINGLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78481",HEART FIRST PASS SINGLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78483",HEART FIRST PASS MULTIPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78483",HEART FIRST PASS MULTIPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78491",MYOCRD IMG PET 1STD RST/STRS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78491",MYOCRD IMG PET 1STD RST/STRS,EAPG,DEF,,,,,NA,NA,NA,N,
="78492",MYOCRD IMG PET MLT RST&STRS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78492",MYOCRD IMG PET MLT RST&STRS,EAPG,DEF,,,,,NA,NA,NA,N,
="78494",HEART IMAGE SPECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78494",HEART IMAGE SPECT,EAPG,DEF,,,,,NA,NA,NA,N,
="78496",HEART FIRST PASS ADD-ON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78496",HEART FIRST PASS ADD-ON,EAPG,DEF,,,,,NA,NA,NA,N,
="78499",UNLISTED CV PX DX NUC MED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78499",UNLISTED CV PX DX NUC MED,EAPG,DEF,,,,,NA,NA,NA,N,
="78579",LUNG VENTILATION IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78579",LUNG VENTILATION IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78580",LUNG PERFUSION IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78580",LUNG PERFUSION IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78582",LUNG VENTILAT&PERFUS IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78582",LUNG VENTILAT&PERFUS IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78597",LUNG PERFUSION DIFFERENTIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78597",LUNG PERFUSION DIFFERENTIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="78598",LUNG PERF&VENTILAT DIFERENTL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78598",LUNG PERF&VENTILAT DIFERENTL,EAPG,DEF,,,,,NA,NA,NA,N,
="78599",UNLISTED RESP PX DX NUC MED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78599",UNLISTED RESP PX DX NUC MED,EAPG,DEF,,,,,NA,NA,NA,N,
="78600",BRAIN IMAGE < 4 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78600",BRAIN IMAGE < 4 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="78601",BRAIN IMAGE W/FLOW < 4 VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78601",BRAIN IMAGE W/FLOW < 4 VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="78605",BRAIN IMAGE 4+ VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78605",BRAIN IMAGE 4+ VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="78606",BRAIN IMAGE W/FLOW 4 + VIEWS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78606",BRAIN IMAGE W/FLOW 4 + VIEWS,EAPG,DEF,,,,,NA,NA,NA,N,
="78607",BRAIN IMAGING (3D),PRXOVR,DEF,,,,,NA,NA,NA,N,
="78607",BRAIN IMAGING (3D),EAPG,DEF,,,,,NA,NA,NA,N,
="78608",BRAIN IMAGING (PET),PRXOVR,DEF,,,,,NA,NA,NA,N,
="78608",BRAIN IMAGING (PET),EAPG,DEF,,,,,NA,NA,NA,N,
="78610",BRAIN FLOW IMAGING ONLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78610",BRAIN FLOW IMAGING ONLY,EAPG,DEF,,,,,NA,NA,NA,N,
="78630",CEREBROSPINAL FLUID SCAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78630",CEREBROSPINAL FLUID SCAN,EAPG,DEF,,,,,NA,NA,NA,N,
="78635",CSF VENTRICULOGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78635",CSF VENTRICULOGRAPHY,EAPG,DEF,,,,,NA,NA,NA,N,
="78645",CSF SHUNT EVALUATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78645",CSF SHUNT EVALUATION,EAPG,DEF,,,,,NA,NA,NA,N,
="78647",CEREBROSPINAL FLUID SCAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78647",CEREBROSPINAL FLUID SCAN,EAPG,DEF,,,,,NA,NA,NA,N,
="78650",CSF LEAKAGE IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78650",CSF LEAKAGE IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="78660",NUCLEAR EXAM OF TEAR FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78660",NUCLEAR EXAM OF TEAR FLOW,EAPG,DEF,,,,,NA,NA,NA,N,
="78699",UNLISTED NRVS SYS PX DX NUC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78699",UNLISTED NRVS SYS PX DX NUC,EAPG,DEF,,,,,NA,NA,NA,N,
="78700",KIDNEY IMAGING MORPHOL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78700",KIDNEY IMAGING MORPHOL,EAPG,DEF,,,,,NA,NA,NA,N,
="78701",KIDNEY IMAGING WITH FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78701",KIDNEY IMAGING WITH FLOW,EAPG,DEF,,,,,NA,NA,NA,N,
="78707",K FLOW/FUNCT IMAGE W/O DRUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78707",K FLOW/FUNCT IMAGE W/O DRUG,EAPG,DEF,,,,,NA,NA,NA,N,
="78708",K FLOW/FUNCT IMAGE W/DRUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78708",K FLOW/FUNCT IMAGE W/DRUG,EAPG,DEF,,,,,NA,NA,NA,N,
="78709",K FLOW/FUNCT IMAGE MULTIPLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78709",K FLOW/FUNCT IMAGE MULTIPLE,EAPG,DEF,,,,,NA,NA,NA,N,
="78710",KIDNEY IMAGING (3D),PRXOVR,DEF,,,,,NA,NA,NA,N,
="78710",KIDNEY IMAGING (3D),EAPG,DEF,,,,,NA,NA,NA,N,
="78725",KIDNEY FUNCTION STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78725",KIDNEY FUNCTION STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78730",URINARY BLADDER RETENTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78730",URINARY BLADDER RETENTION,EAPG,DEF,,,,,NA,NA,NA,N,
="78740",URETERAL REFLUX STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78740",URETERAL REFLUX STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78761",TESTICULAR IMAGING W/FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78761",TESTICULAR IMAGING W/FLOW,EAPG,DEF,,,,,NA,NA,NA,N,
="78799",UNLISTED GU PX DX NUC MED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78799",UNLISTED GU PX DX NUC MED,EAPG,DEF,,,,,NA,NA,NA,N,
="78800",RP LOCLZJ TUM 1 AREA 1 D IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78800",RP LOCLZJ TUM 1 AREA 1 D IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="78801",RP LOCLZJ TUM 2+AREA 1+D IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78801",RP LOCLZJ TUM 2+AREA 1+D IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="78802",RP LOCLZJ TUM WHBDY 1 D IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78802",RP LOCLZJ TUM WHBDY 1 D IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="78803",RP LOCLZJ TUM SPECT 1 AREA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78803",RP LOCLZJ TUM SPECT 1 AREA,EAPG,DEF,,,,,NA,NA,NA,N,
="78804",RP LOCLZJ TUM WHBDY 2+D IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78804",RP LOCLZJ TUM WHBDY 2+D IMG,EAPG,DEF,,,,,NA,NA,NA,N,
="78805",ABSCESS IMAGING LTD AREA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78805",ABSCESS IMAGING LTD AREA,EAPG,DEF,,,,,NA,NA,NA,N,
="78806",ABSCESS IMAGING WHOLE BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78806",ABSCESS IMAGING WHOLE BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="78807",NUCLEAR LOCALIZATION/ABSCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78807",NUCLEAR LOCALIZATION/ABSCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="78808",IV INJ RA DRUG DX STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78808",IV INJ RA DRUG DX STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="78811",PET IMAGE LTD AREA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78811",PET IMAGE LTD AREA,EAPG,DEF,,,,,NA,NA,NA,N,
="78812",PET IMAGE SKULL-THIGH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78812",PET IMAGE SKULL-THIGH,EAPG,DEF,,,,,NA,NA,NA,N,
="78813",PET IMAGE FULL BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78813",PET IMAGE FULL BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="78814",PET IMAGE W/CT LMTD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78814",PET IMAGE W/CT LMTD,EAPG,DEF,,,,,NA,NA,NA,N,
="78815",PET IMAGE W/CT SKULL-THIGH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78815",PET IMAGE W/CT SKULL-THIGH,EAPG,DEF,,,,,NA,NA,NA,N,
="78816",PET IMAGE W/CT FULL BODY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78816",PET IMAGE W/CT FULL BODY,EAPG,DEF,,,,,NA,NA,NA,N,
="78830",RP LOCLZJ TUM SPECT W/CT 1,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78830",RP LOCLZJ TUM SPECT W/CT 1,EAPG,DEF,,,,,NA,NA,NA,N,
="78831",RP LOCLZJ TUM SPECT 2 AREAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78831",RP LOCLZJ TUM SPECT 2 AREAS,EAPG,DEF,,,,,NA,NA,NA,N,
="78832",RP LOCLZJ TUM SPECT W/CT 2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78832",RP LOCLZJ TUM SPECT W/CT 2,EAPG,DEF,,,,,NA,NA,NA,N,
="78835",RP QUAN MEAS SINGLE AREA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78835",RP QUAN MEAS SINGLE AREA,EAPG,DEF,,,,,NA,NA,NA,N,
="78999",UNLISTED MISC PX DX NUC MED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="78999",UNLISTED MISC PX DX NUC MED,EAPG,DEF,,,,,NA,NA,NA,N,
="79005",NUCLEAR RX ORAL ADMIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="79005",NUCLEAR RX ORAL ADMIN,EAPG,DEF,,,,,NA,NA,NA,N,
="79101",NUCLEAR RX IV ADMIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="79101",NUCLEAR RX IV ADMIN,EAPG,DEF,,,,,NA,NA,NA,N,
="79200",NUCLEAR RX INTRACAV ADMIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="79200",NUCLEAR RX INTRACAV ADMIN,EAPG,DEF,,,,,NA,NA,NA,N,
="79300",NUCLR RX INTERSTIT COLLOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="79300",NUCLR RX INTERSTIT COLLOID,EAPG,DEF,,,,,NA,NA,NA,N,
="79403",HEMATOPOIETIC NUCLEAR TX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="79403",HEMATOPOIETIC NUCLEAR TX,EAPG,DEF,,,,,NA,NA,NA,N,
="79440",NUCLEAR RX INTRA-ARTICULAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="79440",NUCLEAR RX INTRA-ARTICULAR,EAPG,DEF,,,,,NA,NA,NA,N,
="79445",NUCLEAR RX INTRA-ARTERIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="79445",NUCLEAR RX INTRA-ARTERIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="79999",RP THERAPY UNLISTED PX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="79999",RP THERAPY UNLISTED PX,EAPG,DEF,,,,,NA,NA,NA,N,
="90375",RABIES IG IM/SC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90375",RABIES IG IM/SC,EAPG,DEF,,,,,NA,NA,NA,N,
="90376",RABIES IG HEAT TREATED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90376",RABIES IG HEAT TREATED,EAPG,DEF,,,,,NA,NA,NA,N,
="90377",RABIES IG HT&SOL HUMAN IM/SC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90377",RABIES IG HT&SOL HUMAN IM/SC,EAPG,DEF,,,,,NA,NA,NA,N,
="90385",RH IG MINIDOSE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90385",RH IG MINIDOSE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90460",IM ADMIN 1ST/ONLY COMPONENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90460",IM ADMIN 1ST/ONLY COMPONENT,EAPG,DEF,,,,,NA,NA,NA,N,
="90461",IM ADMIN EACH ADDL COMPONENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90461",IM ADMIN EACH ADDL COMPONENT,EAPG,DEF,,,,,NA,NA,NA,N,
="90471",IMMUNIZATION ADMIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90471",IMMUNIZATION ADMIN,EAPG,DEF,,,,,NA,NA,NA,N,
="90472",IMMUNIZATION ADMIN EACH ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90472",IMMUNIZATION ADMIN EACH ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="90476",ADENOVIRUS VACCINE TYPE 4,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90476",ADENOVIRUS VACCINE TYPE 4,EAPG,DEF,,,,,NA,NA,NA,N,
="90584",DENGUE VACC QUAD 2 DOSE SUBQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90584",DENGUE VACC QUAD 2 DOSE SUBQ,EAPG,DEF,,,,,NA,NA,NA,N,
="90611",SMALLPOX&MONKEYPOX VAC 0.5ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90611",SMALLPOX&MONKEYPOX VAC 0.5ML,EAPG,DEF,,,,,NA,NA,NA,N,
="90619",MENACWY-TT VACCINE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90619",MENACWY-TT VACCINE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90622",VACCINIA VRS VAC 0.3 ML PERQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90622",VACCINIA VRS VAC 0.3 ML PERQ,EAPG,DEF,,,,,NA,NA,NA,N,
="90626",TIC-BRN ENCEPH VAC 0.25ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90626",TIC-BRN ENCEPH VAC 0.25ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90627",TIC-BRN ENCEPH VAC 0.5ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90627",TIC-BRN ENCEPH VAC 0.5ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90630",FLU VACC IIV4 NO PRESERV ID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90630",FLU VACC IIV4 NO PRESERV ID,EAPG,DEF,,,,,NA,NA,NA,N,
="90632",HEPA VACCINE ADULT IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90632",HEPA VACCINE ADULT IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90633",HEPA VACC PED/ADOL 2 DOSE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90633",HEPA VACC PED/ADOL 2 DOSE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90634",HEPA VACC PED/ADOL 3 DOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90634",HEPA VACC PED/ADOL 3 DOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="90636",HEP A/HEP B VACC ADULT IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90636",HEP A/HEP B VACC ADULT IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90647",HIB PRP-OMP VACC 3 DOSE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90647",HIB PRP-OMP VACC 3 DOSE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90648",HIB PRP-T VACCINE 4 DOSE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90648",HIB PRP-T VACCINE 4 DOSE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90653",IIV ADJUVANT VACCINE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90653",IIV ADJUVANT VACCINE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90654",FLU VACC IIV3 NO PRESERV ID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90654",FLU VACC IIV3 NO PRESERV ID,EAPG,DEF,,,,,NA,NA,NA,N,
="90655",IIV3 VACC NO PRSV 0.25 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90655",IIV3 VACC NO PRSV 0.25 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90656",IIV3 VACC NO PRSV 0.5 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90656",IIV3 VACC NO PRSV 0.5 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90657",IIV3 VACCINE SPLT 0.25 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90657",IIV3 VACCINE SPLT 0.25 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90660",LAIV3 VACCINE INTRANASAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90660",LAIV3 VACCINE INTRANASAL,EAPG,DEF,,,,,NA,NA,NA,N,
="90661",CCIIV3 VAC NO PRSV 0.5 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90661",CCIIV3 VAC NO PRSV 0.5 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90662",IIV NO PRSV INCREASED AG IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90662",IIV NO PRSV INCREASED AG IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90668",IIV VACCINE PANDEMIC IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90668",IIV VACCINE PANDEMIC IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90670",PCV13 VACCINE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90670",PCV13 VACCINE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90672",LAIV4 VACCINE INTRANASAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90672",LAIV4 VACCINE INTRANASAL,EAPG,DEF,,,,,NA,NA,NA,N,
="90673",RIV3 VACCINE NO PRESERV IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90673",RIV3 VACCINE NO PRESERV IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90674",CCIIV4 VAC NO PRSV 0.5 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90674",CCIIV4 VAC NO PRSV 0.5 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90675",RABIES VACCINE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90675",RABIES VACCINE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90676",RABIES VACCINE ID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90676",RABIES VACCINE ID,EAPG,DEF,,,,,NA,NA,NA,N,
="90677",PCV20 VACCINE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90677",PCV20 VACCINE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90680",RV5 VACC 3 DOSE LIVE ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90680",RV5 VACC 3 DOSE LIVE ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="90682",RIV4 VACC RECOMBINANT DNA IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90682",RIV4 VACC RECOMBINANT DNA IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90685",IIV4 VACC NO PRSV 0.25 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90685",IIV4 VACC NO PRSV 0.25 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90686",IIV4 VACC NO PRSV 0.5 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90686",IIV4 VACC NO PRSV 0.5 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90687",IIV4 VACCINE SPLT 0.25 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90687",IIV4 VACCINE SPLT 0.25 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90688",IIV4 VACCINE SPLT 0.5 ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90688",IIV4 VACCINE SPLT 0.5 ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90690",TYPHOID VACCINE ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90690",TYPHOID VACCINE ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="90691",TYPHOID VACCINE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90691",TYPHOID VACCINE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90696",DTAP-IPV VACCINE 4-6 YRS IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90696",DTAP-IPV VACCINE 4-6 YRS IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90697",DTAP-IPV-HIB-HEPB VACCINE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90697",DTAP-IPV-HIB-HEPB VACCINE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90698",DTAP-IPV/HIB VACCINE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90698",DTAP-IPV/HIB VACCINE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90717",YELLOW FEVER VACCINE SUBQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90717",YELLOW FEVER VACCINE SUBQ,EAPG,DEF,,,,,NA,NA,NA,N,
="90732",PPSV23 VACC 2 YRS+ SUBQ/IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90732",PPSV23 VACC 2 YRS+ SUBQ/IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90740",HEPB VACC 3 DOSE IMMUNSUP IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90740",HEPB VACC 3 DOSE IMMUNSUP IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90743",HEPB VACC 2 DOSE ADOLESC IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90743",HEPB VACC 2 DOSE ADOLESC IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90744",HEPB VACC 3 DOSE PED/ADOL IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90744",HEPB VACC 3 DOSE PED/ADOL IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90746",HEPB VACCINE 3 DOSE ADULT IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90746",HEPB VACCINE 3 DOSE ADULT IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90747",HEPB VACC 4 DOSE IMMUNSUP IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90747",HEPB VACC 4 DOSE IMMUNSUP IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90749",UNLISTED VACCINE/TOXOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90749",UNLISTED VACCINE/TOXOID,EAPG,DEF,,,,,NA,NA,NA,N,
="90756",CCIIV4 VACC ABX FREE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90756",CCIIV4 VACC ABX FREE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="90758",ZAIRE EBOLAVIRUS VAC LIVE IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="90758",ZAIRE EBOLAVIRUS VAC LIVE IM,EAPG,DEF,,,,,NA,NA,NA,N,
="91035",G-ESOPH REFLX TST W/ELECTROD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91035",G-ESOPH REFLX TST W/ELECTROD,EAPG,DEF,,,,,NA,NA,NA,N,
="91200",LIVER ELASTOGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91200",LIVER ELASTOGRAPHY,EAPG,DEF,,,,,NA,NA,NA,N,
="91300",SARSCOV2 VAC 30MCG/0.3ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91300",SARSCOV2 VAC 30MCG/0.3ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="91301",SARSCOV2 VAC 100MCG/0.5ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91301",SARSCOV2 VAC 100MCG/0.5ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="91304",SARSCOV2 VAC 5MCG/0.5ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91304",SARSCOV2 VAC 5MCG/0.5ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="91305",SARSCOV2 VAC 30 MCG TRS-SUCR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91305",SARSCOV2 VAC 30 MCG TRS-SUCR,EAPG,DEF,,,,,NA,NA,NA,N,
="91306",SARSCOV2 VAC 50MCG/0.25ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91306",SARSCOV2 VAC 50MCG/0.25ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="91307",SARSCOV2 VAC 10 MCG TRS-SUCR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91307",SARSCOV2 VAC 10 MCG TRS-SUCR,EAPG,DEF,,,,,NA,NA,NA,N,
="91308",SARSCOV2 VAC 3 MCG TRS-SUCR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91308",SARSCOV2 VAC 3 MCG TRS-SUCR,EAPG,DEF,,,,,NA,NA,NA,N,
="91309",SARSCOV2 VAC 50MCG/0.5ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91309",SARSCOV2 VAC 50MCG/0.5ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="91311",SARSCOV2 VAC 25MCG/0.25ML IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91311",SARSCOV2 VAC 25MCG/0.25ML IM,EAPG,DEF,,,,,NA,NA,NA,N,
="91312",SARSCOV2 VAC BVL 30MCG/0.3ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91312",SARSCOV2 VAC BVL 30MCG/0.3ML,EAPG,DEF,,,,,NA,NA,NA,N,
="91313",SARSCOV2 VAC BVL 50MCG/0.5ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91313",SARSCOV2 VAC BVL 50MCG/0.5ML,EAPG,DEF,,,,,NA,NA,NA,N,
="91314",SARSCOV2 VAC BVL 25MCG/.25ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91314",SARSCOV2 VAC BVL 25MCG/.25ML,EAPG,DEF,,,,,NA,NA,NA,N,
="91315",SARSCOV2 VAC BVL 10MCG/0.2ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91315",SARSCOV2 VAC BVL 10MCG/0.2ML,EAPG,DEF,,,,,NA,NA,NA,N,
="91316",SARSCOV2 VAC BVL 10MCG/0.2ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91316",SARSCOV2 VAC BVL 10MCG/0.2ML,EAPG,DEF,,,,,NA,NA,NA,N,
="91317",SARSCOV2 VAC BVL 3MCG/0.2ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="91317",SARSCOV2 VAC BVL 3MCG/0.2ML,EAPG,DEF,,,,,NA,NA,NA,N,
="92071",CONTACT LENS FITTING FOR TX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="92071",CONTACT LENS FITTING FOR TX,EAPG,DEF,,,,,NA,NA,NA,N,
="92201",OPSCPY EXTND RTA DRAW UNI/BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="92201",OPSCPY EXTND RTA DRAW UNI/BI,EAPG,DEF,,,,,NA,NA,NA,N,
="92202",OPSCPY EXTND ON/MAC DRAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="92202",OPSCPY EXTND ON/MAC DRAW,EAPG,DEF,,,,,NA,NA,NA,N,
="92549",CDP-SOT 6 COND W/I&R MCT&ADT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="92549",CDP-SOT 6 COND W/I&R MCT&ADT,EAPG,DEF,,,,,NA,NA,NA,N,
="93005",ELECTROCARDIOGRAM TRACING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93005",ELECTROCARDIOGRAM TRACING,EAPG,DEF,,,,,NA,NA,NA,N,
="93012",TRANSMISSION OF ECG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93012",TRANSMISSION OF ECG,EAPG,DEF,,,,,NA,NA,NA,N,
="93017",CARDIOVASCULAR STRESS TEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93017",CARDIOVASCULAR STRESS TEST,EAPG,DEF,,,,,NA,NA,NA,N,
="93041",RHYTHM ECG TRACING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93041",RHYTHM ECG TRACING,EAPG,DEF,,,,,NA,NA,NA,N,
="93356",MYOCRD STRAIN IMG SPCKL TRCK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93356",MYOCRD STRAIN IMG SPCKL TRCK,EAPG,DEF,,,,,NA,NA,NA,N,
="93590",PERQ TRANSCATH CLS MITRAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93590",PERQ TRANSCATH CLS MITRAL,EAPG,DEF,,,,,NA,NA,NA,N,
="93591",PERQ TRANSCATH CLS AORTIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93591",PERQ TRANSCATH CLS AORTIC,EAPG,DEF,,,,,NA,NA,NA,N,
="93985",DUP-SCAN HEMO COMPL BI STD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93985",DUP-SCAN HEMO COMPL BI STD,EAPG,DEF,,,,,NA,NA,NA,N,
="93986",DUP-SCAN HEMO COMPL UNI STD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="93986",DUP-SCAN HEMO COMPL UNI STD,EAPG,DEF,,,,,NA,NA,NA,N,
="95940",IONM IN OPERATNG ROOM 15 MIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="95940",IONM IN OPERATNG ROOM 15 MIN,EAPG,DEF,,,,,NA,NA,NA,N,
="95941",IONM REMOTE/>1 PT OR PER HR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="95941",IONM REMOTE/>1 PT OR PER HR,EAPG,DEF,,,,,NA,NA,NA,N,
="A4217",STERILE WATER/SALINE; 500 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4217",STERILE WATER/SALINE; 500 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="A4262",TEMPORARY TEAR DUCT PLUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4262",TEMPORARY TEAR DUCT PLUG,EAPG,DEF,,,,,NA,NA,NA,N,
="A4263",PERMANENT TEAR DUCT PLUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4263",PERMANENT TEAR DUCT PLUG,EAPG,DEF,,,,,NA,NA,NA,N,
="A4270",DISPOSABLE ENDOSCOPE SHEATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4270",DISPOSABLE ENDOSCOPE SHEATH,EAPG,DEF,,,,,NA,NA,NA,N,
="A4300",CATH IMPL VASC ACCESS PORTAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4300",CATH IMPL VASC ACCESS PORTAL,EAPG,DEF,,,,,NA,NA,NA,N,
="A4301",IMPLANTABLE ACCESS SYST PERC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4301",IMPLANTABLE ACCESS SYST PERC,EAPG,DEF,,,,,NA,NA,NA,N,
="A4305",DRUG DELIVERY SYSTEM >=50 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4305",DRUG DELIVERY SYSTEM >=50 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="A4306",DRUG DELIVERY SYSTEM <=50 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4306",DRUG DELIVERY SYSTEM <=50 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="A4641",RADIOPHARM DX AGENT NOC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4641",RADIOPHARM DX AGENT NOC,EAPG,DEF,,,,,NA,NA,NA,N,
="A4642",IN111 SATUMOMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4642",IN111 SATUMOMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="A4648",IMPLANTABLE TISSUE MARKER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4648",IMPLANTABLE TISSUE MARKER,EAPG,DEF,,,,,NA,NA,NA,N,
="A4650",IMPLANT RADIATION DOSIMETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A4650",IMPLANT RADIATION DOSIMETER,EAPG,DEF,,,,,NA,NA,NA,N,
="A6460",SYNTHETIC DRSG <= 16 SQ IN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A6460",SYNTHETIC DRSG <= 16 SQ IN,EAPG,DEF,,,,,NA,NA,NA,N,
="A6461",SYNTHETIC DRSG >16<=48 SQ IN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A6461",SYNTHETIC DRSG >16<=48 SQ IN,EAPG,DEF,,,,,NA,NA,NA,N,
="A9500",TC99M SESTAMIBI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9500",TC99M SESTAMIBI,EAPG,DEF,,,,,NA,NA,NA,N,
="A9501",TECHNETIUM TC-99M TEBOROXIME,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9501",TECHNETIUM TC-99M TEBOROXIME,EAPG,DEF,,,,,NA,NA,NA,N,
="A9502",TC99M TETROFOSMIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9502",TC99M TETROFOSMIN,EAPG,DEF,,,,,NA,NA,NA,N,
="A9503",TC99M MEDRONATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9503",TC99M MEDRONATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9504",TC99M APCITIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9504",TC99M APCITIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9505",TL201 THALLIUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9505",TL201 THALLIUM,EAPG,DEF,,,,,NA,NA,NA,N,
="A9507",IN111 CAPROMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9507",IN111 CAPROMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="A9508",I131 IODOBENGUATE; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9508",I131 IODOBENGUATE; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="A9509",IODINE I-123 SOD IODIDE MIL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9509",IODINE I-123 SOD IODIDE MIL,EAPG,DEF,,,,,NA,NA,NA,N,
="A9510",TC99M DISOFENIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9510",TC99M DISOFENIN,EAPG,DEF,,,,,NA,NA,NA,N,
="A9512",TC99M PERTECHNETATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9512",TC99M PERTECHNETATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9515",CHOLINE C-11,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9515",CHOLINE C-11,EAPG,DEF,,,,,NA,NA,NA,N,
="A9516",IODINE I-123 SOD IODIDE MIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9516",IODINE I-123 SOD IODIDE MIC,EAPG,DEF,,,,,NA,NA,NA,N,
="A9520",TC99 TILMANOCEPT DIAG 0.5MCI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9520",TC99 TILMANOCEPT DIAG 0.5MCI,EAPG,DEF,,,,,NA,NA,NA,N,
="A9521",TC99M EXAMETAZIME,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9521",TC99M EXAMETAZIME,EAPG,DEF,,,,,NA,NA,NA,N,
="A9524",I131 SERUM ALBUMIN; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9524",I131 SERUM ALBUMIN; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="A9526",NITROGEN N-13 AMMONIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9526",NITROGEN N-13 AMMONIA,EAPG,DEF,,,,,NA,NA,NA,N,
="A9527",IODINE I-125 SODIUM IODIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9527",IODINE I-125 SODIUM IODIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9528",IODINE I-131 IODIDE CAP; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9528",IODINE I-131 IODIDE CAP; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="A9529",I131 IODIDE SOL; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9529",I131 IODIDE SOL; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="A9531",I131 MAX 100UCI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9531",I131 MAX 100UCI,EAPG,DEF,,,,,NA,NA,NA,N,
="A9532",I125 SERUM ALBUMIN; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9532",I125 SERUM ALBUMIN; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="A9536",TC99M DEPREOTIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9536",TC99M DEPREOTIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9537",TC99M MEBROFENIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9537",TC99M MEBROFENIN,EAPG,DEF,,,,,NA,NA,NA,N,
="A9538",TC99M PYROPHOSPHATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9538",TC99M PYROPHOSPHATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9539",TC99M PENTETATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9539",TC99M PENTETATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9540",TC99M MAA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9540",TC99M MAA,EAPG,DEF,,,,,NA,NA,NA,N,
="A9541",TC99M SULFUR COLLOID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9541",TC99M SULFUR COLLOID,EAPG,DEF,,,,,NA,NA,NA,N,
="A9542",IN111 IBRITUMOMAB; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9542",IN111 IBRITUMOMAB; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="A9546",CO57/58,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9546",CO57/58,EAPG,DEF,,,,,NA,NA,NA,N,
="A9547",IN111 OXYQUINOLINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9547",IN111 OXYQUINOLINE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9548",IN111 PENTETATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9548",IN111 PENTETATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9550",TC99M GLUCEPTATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9550",TC99M GLUCEPTATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9551",TC99M SUCCIMER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9551",TC99M SUCCIMER,EAPG,DEF,,,,,NA,NA,NA,N,
="A9552",F18 FDG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9552",F18 FDG,EAPG,DEF,,,,,NA,NA,NA,N,
="A9553",CR51 CHROMATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9553",CR51 CHROMATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9554",I125 IOTHALAMATE; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9554",I125 IOTHALAMATE; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="A9555",RB82 RUBIDIUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9555",RB82 RUBIDIUM,EAPG,DEF,,,,,NA,NA,NA,N,
="A9556",GA67 GALLIUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9556",GA67 GALLIUM,EAPG,DEF,,,,,NA,NA,NA,N,
="A9557",TC99M BICISATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9557",TC99M BICISATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9558",XE133 XENON 10MCI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9558",XE133 XENON 10MCI,EAPG,DEF,,,,,NA,NA,NA,N,
="A9559",CO57 CYANO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9559",CO57 CYANO,EAPG,DEF,,,,,NA,NA,NA,N,
="A9560",TC99M LABELED RBC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9560",TC99M LABELED RBC,EAPG,DEF,,,,,NA,NA,NA,N,
="A9561",TC99M OXIDRONATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9561",TC99M OXIDRONATE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9562",TC99M MERTIATIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9562",TC99M MERTIATIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9566",TC99M FANOLESOMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9566",TC99M FANOLESOMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="A9567",TECHNETIUM TC-99M AEROSOL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9567",TECHNETIUM TC-99M AEROSOL,EAPG,DEF,,,,,NA,NA,NA,N,
="A9568",TECHNETIUM TC99M ARCITUMOMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9568",TECHNETIUM TC99M ARCITUMOMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="A9569",TECHNETIUM TC-99M AUTO WBC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9569",TECHNETIUM TC-99M AUTO WBC,EAPG,DEF,,,,,NA,NA,NA,N,
="A9570",INDIUM IN-111 AUTO WBC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9570",INDIUM IN-111 AUTO WBC,EAPG,DEF,,,,,NA,NA,NA,N,
="A9571",INDIUM IN-111 AUTO PLATELET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9571",INDIUM IN-111 AUTO PLATELET,EAPG,DEF,,,,,NA,NA,NA,N,
="A9572",INDIUM IN-111 PENTETREOTIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9572",INDIUM IN-111 PENTETREOTIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9574",AIR POLY INTRAUTERINE FOAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9574",AIR POLY INTRAUTERINE FOAM,EAPG,DEF,,,,,NA,NA,NA,N,
="A9575",INJ GADOTERATE MEGLUMI 0.1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9575",INJ GADOTERATE MEGLUMI 0.1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="A9576",INJ PROHANCE MULTIPACK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9576",INJ PROHANCE MULTIPACK,EAPG,DEF,,,,,NA,NA,NA,N,
="A9577",INJ MULTIHANCE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9577",INJ MULTIHANCE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9578",INJ MULTIHANCE MULTIPACK,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9578",INJ MULTIHANCE MULTIPACK,EAPG,DEF,,,,,NA,NA,NA,N,
="A9579",GAD-BASE MR CONTRAST NOS;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9579",GAD-BASE MR CONTRAST NOS;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="A9580",SODIUM FLUORIDE F-18,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9580",SODIUM FLUORIDE F-18,EAPG,DEF,,,,,NA,NA,NA,N,
="A9581",GADOXETATE DISODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9581",GADOXETATE DISODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="A9582",IODINE I-123 IOBENGUANE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9582",IODINE I-123 IOBENGUANE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9583",GADOFOSVESET TRISODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9583",GADOFOSVESET TRISODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="A9584",IODINE I-123 IOFLUPANE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9584",IODINE I-123 IOFLUPANE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9585",GADOBUTROL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9585",GADOBUTROL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="A9586",FLORBETAPIR F18,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9586",FLORBETAPIR F18,EAPG,DEF,,,,,NA,NA,NA,N,
="A9587",GALLIUM GA-68,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9587",GALLIUM GA-68,EAPG,DEF,,,,,NA,NA,NA,N,
="A9588",FLUCICLOVINE F-18,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9588",FLUCICLOVINE F-18,EAPG,DEF,,,,,NA,NA,NA,N,
="A9590",IODINE I-131 IOBENGUANE 1MCI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9590",IODINE I-131 IOBENGUANE 1MCI,EAPG,DEF,,,,,NA,NA,NA,N,
="A9591",FLUOROESTRADIOL F 18,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9591",FLUOROESTRADIOL F 18,EAPG,DEF,,,,,NA,NA,NA,N,
="A9592",COPPER CU 64 DOTATATE DIAG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9592",COPPER CU 64 DOTATATE DIAG,EAPG,DEF,,,,,NA,NA,NA,N,
="A9593",GALLIUM GA-68 PSMA-11 UCSF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9593",GALLIUM GA-68 PSMA-11 UCSF,EAPG,DEF,,,,,NA,NA,NA,N,
="A9594",GALLIUM GA-68 PSMA-11; UCLA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9594",GALLIUM GA-68 PSMA-11; UCLA,EAPG,DEF,,,,,NA,NA,NA,N,
="A9595",PIFLU F-18; DIA 1 MILLICURIE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9595",PIFLU F-18; DIA 1 MILLICURIE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9596",GALLIUM ILLUCCIX 1 MILLICURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9596",GALLIUM ILLUCCIX 1 MILLICURE,EAPG,DEF,,,,,NA,NA,NA,N,
="A9597",PET; DX; FOR TUMOR ID; NOC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9597",PET; DX; FOR TUMOR ID; NOC,EAPG,DEF,,,,,NA,NA,NA,N,
="A9598",PET DX FOR NON-TUMOR ID; NOC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9598",PET DX FOR NON-TUMOR ID; NOC,EAPG,DEF,,,,,NA,NA,NA,N,
="A9599",RADIOPH DX B AMYLOID PET NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9599",RADIOPH DX B AMYLOID PET NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="A9601",FLORTAUCIPIR INJ 1 MILLICURI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9601",FLORTAUCIPIR INJ 1 MILLICURI,EAPG,DEF,,,,,NA,NA,NA,N,
="A9698",NON-RAD CONTRAST MATERIALNOC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9698",NON-RAD CONTRAST MATERIALNOC,EAPG,DEF,,,,,NA,NA,NA,N,
="A9700",ECHOCARDIOGRAPHY CONTRAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="A9700",ECHOCARDIOGRAPHY CONTRAST,EAPG,DEF,,,,,NA,NA,NA,N,
="C1052",HEMOSTATIC AGENT; GI; TOPIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1052",HEMOSTATIC AGENT; GI; TOPIC,EAPG,DEF,,,,,NA,NA,NA,N,
="C1062",INTRAVERTEBRAL FX AUG IMPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1062",INTRAVERTEBRAL FX AUG IMPL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1713",ANCHOR/SCREW BN/BN;TIS/BN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1713",ANCHOR/SCREW BN/BN;TIS/BN,EAPG,DEF,,,,,NA,NA,NA,N,
="C1714",CATH; TRANS ATHERECTOMY; DIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1714",CATH; TRANS ATHERECTOMY; DIR,EAPG,DEF,,,,,NA,NA,NA,N,
="C1715",BRACHYTHERAPY NEEDLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1715",BRACHYTHERAPY NEEDLE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1716",BRACHYTX; NON-STR; GOLD-198,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1716",BRACHYTX; NON-STR; GOLD-198,EAPG,DEF,,,,,NA,NA,NA,N,
="C1717",BRACHYTX; NON-STR;HDR IR-192,PRXOVR,DEF,,,,,NA,NA,NA,E,
="C1717",BRACHYTX; NON-STR;HDR IR-192,EAPG,DEF,,,,,NA,NA,NA,E,
="C1719",BRACHYTX; NS; NON-HDRIR-192,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1719",BRACHYTX; NS; NON-HDRIR-192,EAPG,DEF,,,,,NA,NA,NA,N,
="C1721",AICD; DUAL CHAMBER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1721",AICD; DUAL CHAMBER,EAPG,DEF,,,,,NA,NA,NA,N,
="C1722",AICD; SINGLE CHAMBER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1722",AICD; SINGLE CHAMBER,EAPG,DEF,,,,,NA,NA,NA,N,
="C1724",CATH; TRANS ATHEREC;ROTATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1724",CATH; TRANS ATHEREC;ROTATION,EAPG,DEF,,,,,NA,NA,NA,N,
="C1725",CATH; TRANSLUMIN NON-LASER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1725",CATH; TRANSLUMIN NON-LASER,EAPG,DEF,,,,,NA,NA,NA,N,
="C1726",CATH; BAL DIL; NON-VASCULAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1726",CATH; BAL DIL; NON-VASCULAR,EAPG,DEF,,,,,NA,NA,NA,N,
="C1727",CATH; BAL TIS DIS; NON-VAS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1727",CATH; BAL TIS DIS; NON-VAS,EAPG,DEF,,,,,NA,NA,NA,N,
="C1728",CATH; BRACHYTX SEED ADM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1728",CATH; BRACHYTX SEED ADM,EAPG,DEF,,,,,NA,NA,NA,N,
="C1729",CATH; DRAINAGE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1729",CATH; DRAINAGE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1730",CATH; EP; 19 OR FEW ELECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1730",CATH; EP; 19 OR FEW ELECT,EAPG,DEF,,,,,NA,NA,NA,N,
="C1731",CATH; EP; 20 OR MORE ELEC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1731",CATH; EP; 20 OR MORE ELEC,EAPG,DEF,,,,,NA,NA,NA,N,
="C1732",CATH; EP; DIAG/ABL; 3D/VECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1732",CATH; EP; DIAG/ABL; 3D/VECT,EAPG,DEF,,,,,NA,NA,NA,N,
="C1733",CATH; EP; OTHR THAN COOL-TIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1733",CATH; EP; OTHR THAN COOL-TIP,EAPG,DEF,,,,,NA,NA,NA,N,
="C1734",ORTH/DEVIC/DRUG BN/BN;TIS/BN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1734",ORTH/DEVIC/DRUG BN/BN;TIS/BN,EAPG,DEF,,,,,NA,NA,NA,N,
="C1747",ENDO; SINGLE; URINARY TRACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1749",ENDO; COLON; RETRO IMAGING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1749",ENDO; COLON; RETRO IMAGING,EAPG,DEF,,,,,NA,NA,NA,N,
="C1750",CATH; HEMODIALYSIS;LONG-TERM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1750",CATH; HEMODIALYSIS;LONG-TERM,EAPG,DEF,,,,,NA,NA,NA,N,
="C1751",CATH; INF; PER/CENT/MIDLINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1751",CATH; INF; PER/CENT/MIDLINE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1752",CATH;HEMODIALYSIS;SHORT-TERM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1752",CATH;HEMODIALYSIS;SHORT-TERM,EAPG,DEF,,,,,NA,NA,NA,N,
="C1753",CATH; INTRAVAS ULTRASOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1753",CATH; INTRAVAS ULTRASOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="C1754",CATHETER; INTRADISCAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1754",CATHETER; INTRADISCAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1755",CATHETER; INTRASPINAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1755",CATHETER; INTRASPINAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1756",CATH; PACING; TRANSESOPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1756",CATH; PACING; TRANSESOPH,EAPG,DEF,,,,,NA,NA,NA,N,
="C1757",CATH; THROMBECTOMY/EMBOLECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1757",CATH; THROMBECTOMY/EMBOLECT,EAPG,DEF,,,,,NA,NA,NA,N,
="C1758",CATHETER; URETERAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1758",CATHETER; URETERAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1759",CATH; INTRA ECHOCARDIOGRAPHY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1759",CATH; INTRA ECHOCARDIOGRAPHY,EAPG,DEF,,,,,NA,NA,NA,N,
="C1760",CLOSURE DEV; VASC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1760",CLOSURE DEV; VASC,EAPG,DEF,,,,,NA,NA,NA,N,
="C1762",CONN TISS; HUMAN(INC FASCIA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1762",CONN TISS; HUMAN(INC FASCIA),EAPG,DEF,,,,,NA,NA,NA,N,
="C1763",CONN TISS; NON-HUMAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1763",CONN TISS; NON-HUMAN,EAPG,DEF,,,,,NA,NA,NA,N,
="C1764",EVENT RECORDER; CARDIAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1764",EVENT RECORDER; CARDIAC,EAPG,DEF,,,,,NA,NA,NA,N,
="C1765",ADHESION BARRIER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1765",ADHESION BARRIER,EAPG,DEF,,,,,NA,NA,NA,N,
="C1766",INTRO/SHEATH;STRBLE;NON-PEEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1766",INTRO/SHEATH;STRBLE;NON-PEEL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1767",GENERATOR; NEURO NON-RECHARG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1767",GENERATOR; NEURO NON-RECHARG,EAPG,DEF,,,,,NA,NA,NA,N,
="C1768",GRAFT; VASCULAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1768",GRAFT; VASCULAR,EAPG,DEF,,,,,NA,NA,NA,N,
="C1769",GUIDE WIRE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1769",GUIDE WIRE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1770",IMAGING COIL; MR; INSERTABLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1770",IMAGING COIL; MR; INSERTABLE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1771",REP DEV; URINARY; W/SLING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1771",REP DEV; URINARY; W/SLING,EAPG,DEF,,,,,NA,NA,NA,N,
="C1772",INFUSION PUMP; PROGRAMMABLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1772",INFUSION PUMP; PROGRAMMABLE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1773",RET DEV; INSERTABLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1773",RET DEV; INSERTABLE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1776",JOINT DEVICE (IMPLANTABLE),PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1776",JOINT DEVICE (IMPLANTABLE),EAPG,DEF,,,,,NA,NA,NA,N,
="C1777",LEAD; AICD; ENDO SINGLE COIL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1777",LEAD; AICD; ENDO SINGLE COIL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1778",LEAD; NEUROSTIMULATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1778",LEAD; NEUROSTIMULATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="C1779",LEAD; PMKR; TRANSVENOUS VDD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1779",LEAD; PMKR; TRANSVENOUS VDD,EAPG,DEF,,,,,NA,NA,NA,N,
="C1780",LENS; INTRAOCULAR (NEW TECH),PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1780",LENS; INTRAOCULAR (NEW TECH),EAPG,DEF,,,,,NA,NA,NA,N,
="C1781",MESH (IMPLANTABLE),PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1781",MESH (IMPLANTABLE),EAPG,DEF,,,,,NA,NA,NA,N,
="C1782",MORCELLATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1782",MORCELLATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="C1783",OCULAR IMP; AQUEOUS DRAIN DE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1783",OCULAR IMP; AQUEOUS DRAIN DE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1784",OCULAR DEV; INTRAOP; DET RET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1784",OCULAR DEV; INTRAOP; DET RET,EAPG,DEF,,,,,NA,NA,NA,N,
="C1785",PMKR; DUAL; RATE-RESP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1785",PMKR; DUAL; RATE-RESP,EAPG,DEF,,,,,NA,NA,NA,N,
="C1786",PMKR; SINGLE; RATE-RESP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1786",PMKR; SINGLE; RATE-RESP,EAPG,DEF,,,,,NA,NA,NA,N,
="C1787",PATIENT PROGR; NEUROSTIM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1787",PATIENT PROGR; NEUROSTIM,EAPG,DEF,,,,,NA,NA,NA,N,
="C1788",PORT; INDWELLING; IMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1788",PORT; INDWELLING; IMP,EAPG,DEF,,,,,NA,NA,NA,N,
="C1789",PROSTHESIS; BREAST; IMP,PRXOVR,DEF,,,,,NA,NA,NA,E,
="C1789",PROSTHESIS; BREAST; IMP,EAPG,DEF,,,,,NA,NA,NA,E,
="C1813",PROSTHESIS; PENILE; INFLATAB,PRXOVR,DEF,,,,,NA,NA,NA,E,
="C1813",PROSTHESIS; PENILE; INFLATAB,EAPG,DEF,,,,,NA,NA,NA,E,
="C1814",RETINAL TAMP; SILICONE OIL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1814",RETINAL TAMP; SILICONE OIL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1815",PROS; URINARY SPH; IMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1815",PROS; URINARY SPH; IMP,EAPG,DEF,,,,,NA,NA,NA,N,
="C1816",RECEIVER/TRANSMITTER; NEURO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1816",RECEIVER/TRANSMITTER; NEURO,EAPG,DEF,,,,,NA,NA,NA,N,
="C1817",SEPTAL DEFECT IMP SYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1817",SEPTAL DEFECT IMP SYS,EAPG,DEF,,,,,NA,NA,NA,N,
="C1818",INTEGRATED KERATOPROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="C1818",INTEGRATED KERATOPROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,E,
="C1819",TISSUE LOCALIZATION-EXCISION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1819",TISSUE LOCALIZATION-EXCISION,EAPG,DEF,,,,,NA,NA,NA,N,
="C1820",GENERATOR NEURO RECHG BAT SY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1820",GENERATOR NEURO RECHG BAT SY,EAPG,DEF,,,,,NA,NA,NA,N,
="C1821",INTERSPINOUS IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,E,
="C1821",INTERSPINOUS IMPLANT,EAPG,DEF,,,,,NA,NA,NA,E,
="C1822",GEN; NEURO; HF; RECHG BAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1822",GEN; NEURO; HF; RECHG BAT,EAPG,DEF,,,,,NA,NA,NA,N,
="C1824",GENERATOR; CCM; IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1824",GENERATOR; CCM; IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="C1825",GEN; NEURO; CAROT SINUS BARO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1825",GEN; NEURO; CAROT SINUS BARO,EAPG,DEF,,,,,NA,NA,NA,N,
="C1826",GEN; NEURO; CLO LOOP; RECHG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1827",GEN; NEURO; IMP LED; EX CNTR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1830",POWER BONE MARROW BX NEEDLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1830",POWER BONE MARROW BX NEEDLE,EAPG,DEF,,,,,NA,NA,NA,N,
="C1832",AUTO CELL PROCESS SYS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C1832",AUTO CELL PROCESS SYS,EAPG,DEF,,,,,NA,NA,NA,Y,
="C1833",CARDIAC MONITOR SYS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C1833",CARDIAC MONITOR SYS,EAPG,DEF,,,,,NA,NA,NA,Y,
="C1839",IRIS PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="C1839",IRIS PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,E,
="C1840",TELESCOPIC INTRAOCULAR LENS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1840",TELESCOPIC INTRAOCULAR LENS,EAPG,DEF,,,,,NA,NA,NA,N,
="C1841",RETINAL PROSTH INT/EXT COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1841",RETINAL PROSTH INT/EXT COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="C1874",STENT; COATED/COV W/DEL SYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1874",STENT; COATED/COV W/DEL SYS,EAPG,DEF,,,,,NA,NA,NA,N,
="C1875",STENT; COATED/COV W/O DEL SY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1875",STENT; COATED/COV W/O DEL SY,EAPG,DEF,,,,,NA,NA,NA,N,
="C1876",STENT; NON-COA/NON-COV W/DEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1876",STENT; NON-COA/NON-COV W/DEL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1877",STENT; NON-COAT/COV W/O DEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1877",STENT; NON-COAT/COV W/O DEL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1878",MATRL FOR VOCAL CORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1878",MATRL FOR VOCAL CORD,EAPG,DEF,,,,,NA,NA,NA,N,
="C1880",VENA CAVA FILTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1880",VENA CAVA FILTER,EAPG,DEF,,,,,NA,NA,NA,N,
="C1881",DIALYSIS ACCESS SYSTEM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1881",DIALYSIS ACCESS SYSTEM,EAPG,DEF,,,,,NA,NA,NA,N,
="C1882",AICD; OTHER THAN SING/DUAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1882",AICD; OTHER THAN SING/DUAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1883",ADAPT/EXT; PACING/NEURO LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1883",ADAPT/EXT; PACING/NEURO LEAD,EAPG,DEF,,,,,NA,NA,NA,N,
="C1884",EMBOLIZATION PROTECT SYST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1884",EMBOLIZATION PROTECT SYST,EAPG,DEF,,,,,NA,NA,NA,N,
="C1885",CATH; TRANSLUMIN ANGIO LASER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1885",CATH; TRANSLUMIN ANGIO LASER,EAPG,DEF,,,,,NA,NA,NA,N,
="C1886",CATHETER; ABLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1886",CATHETER; ABLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="C1887",CATHETER; GUIDING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1887",CATHETER; GUIDING,EAPG,DEF,,,,,NA,NA,NA,N,
="C1888",ENDOVAS NON-CARDIAC ABL CATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1888",ENDOVAS NON-CARDIAC ABL CATH,EAPG,DEF,,,,,NA,NA,NA,N,
="C1889",IMPLANT/INSERT DEVICE; NOC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1889",IMPLANT/INSERT DEVICE; NOC,EAPG,DEF,,,,,NA,NA,NA,N,
="C1891",INFUSION PUMP;NON-PROG; PERM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1891",INFUSION PUMP;NON-PROG; PERM,EAPG,DEF,,,,,NA,NA,NA,N,
="C1892",INTRO/SHEATH;FIXED;PEEL-AWAY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1892",INTRO/SHEATH;FIXED;PEEL-AWAY,EAPG,DEF,,,,,NA,NA,NA,N,
="C1893",INTRO/SHEATH; FIXED;NON-PEEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1893",INTRO/SHEATH; FIXED;NON-PEEL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1894",INTRO/SHEATH; NON-LASER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1894",INTRO/SHEATH; NON-LASER,EAPG,DEF,,,,,NA,NA,NA,N,
="C1895",LEAD; AICD; ENDO DUAL COIL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1895",LEAD; AICD; ENDO DUAL COIL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1896",LEAD; AICD; NON SING/DUAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1896",LEAD; AICD; NON SING/DUAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C1897",LEAD; NEUROSTIM TEST KIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1897",LEAD; NEUROSTIM TEST KIT,EAPG,DEF,,,,,NA,NA,NA,N,
="C1898",LEAD; PMKR; OTHER THAN TRANS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1898",LEAD; PMKR; OTHER THAN TRANS,EAPG,DEF,,,,,NA,NA,NA,N,
="C1899",LEAD; PMKR/AICD COMBINATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1899",LEAD; PMKR/AICD COMBINATION,EAPG,DEF,,,,,NA,NA,NA,N,
="C1982",CATH; PRESSURE;VALVE-OCCLU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C1982",CATH; PRESSURE;VALVE-OCCLU,EAPG,DEF,,,,,NA,NA,NA,N,
="C2596",PROBE; ROBOTIC; WATER-JET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2596",PROBE; ROBOTIC; WATER-JET,EAPG,DEF,,,,,NA,NA,NA,N,
="C2613",LUNG BX PLUG W/DEL SYS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2613",LUNG BX PLUG W/DEL SYS,EAPG,DEF,,,,,NA,NA,NA,N,
="C2614",PROBE; PERC LUMB DISC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2614",PROBE; PERC LUMB DISC,EAPG,DEF,,,,,NA,NA,NA,N,
="C2615",SEALANT; PULMONARY; LIQUID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2615",SEALANT; PULMONARY; LIQUID,EAPG,DEF,,,,,NA,NA,NA,N,
="C2616",BRACHYTX; NON-STR;YTTRIUM-90,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2616",BRACHYTX; NON-STR;YTTRIUM-90,EAPG,DEF,,,,,NA,NA,NA,N,
="C2617",STENT; NON-COR; TEM W/O DEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2617",STENT; NON-COR; TEM W/O DEL,EAPG,DEF,,,,,NA,NA,NA,N,
="C2618",PROBE/NEEDLE; CRYO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2618",PROBE/NEEDLE; CRYO,EAPG,DEF,,,,,NA,NA,NA,N,
="C2619",PMKR; DUAL; NON RATE-RESP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2619",PMKR; DUAL; NON RATE-RESP,EAPG,DEF,,,,,NA,NA,NA,N,
="C2620",PMKR; SINGLE; NON RATE-RESP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2620",PMKR; SINGLE; NON RATE-RESP,EAPG,DEF,,,,,NA,NA,NA,N,
="C2621",PMKR; OTHER THAN SING/DUAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2621",PMKR; OTHER THAN SING/DUAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C2622",PROSTHESIS; PENILE; NON-INF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2622",PROSTHESIS; PENILE; NON-INF,EAPG,DEF,,,,,NA,NA,NA,N,
="C2623",CATH; TRANSLUMIN; DRUG-COAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2623",CATH; TRANSLUMIN; DRUG-COAT,EAPG,DEF,,,,,NA,NA,NA,N,
="C2624",WIRELESS PRESSURE SENSOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2624",WIRELESS PRESSURE SENSOR,EAPG,DEF,,,,,NA,NA,NA,N,
="C2625",STENT; NON-COR; TEM W/DEL SY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2625",STENT; NON-COR; TEM W/DEL SY,EAPG,DEF,,,,,NA,NA,NA,N,
="C2626",INFUSION PUMP; NON-PROG;TEMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2626",INFUSION PUMP; NON-PROG;TEMP,EAPG,DEF,,,,,NA,NA,NA,N,
="C2627",CATH; SUPRAPUBIC/CYSTOSCOPIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2627",CATH; SUPRAPUBIC/CYSTOSCOPIC,EAPG,DEF,,,,,NA,NA,NA,N,
="C2628",CATHETER; OCCLUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2628",CATHETER; OCCLUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="C2629",INTRO/SHEATH; LASER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2629",INTRO/SHEATH; LASER,EAPG,DEF,,,,,NA,NA,NA,N,
="C2630",CATH; EP; COOL-TIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2630",CATH; EP; COOL-TIP,EAPG,DEF,,,,,NA,NA,NA,N,
="C2631",REP DEV; URINARY; W/O SLING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2631",REP DEV; URINARY; W/O SLING,EAPG,DEF,,,,,NA,NA,NA,N,
="C2634",BRACHYTX; NON-STR; HA; I-125,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2634",BRACHYTX; NON-STR; HA; I-125,EAPG,DEF,,,,,NA,NA,NA,N,
="C2635",BRACHYTX; NON-STR; HA; P-103,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2635",BRACHYTX; NON-STR; HA; P-103,EAPG,DEF,,,,,NA,NA,NA,N,
="C2636",BRACHY LINEAR; NON-STR;P-103,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2636",BRACHY LINEAR; NON-STR;P-103,EAPG,DEF,,,,,NA,NA,NA,N,
="C2638",BRACHYTX; STRANDED; I-125,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2638",BRACHYTX; STRANDED; I-125,EAPG,DEF,,,,,NA,NA,NA,N,
="C2639",BRACHYTX; NON-STRANDED;I-125,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2639",BRACHYTX; NON-STRANDED;I-125,EAPG,DEF,,,,,NA,NA,NA,N,
="C2640",BRACHYTX; STRANDED; P-103,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2640",BRACHYTX; STRANDED; P-103,EAPG,DEF,,,,,NA,NA,NA,N,
="C2641",BRACHYTX; NON-STRANDED;P-103,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2641",BRACHYTX; NON-STRANDED;P-103,EAPG,DEF,,,,,NA,NA,NA,N,
="C2642",BRACHYTX; STRANDED; C-131,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2642",BRACHYTX; STRANDED; C-131,EAPG,DEF,,,,,NA,NA,NA,N,
="C2643",BRACHYTX; NON-STRANDED;C-131,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2643",BRACHYTX; NON-STRANDED;C-131,EAPG,DEF,,,,,NA,NA,NA,N,
="C2645",BRACHYTX PLANAR; P-103,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2645",BRACHYTX PLANAR; P-103,EAPG,DEF,,,,,NA,NA,NA,N,
="C2698",BRACHYTX; STRANDED; NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2698",BRACHYTX; STRANDED; NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="C2699",BRACHYTX; NON-STRANDED; NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C2699",BRACHYTX; NON-STRANDED; NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="C5271",LOW COST SKIN SUBSTITUTE APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C5271",LOW COST SKIN SUBSTITUTE APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C5272",LOW COST SKIN SUBSTITUTE APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C5272",LOW COST SKIN SUBSTITUTE APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C5273",LOW COST SKIN SUBSTITUTE APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C5273",LOW COST SKIN SUBSTITUTE APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C5274",LOW COST SKIN SUBSTITUTE APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C5274",LOW COST SKIN SUBSTITUTE APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C5275",LOW COST SKIN SUBSTITUTE APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C5275",LOW COST SKIN SUBSTITUTE APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C5276",LOW COST SKIN SUBSTITUTE APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C5276",LOW COST SKIN SUBSTITUTE APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C5277",LOW COST SKIN SUBSTITUTE APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C5277",LOW COST SKIN SUBSTITUTE APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C5278",LOW COST SKIN SUBSTITUTE APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C5278",LOW COST SKIN SUBSTITUTE APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C7500",DEB BONE 20 CM2 W/DRUG DEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7501",PERC BX BREAST LESIONS STERO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7502",PERC BX BREAST LESIONS MR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7503",OPEN EXC CERV NODE(S) W/ ID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7504",PERQ CVT&LS INJ VERT BODIES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7505",PERQ LS&CVT INJ VERT BODIES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7506",FUSION OF FINGER JOINTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7507",PERQ THOR&LUMB VERT AUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7508",PERQ LUMB&THOR VERT AUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7509",DX BRONCH W/ NAVIGATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7510",BRONCH/LAVAG W/ NAVIGATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7511",BRONCH/BPSY(S) W/ NAVIGATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7512",BRONCH/BPSY(S) W/ EBUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7513",CATH/ANGIO DIALCIR W/APLASTY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7514",CATH/ANGIO DIAL CIR W/STENTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7515",CATH/ANGIO DIAL CIR W/EMBOL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7516",COR ANGIO W/ IVUS OR OCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7517",COR ANGIO W/ILIC/FEM ANGIO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7518",COR/GFT ANGIO W/ IVUS OR OCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7519",COR/GFT ANGIO W/ FLOW RESRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7520",COR/GFT ANGIO W/ILIC/FEM ANG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7521",R HRT ANGIO W/ IVUS OR OCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7522",R HRT ANGIO W/FLOW RESRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7523",L HRT ANGIO W/ IVUS OR OCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7524",L HRT ANGIO W/FLOW RESRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7525",L HRT GFT ANG W/ IVUS OR OCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7526",L HRT GFT ANG W/FLOW RESRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7527",R&L HRT ANGIO W/ IVUS OR OCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7528",R&L HRT ANGIO W/FLOW RESRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7529",R&L HRT GFT ANG W/FLOW RESRV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7530",CATH/APLASTY DIAL CIR W/STNT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7531",ANGIO FEM/POP W/ US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7532",ANGIO W/ US NON-CORONARY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7533",PTCA W/ PLCMT BRACHYTX DEV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7534",FEM/POP REVASC W/ARTHR & US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7535",FEM/POP REVASC W/STENT & US,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7537",INSRT ATRIL PM W/L VENT LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7538",INSRT VENT PM W/L VENT LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7539",INSRT A & V PM W/L VENT LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7540",RMV&RPLC PM DUL W/L VNT LEAD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7541",ERCP W/ PANCREATOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7542",ERCP W/BX & PANCREATOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7543",ERCP W/OTOMY; PANCREATOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7544",ERCP RMV CALC PANCREATOSCOPY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7545",EXCH BIL CATH W/ RMV CALCULI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7546",REP NPH/URT CATH W/DIL STRIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7547",CNVRT NEPH CATH W/ DIL STRIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7548",EXCH NEPH CATH W/ DIL STRIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7549",CHGE URTR STENT W/ DIL STRIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7550",CYSTO W/ BX(S) W/ BLUE LIGHT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7551",EXC NEUROMA W/ IMPLNT NV END,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7552",R HRT ART/GRFT ANG HRT FLOW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7553",R&I HRT ART/VENT ANG DRG AD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7554",CYSTURETH BLU LI CYST FL IMG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C7555",RMVL THYRD W/AUTOTRAN PARATH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8900",MRA W/CONT; ABD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8900",MRA W/CONT; ABD,EAPG,DEF,,,,,NA,NA,NA,N,
="C8901",MRA W/O CONT; ABD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8901",MRA W/O CONT; ABD,EAPG,DEF,,,,,NA,NA,NA,N,
="C8902",MRA W/O FOL W/CONT; ABD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8902",MRA W/O FOL W/CONT; ABD,EAPG,DEF,,,,,NA,NA,NA,N,
="C8903",MRI W/CONT; BREAST; UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8903",MRI W/CONT; BREAST; UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="C8904",MRI W/O CONT; BREAST; UNI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8904",MRI W/O CONT; BREAST; UNI,EAPG,DEF,,,,,NA,NA,NA,N,
="C8905",MRI W/O FOL W/CONT; BRST; UN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8905",MRI W/O FOL W/CONT; BRST; UN,EAPG,DEF,,,,,NA,NA,NA,N,
="C8906",MRI W/CONT; BREAST; BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8906",MRI W/CONT; BREAST; BI,EAPG,DEF,,,,,NA,NA,NA,N,
="C8907",MRI W/O CONT; BREAST; BI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8907",MRI W/O CONT; BREAST; BI,EAPG,DEF,,,,,NA,NA,NA,N,
="C8908",MRI W/O FOL W/CONT; BREAST;,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8908",MRI W/O FOL W/CONT; BREAST;,EAPG,DEF,,,,,NA,NA,NA,N,
="C8909",MRA W/CONT; CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8909",MRA W/CONT; CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="C8910",MRA W/O CONT; CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8910",MRA W/O CONT; CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="C8911",MRA W/O FOL W/CONT; CHEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8911",MRA W/O FOL W/CONT; CHEST,EAPG,DEF,,,,,NA,NA,NA,N,
="C8912",MRA W/CONT; LWR EXT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8912",MRA W/CONT; LWR EXT,EAPG,DEF,,,,,NA,NA,NA,N,
="C8913",MRA W/O CONT; LWR EXT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8913",MRA W/O CONT; LWR EXT,EAPG,DEF,,,,,NA,NA,NA,N,
="C8914",MRA W/O FOL W/CONT; LWR EXT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8914",MRA W/O FOL W/CONT; LWR EXT,EAPG,DEF,,,,,NA,NA,NA,N,
="C8918",MRA W/CONT; PELVIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8918",MRA W/CONT; PELVIS,EAPG,DEF,,,,,NA,NA,NA,N,
="C8919",MRA W/O CONT; PELVIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8919",MRA W/O CONT; PELVIS,EAPG,DEF,,,,,NA,NA,NA,N,
="C8920",MRA W/O FOL W/CONT; PELVIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8920",MRA W/O FOL W/CONT; PELVIS,EAPG,DEF,,,,,NA,NA,NA,N,
="C8931",MRA; W/DYE; SPINAL CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8931",MRA; W/DYE; SPINAL CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C8932",MRA; W/O DYE; SPINAL CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8932",MRA; W/O DYE; SPINAL CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C8933",MRA; W/O&W/DYE; SPINAL CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8933",MRA; W/O&W/DYE; SPINAL CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C8934",MRA; W/DYE; UPPER EXTREMITY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8934",MRA; W/DYE; UPPER EXTREMITY,EAPG,DEF,,,,,NA,NA,NA,N,
="C8935",MRA; W/O DYE; UPPER EXTR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8935",MRA; W/O DYE; UPPER EXTR,EAPG,DEF,,,,,NA,NA,NA,N,
="C8936",MRA; W/O&W/DYE; UPPER EXTR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C8936",MRA; W/O&W/DYE; UPPER EXTR,EAPG,DEF,,,,,NA,NA,NA,N,
="C9035",INJECTION; ARISTADA INITIO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9035",INJECTION; ARISTADA INITIO,EAPG,DEF,,,,,NA,NA,NA,N,
="C9036",INJECTION; PATISIRAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9036",INJECTION; PATISIRAN,EAPG,DEF,,,,,NA,NA,NA,N,
="C9037",INJECTION; RISPERIDONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9037",INJECTION; RISPERIDONE,EAPG,DEF,,,,,NA,NA,NA,N,
="C9038",INJ MOGAMULIZUMAB-KPKC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9038",INJ MOGAMULIZUMAB-KPKC,EAPG,DEF,,,,,NA,NA,NA,N,
="C9039",INJECTION; PLAZOMICIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9039",INJECTION; PLAZOMICIN,EAPG,DEF,,,,,NA,NA,NA,N,
="C9041",INJ; COAGULATION FACTOR XA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9041",INJ; COAGULATION FACTOR XA,EAPG,DEF,,,,,NA,NA,NA,N,
="C9046",COCAINE HCL NASAL (GOPRELTO),PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9046",COCAINE HCL NASAL (GOPRELTO),EAPG,DEF,,,,,NA,NA,NA,N,
="C9047",INJECTION; CAPLACIZUMAB-YHDP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9047",INJECTION; CAPLACIZUMAB-YHDP,EAPG,DEF,,,,,NA,NA,NA,N,
="C9054",INJECTION; LEFAMULIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9054",INJECTION; LEFAMULIN,EAPG,DEF,,,,,NA,NA,NA,N,
="C9065",ROMIDEPSIN NON-LYOPHILIZED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9065",ROMIDEPSIN NON-LYOPHILIZED,EAPG,DEF,,,,,NA,NA,NA,N,
="C9067",GALLIUM GA-68 DOTATOC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9067",GALLIUM GA-68 DOTATOC,EAPG,DEF,,,,,NA,NA,NA,N,
="C9068",COPPER CU-64; DOTATATE; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9068",COPPER CU-64; DOTATATE; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="C9069",BELANTAMAB MAFODONTIN-BLMF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9069",BELANTAMAB MAFODONTIN-BLMF,EAPG,DEF,,,,,NA,NA,NA,N,
="C9070",INJECTION; TAFASITAMAB-CXIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9070",INJECTION; TAFASITAMAB-CXIX,EAPG,DEF,,,,,NA,NA,NA,N,
="C9071",INJECTION; VILTOLARSEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9071",INJECTION; VILTOLARSEN,EAPG,DEF,,,,,NA,NA,NA,N,
="C9072",INJ; IMM GLOB ASCENIV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9072",INJ; IMM GLOB ASCENIV,EAPG,DEF,,,,,NA,NA,NA,N,
="C9085",INJ AVALGLUCOSID ALFA-NGPT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9085",INJ AVALGLUCOSID ALFA-NGPT,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9086",INJ; ANIFROLUMAB-FNIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9086",INJ; ANIFROLUMAB-FNIA,EAPG,DEF,,,,,NA,NA,NA,N,
="C9087",INJ CYCLOPHOSPHAMD AUROMEDIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9087",INJ CYCLOPHOSPHAMD AUROMEDIC,EAPG,DEF,,,,,NA,NA,NA,N,
="C9088",INSTILL; BUPIVAC AND MELOXIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9088",INSTILL; BUPIVAC AND MELOXIC,EAPG,DEF,,,,,NA,NA,NA,N,
="C9089",BUPIVACAINE IMPLANT; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9089",BUPIVACAINE IMPLANT; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="C9113",INJ PANTOPRAZOLE SODIUM; VIA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9113",INJ PANTOPRAZOLE SODIUM; VIA,EAPG,DEF,,,,,NA,NA,NA,N,
="C9132",KCENTRA; PER I.U.,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9132",KCENTRA; PER I.U.,EAPG,DEF,,,,,NA,NA,NA,N,
="C9140",AFSTYLA FACTOR VIII RECOMB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9140",AFSTYLA FACTOR VIII RECOMB,EAPG,DEF,,,,,NA,NA,NA,N,
="C9144",INJ; BUPIVACAINE (POSIMIR),PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9145",INJ; APONVIE; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9145",INJ; APONVIE; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="C9148",INJ; TECLISTAMAB-CQYV; 0.5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9148",INJ; TECLISTAMAB-CQYV; 0.5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="C9149",INJ; TEPLIZUMAB-MZWV; 5 MCG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9149",INJ; TEPLIZUMAB-MZWV; 5 MCG,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9248",INJ; CLEVIDIPINE BUTYRATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9248",INJ; CLEVIDIPINE BUTYRATE,EAPG,DEF,,,,,NA,NA,NA,N,
="C9250",ARTISS FIBRIN SEALANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9250",ARTISS FIBRIN SEALANT,EAPG,DEF,,,,,NA,NA,NA,N,
="C9254",INJECTION; LACOSAMIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9254",INJECTION; LACOSAMIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="C9257",BEVACIZUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9257",BEVACIZUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="C9275",HEXAMINOLEVULINATE HCL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9275",HEXAMINOLEVULINATE HCL,EAPG,DEF,,,,,NA,NA,NA,N,
="C9285",PATCH; LIDOCAINE/TETRACAINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9285",PATCH; LIDOCAINE/TETRACAINE,EAPG,DEF,,,,,NA,NA,NA,N,
="C9290",INJ; BUPIVACAINE LIPOSOME,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9290",INJ; BUPIVACAINE LIPOSOME,EAPG,DEF,,,,,NA,NA,NA,N,
="C9293",INJECTION; GLUCARPIDASE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9293",INJECTION; GLUCARPIDASE,EAPG,DEF,,,,,NA,NA,NA,N,
="C9352",NEURAGEN NERVE GUIDE; PER CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9352",NEURAGEN NERVE GUIDE; PER CM,EAPG,DEF,,,,,NA,NA,NA,N,
="C9353",NEURAWRAP NERVE PROTECTOR;CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9353",NEURAWRAP NERVE PROTECTOR;CM,EAPG,DEF,,,,,NA,NA,NA,N,
="C9354",VERITAS COLLAGEN MATRIX; CM2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9354",VERITAS COLLAGEN MATRIX; CM2,EAPG,DEF,,,,,NA,NA,NA,N,
="C9355",NEUROMATRIX NERVE CUFF; CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9355",NEUROMATRIX NERVE CUFF; CM,EAPG,DEF,,,,,NA,NA,NA,N,
="C9356",TENOGLIDE TENDON PROT; CM2,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9356",TENOGLIDE TENDON PROT; CM2,EAPG,DEF,,,,,NA,NA,NA,N,
="C9358",SURGIMEND; FETAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9358",SURGIMEND; FETAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C9359",IMPLNT;BON VOID FILLER-PUTTY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9359",IMPLNT;BON VOID FILLER-PUTTY,EAPG,DEF,,,,,NA,NA,NA,N,
="C9360",SURGIMEND; NEONATAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9360",SURGIMEND; NEONATAL,EAPG,DEF,,,,,NA,NA,NA,N,
="C9361",NEUROMEND NERVE WRAP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9361",NEUROMEND NERVE WRAP,EAPG,DEF,,,,,NA,NA,NA,N,
="C9362",IMPLNT;BON VOID FILLER-STRIP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9362",IMPLNT;BON VOID FILLER-STRIP,EAPG,DEF,,,,,NA,NA,NA,N,
="C9363",INTEGRA MESHED BIL WOUND MAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9363",INTEGRA MESHED BIL WOUND MAT,EAPG,DEF,,,,,NA,NA,NA,N,
="C9364",PORCINE IMPLANT; PERMACOL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9364",PORCINE IMPLANT; PERMACOL,EAPG,DEF,,,,,NA,NA,NA,N,
="C9407",IODINE I-131 IOBENGUANE; DX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9407",IODINE I-131 IOBENGUANE; DX,EAPG,DEF,,,,,NA,NA,NA,N,
="C9447",INJ; PHENYLEPHRINE KETOROLAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9447",INJ; PHENYLEPHRINE KETOROLAC,EAPG,DEF,,,,,NA,NA,NA,N,
="C9462",INJECTION; DELAFLOXACIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9462",INJECTION; DELAFLOXACIN,EAPG,DEF,,,,,NA,NA,NA,N,
="C9482",SOTALOL HYDROCHLORIDE IV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9482",SOTALOL HYDROCHLORIDE IV,EAPG,DEF,,,,,NA,NA,NA,N,
="C9483",INJECTION; ATEZOLIZUMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9483",INJECTION; ATEZOLIZUMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="C9497",LOXAPINE; INHALATION POWDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9497",LOXAPINE; INHALATION POWDER,EAPG,DEF,,,,,NA,NA,NA,N,
="C9507",COVID-19 CONVALESCENT PLASMA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9507",COVID-19 CONVALESCENT PLASMA,EAPG,DEF,,,,,NA,NA,NA,N,
="C9725",PLACE ENDORECTAL APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9725",PLACE ENDORECTAL APP,EAPG,DEF,,,,,NA,NA,NA,N,
="C9726",RXT BREAST APPL PLACE/REMOV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9726",RXT BREAST APPL PLACE/REMOV,EAPG,DEF,,,,,NA,NA,NA,N,
="C9727",INSERT PALATE IMPLANTS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="C9727",INSERT PALATE IMPLANTS,EAPG,DEF,,,,,NA,NA,NA,E,
="C9728",PLACE DEVICE/MARKER; NON PRO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9728",PLACE DEVICE/MARKER; NON PRO,EAPG,DEF,,,,,NA,NA,NA,N,
="C9733",NON-OPHTHALMIC FVA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9733",NON-OPHTHALMIC FVA,EAPG,DEF,,,,,NA,NA,NA,N,
="C9738",BLUE LIGHT CYSTO IMAG AGENT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9738",BLUE LIGHT CYSTO IMAG AGENT,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9739",CYSTOSCOPY PROSTATIC IMP 1-3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9739",CYSTOSCOPY PROSTATIC IMP 1-3,EAPG,DEF,,,,,NA,NA,NA,N,
="C9740",CYSTO IMPL 4 OR MORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9740",CYSTO IMPL 4 OR MORE,EAPG,DEF,,,,,NA,NA,NA,N,
="C9744",ABD US W/CONTRAST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9744",ABD US W/CONTRAST,EAPG,DEF,,,,,NA,NA,NA,N,
="C9745",NASAL ENDO EUSTACHIAN TUBE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9745",NASAL ENDO EUSTACHIAN TUBE,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9746",TRANS IMP BALLOON CONT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9746",TRANS IMP BALLOON CONT,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9747",ABLATION; HIFU; PROSTATE,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9747",ABLATION; HIFU; PROSTATE,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9748",PROSTATIC RF WATER VAPOR TX,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9748",PROSTATIC RF WATER VAPOR TX,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9749",REPAIR NASAL STENOSIS W/IMP,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9749",REPAIR NASAL STENOSIS W/IMP,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9752",INTRAOSSEOUS DES LUMB/SACRUM,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9752",INTRAOSSEOUS DES LUMB/SACRUM,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9754",PERC AV FISTULA; DIRECT,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9754",PERC AV FISTULA; DIRECT,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9755",RF MAGNETIC-GUIDE AV FISTULA,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="C9755",RF MAGNETIC-GUIDE AV FISTULA,EAPG,DEF,,,,,NA,NA,NA,Y,
="C9757",SPINE/LUMBAR DISK SURGERY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9757",SPINE/LUMBAR DISK SURGERY,EAPG,DEF,,,,,NA,NA,NA,N,
="C9758",BLIND INTERATRIAL SHUNT IDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9758",BLIND INTERATRIAL SHUNT IDE,EAPG,DEF,,,,,NA,NA,NA,N,
="C9761",CYSTO; LITHO; VACUUM KIDNEY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9761",CYSTO; LITHO; VACUUM KIDNEY,EAPG,DEF,,,,,NA,NA,NA,N,
="C9769",CYSTO W/TEMP PROS IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9769",CYSTO W/TEMP PROS IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="C9770",VITREC/MECH PARS; SUBRET INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9770",VITREC/MECH PARS; SUBRET INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="C9771",NSL/SINS CRYO POST NASAL TIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9771",NSL/SINS CRYO POST NASAL TIS,EAPG,DEF,,,,,NA,NA,NA,N,
="C9772",REVASC LITHOTRIP TIBI/PERONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9772",REVASC LITHOTRIP TIBI/PERONE,EAPG,DEF,,,,,NA,NA,NA,N,
="C9773",REVASC LITHOTR-STENT TIB/PER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9773",REVASC LITHOTR-STENT TIB/PER,EAPG,DEF,,,,,NA,NA,NA,N,
="C9774",REVASC LITHOTR-ATHER TIB/PER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9774",REVASC LITHOTR-ATHER TIB/PER,EAPG,DEF,,,,,NA,NA,NA,N,
="C9775",REVASC LITH-STEN-ATH TIB/PER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9775",REVASC LITH-STEN-ATH TIB/PER,EAPG,DEF,,,,,NA,NA,NA,N,
="C9780",INSERT CV CATH INF & SUP APP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="C9780",INSERT CV CATH INF & SUP APP,EAPG,DEF,,,,,NA,NA,NA,N,
="D0367",CONE BEAM CT INTERP BOTH JAW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D0367",CONE BEAM CT INTERP BOTH JAW,EAPG,DEF,,,,,NA,NA,NA,N,
="D1510",SPACE MAINTAINER FXD UNILAT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D1510",SPACE MAINTAINER FXD UNILAT,EAPG,DEF,,,,,NA,NA,NA,N,
="D1515",FIXED BILAT SPACE MAINTAINER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D1515",FIXED BILAT SPACE MAINTAINER,EAPG,DEF,,,,,NA,NA,NA,N,
="D1516",FIXED BILAT SPACE MAINT; MAX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D1516",FIXED BILAT SPACE MAINT; MAX,EAPG,DEF,,,,,NA,NA,NA,N,
="D1517",FIXED BILAT SPACE MAINT; MAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D1517",FIXED BILAT SPACE MAINT; MAN,EAPG,DEF,,,,,NA,NA,NA,N,
="D1526",REMOVE BILAT SPACE MAIN; MAX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D1526",REMOVE BILAT SPACE MAIN; MAX,EAPG,DEF,,,,,NA,NA,NA,N,
="D1527",REMOVE BILAT SPACE MAIN; MAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D1527",REMOVE BILAT SPACE MAIN; MAN,EAPG,DEF,,,,,NA,NA,NA,N,
="D2140",AMALGAM ONE SURFACE PERMANEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2140",AMALGAM ONE SURFACE PERMANEN,EAPG,DEF,,,,,NA,NA,NA,N,
="D2150",AMALGAM TWO SURFACES PERMANE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2150",AMALGAM TWO SURFACES PERMANE,EAPG,DEF,,,,,NA,NA,NA,N,
="D2160",AMALGAM THREE SURFACES PERMA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2160",AMALGAM THREE SURFACES PERMA,EAPG,DEF,,,,,NA,NA,NA,N,
="D2161",AMALGAM 4 OR > SURFACES PERM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2161",AMALGAM 4 OR > SURFACES PERM,EAPG,DEF,,,,,NA,NA,NA,N,
="D2330",RESIN ONE SURFACE-ANTERIOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2330",RESIN ONE SURFACE-ANTERIOR,EAPG,DEF,,,,,NA,NA,NA,N,
="D2331",RESIN TWO SURFACES-ANTERIOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2331",RESIN TWO SURFACES-ANTERIOR,EAPG,DEF,,,,,NA,NA,NA,N,
="D2332",RESIN THREE SURFACES-ANTERIO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2332",RESIN THREE SURFACES-ANTERIO,EAPG,DEF,,,,,NA,NA,NA,N,
="D2335",RESIN 4/> SURF OR W INCIS AN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2335",RESIN 4/> SURF OR W INCIS AN,EAPG,DEF,,,,,NA,NA,NA,N,
="D2390",ANT RESIN-BASED CMPST CROWN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2390",ANT RESIN-BASED CMPST CROWN,EAPG,DEF,,,,,NA,NA,NA,N,
="D2391",POST 1 SRFC RESINBASED CMPST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2391",POST 1 SRFC RESINBASED CMPST,EAPG,DEF,,,,,NA,NA,NA,N,
="D2392",POST 2 SRFC RESINBASED CMPST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2392",POST 2 SRFC RESINBASED CMPST,EAPG,DEF,,,,,NA,NA,NA,N,
="D2393",POST 3 SRFC RESINBASED CMPST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2393",POST 3 SRFC RESINBASED CMPST,EAPG,DEF,,,,,NA,NA,NA,N,
="D2394",POST >=4SRFC RESINBASE CMPST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2394",POST >=4SRFC RESINBASE CMPST,EAPG,DEF,,,,,NA,NA,NA,N,
="D2740",CROWN PORCELAIN/CERAMIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2740",CROWN PORCELAIN/CERAMIC,EAPG,DEF,,,,,NA,NA,NA,N,
="D2751",CROWN PORCELAIN FUSED BASE M,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2751",CROWN PORCELAIN FUSED BASE M,EAPG,DEF,,,,,NA,NA,NA,N,
="D2920",RE-CEMENT OR RE-BOND CROWN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2920",RE-CEMENT OR RE-BOND CROWN,EAPG,DEF,,,,,NA,NA,NA,N,
="D2930",PREFAB STNLSS STEEL CRWN PRI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2930",PREFAB STNLSS STEEL CRWN PRI,EAPG,DEF,,,,,NA,NA,NA,N,
="D2931",PREFAB STNLSS STEEL CROWN PE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2931",PREFAB STNLSS STEEL CROWN PE,EAPG,DEF,,,,,NA,NA,NA,N,
="D2933",PREFAB STAINLESS STEEL CROWN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2933",PREFAB STAINLESS STEEL CROWN,EAPG,DEF,,,,,NA,NA,NA,N,
="D2934",PREFAB STEEL CROWN PRIMARY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2934",PREFAB STEEL CROWN PRIMARY,EAPG,DEF,,,,,NA,NA,NA,N,
="D2940",PROTECTIVE RESTORATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2940",PROTECTIVE RESTORATION,EAPG,DEF,,,,,NA,NA,NA,N,
="D2941",INT THERAPEUTIC RESTORATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2941",INT THERAPEUTIC RESTORATION,EAPG,DEF,,,,,NA,NA,NA,N,
="D2951",TOOTH PIN RETENTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2951",TOOTH PIN RETENTION,EAPG,DEF,,,,,NA,NA,NA,N,
="D2952",POST AND CORE CAST + CROWN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2952",POST AND CORE CAST + CROWN,EAPG,DEF,,,,,NA,NA,NA,N,
="D2954",PREFAB POST/CORE + CROWN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2954",PREFAB POST/CORE + CROWN,EAPG,DEF,,,,,NA,NA,NA,N,
="D2999",DENTAL UNSPEC RESTORATIVE PR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D2999",DENTAL UNSPEC RESTORATIVE PR,EAPG,DEF,,,,,NA,NA,NA,N,
="D3220",THERAPEUTIC PULPOTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D3220",THERAPEUTIC PULPOTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="D3330",END THXPY; MOLAR TOOTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D3330",END THXPY; MOLAR TOOTH,EAPG,DEF,,,,,NA,NA,NA,N,
="D3351",APEXIFICATION/RECALC INITIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D3351",APEXIFICATION/RECALC INITIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="D3352",APEXIFICATION/RECALC INTERIM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D3352",APEXIFICATION/RECALC INTERIM,EAPG,DEF,,,,,NA,NA,NA,N,
="D3353",APEXIFICATION/RECALC FINAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D3353",APEXIFICATION/RECALC FINAL,EAPG,DEF,,,,,NA,NA,NA,N,
="D3460",ENDODONTIC ENDOSSEOUS IMPLAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D3460",ENDODONTIC ENDOSSEOUS IMPLAN,EAPG,DEF,,,,,NA,NA,NA,N,
="D3999",ENDODONTIC PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D3999",ENDODONTIC PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="D4260",OSSEOUS SURGERY 4 OR MORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4260",OSSEOUS SURGERY 4 OR MORE,EAPG,DEF,,,,,NA,NA,NA,N,
="D4263",BONE REPLCE GRAFT FIRST SITE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4263",BONE REPLCE GRAFT FIRST SITE,EAPG,DEF,,,,,NA,NA,NA,N,
="D4264",BONE REPLCE GRAFT EACH ADD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4264",BONE REPLCE GRAFT EACH ADD,EAPG,DEF,,,,,NA,NA,NA,N,
="D4268",SURGICAL REVISION PROCEDURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4268",SURGICAL REVISION PROCEDURE,EAPG,DEF,,,,,NA,NA,NA,N,
="D4270",PEDICLE SOFT TISSUE GRAFT PR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4270",PEDICLE SOFT TISSUE GRAFT PR,EAPG,DEF,,,,,NA,NA,NA,N,
="D4273",AUTO TISSUE GRAFT 1ST TOOTH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4273",AUTO TISSUE GRAFT 1ST TOOTH,EAPG,DEF,,,,,NA,NA,NA,N,
="D4341",PERIODONTAL SCALING & ROOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4341",PERIODONTAL SCALING & ROOT,EAPG,DEF,,,,,NA,NA,NA,N,
="D4342",PERIODONTAL SCALING 1-3TEETH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4342",PERIODONTAL SCALING 1-3TEETH,EAPG,DEF,,,,,NA,NA,NA,N,
="D4355",FULL MOUTH DEBRIDEMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4355",FULL MOUTH DEBRIDEMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="D4381",LOCALIZED DELIVERY ANTIMICRO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4381",LOCALIZED DELIVERY ANTIMICRO,EAPG,DEF,,,,,NA,NA,NA,N,
="D4910",PERIODONTAL MAINT PROCEDURES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D4910",PERIODONTAL MAINT PROCEDURES,EAPG,DEF,,,,,NA,NA,NA,N,
="D5110",DENTURES COMPLETE MAXILLARY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5110",DENTURES COMPLETE MAXILLARY,EAPG,DEF,,,,,NA,NA,NA,N,
="D5120",DENTURES COMPLETE MANDIBLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5120",DENTURES COMPLETE MANDIBLE,EAPG,DEF,,,,,NA,NA,NA,N,
="D5130",DENTURES IMMEDIAT MAXILLARY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5130",DENTURES IMMEDIAT MAXILLARY,EAPG,DEF,,,,,NA,NA,NA,N,
="D5140",DENTURES IMMEDIAT MANDIBLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5140",DENTURES IMMEDIAT MANDIBLE,EAPG,DEF,,,,,NA,NA,NA,N,
="D5211",DENTURES MAXILL PART RESIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5211",DENTURES MAXILL PART RESIN,EAPG,DEF,,,,,NA,NA,NA,N,
="D5212",DENTURES MAND PART RESIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5212",DENTURES MAND PART RESIN,EAPG,DEF,,,,,NA,NA,NA,N,
="D5213",DENTURES MAXILL PART METAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5213",DENTURES MAXILL PART METAL,EAPG,DEF,,,,,NA,NA,NA,N,
="D5214",DENTURES MANDIBL PART METAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5214",DENTURES MANDIBL PART METAL,EAPG,DEF,,,,,NA,NA,NA,N,
="D5511",REP BROKE COMP DENT BASE MAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5511",REP BROKE COMP DENT BASE MAN,EAPG,DEF,,,,,NA,NA,NA,N,
="D5512",REP BROKE COMP DENT BASE MAX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5512",REP BROKE COMP DENT BASE MAX,EAPG,DEF,,,,,NA,NA,NA,N,
="D5520",REPLACE DENTURE TEETH COMPLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5520",REPLACE DENTURE TEETH COMPLT,EAPG,DEF,,,,,NA,NA,NA,N,
="D5611",REP RESIN PART DENT BASE MAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5611",REP RESIN PART DENT BASE MAN,EAPG,DEF,,,,,NA,NA,NA,N,
="D5612",REP RESIN PART DENT BASE MAX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5612",REP RESIN PART DENT BASE MAX,EAPG,DEF,,,,,NA,NA,NA,N,
="D5621",REP CAST PART FRAME MAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5621",REP CAST PART FRAME MAN,EAPG,DEF,,,,,NA,NA,NA,N,
="D5622",REP CAST PART FRAME MAX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5622",REP CAST PART FRAME MAX,EAPG,DEF,,,,,NA,NA,NA,N,
="D5630",REP PARTIAL DENTURE CLASP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5630",REP PARTIAL DENTURE CLASP,EAPG,DEF,,,,,NA,NA,NA,N,
="D5640",REPLACE PART DENTURE TEETH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5640",REPLACE PART DENTURE TEETH,EAPG,DEF,,,,,NA,NA,NA,N,
="D5650",ADD TOOTH TO PARTIAL DENTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5650",ADD TOOTH TO PARTIAL DENTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="D5660",ADD CLASP TO PARTIAL DENTURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5660",ADD CLASP TO PARTIAL DENTURE,EAPG,DEF,,,,,NA,NA,NA,N,
="D5750",DENTURE RELN CMPLT MAX INDIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5750",DENTURE RELN CMPLT MAX INDIR,EAPG,DEF,,,,,NA,NA,NA,N,
="D5751",DENTURE RELN CMPLT MAND IND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5751",DENTURE RELN CMPLT MAND IND,EAPG,DEF,,,,,NA,NA,NA,N,
="D5760",DENTURE RELN PART MAX INDIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5760",DENTURE RELN PART MAX INDIR,EAPG,DEF,,,,,NA,NA,NA,N,
="D5761",DENTURE RELN PART MAND INDIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5761",DENTURE RELN PART MAND INDIR,EAPG,DEF,,,,,NA,NA,NA,N,
="D5899",REMOVABLE PROSTHODONTIC PROC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5899",REMOVABLE PROSTHODONTIC PROC,EAPG,DEF,,,,,NA,NA,NA,N,
="D5911",FACIAL MOULAGE SECTIONAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5911",FACIAL MOULAGE SECTIONAL,EAPG,DEF,,,,,NA,NA,NA,N,
="D5912",FACIAL MOULAGE COMPLETE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5912",FACIAL MOULAGE COMPLETE,EAPG,DEF,,,,,NA,NA,NA,N,
="D5913",NASAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5913",NASAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,Y,
="D5915",ORBITAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5915",ORBITAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,Y,
="D5916",OCULAR PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5916",OCULAR PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,Y,
="D5931",SURGICAL OBTURATOR,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5931",SURGICAL OBTURATOR,EAPG,DEF,,,,,NA,NA,NA,Y,
="D5932",POSTSURGICAL OBTURATOR,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5932",POSTSURGICAL OBTURATOR,EAPG,DEF,,,,,NA,NA,NA,Y,
="D5934",MANDIBULAR FLANGE PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5934",MANDIBULAR FLANGE PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,Y,
="D5935",MANDIBULAR DENTURE PROSTH,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5935",MANDIBULAR DENTURE PROSTH,EAPG,DEF,,,,,NA,NA,NA,Y,
="D5955",PALATAL LIFT PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5955",PALATAL LIFT PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,Y,
="D5983",RADIATION APPLICATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5983",RADIATION APPLICATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="D5984",RADIATION SHIELD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5984",RADIATION SHIELD,EAPG,DEF,,,,,NA,NA,NA,N,
="D5985",RADIATION CONE LOCATOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5985",RADIATION CONE LOCATOR,EAPG,DEF,,,,,NA,NA,NA,N,
="D5987",COMMISSURE SPLINT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D5987",COMMISSURE SPLINT,EAPG,DEF,,,,,NA,NA,NA,N,
="D5999",MAXILLOFACIAL PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="D5999",MAXILLOFACIAL PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,Y,
="D6920",DENTAL CONNECTOR BAR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D6920",DENTAL CONNECTOR BAR,EAPG,DEF,,,,,NA,NA,NA,N,
="D7111",EXTRACTION CORONAL REMNANTS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7111",EXTRACTION CORONAL REMNANTS,EAPG,DEF,,,,,NA,NA,NA,N,
="D7140",EXTRACTION ERUPTED TOOTH/EXR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7140",EXTRACTION ERUPTED TOOTH/EXR,EAPG,DEF,,,,,NA,NA,NA,N,
="D7210",REM IMP TOOTH W MUCOPER FLP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7210",REM IMP TOOTH W MUCOPER FLP,EAPG,DEF,,,,,NA,NA,NA,N,
="D7220",IMPACT TOOTH REMOV SOFT TISS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7220",IMPACT TOOTH REMOV SOFT TISS,EAPG,DEF,,,,,NA,NA,NA,N,
="D7230",IMPACT TOOTH REMOV PART BONY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7230",IMPACT TOOTH REMOV PART BONY,EAPG,DEF,,,,,NA,NA,NA,N,
="D7240",IMPACT TOOTH REMOV COMP BONY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7240",IMPACT TOOTH REMOV COMP BONY,EAPG,DEF,,,,,NA,NA,NA,N,
="D7241",IMPACT TOOTH REM BONY W/COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7241",IMPACT TOOTH REM BONY W/COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="D7250",TOOTH ROOT REMOVAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7250",TOOTH ROOT REMOVAL,EAPG,DEF,,,,,NA,NA,NA,N,
="D7260",ORAL ANTRAL FISTULA CLOSURE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7260",ORAL ANTRAL FISTULA CLOSURE,EAPG,DEF,,,,,NA,NA,NA,N,
="D7261",PRIMARY CLOSURE SINUS PERF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7261",PRIMARY CLOSURE SINUS PERF,EAPG,DEF,,,,,NA,NA,NA,N,
="D7291",TRANSSEPTAL FIBEROTOMY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7291",TRANSSEPTAL FIBEROTOMY,EAPG,DEF,,,,,NA,NA,NA,N,
="D7311",ALVEOLOPLASTY W/EXTRACT 1-3,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7311",ALVEOLOPLASTY W/EXTRACT 1-3,EAPG,DEF,,,,,NA,NA,NA,N,
="D7940",RESHAPING BONE ORTHOGNATHIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D7940",RESHAPING BONE ORTHOGNATHIC,EAPG,DEF,,,,,NA,NA,NA,N,
="D9222",DEEP ANEST; 1ST 15 MIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9222",DEEP ANEST; 1ST 15 MIN,EAPG,DEF,,,,,NA,NA,NA,N,
="D9223",GENERAL ANESTH EA ADDL 15 MI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9223",GENERAL ANESTH EA ADDL 15 MI,EAPG,DEF,,,,,NA,NA,NA,N,
="D9239",IV MOD SEDATION; 1ST 15 MIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9239",IV MOD SEDATION; 1ST 15 MIN,EAPG,DEF,,,,,NA,NA,NA,N,
="D9243",IV SEDATION EA ADDL 15M,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9243",IV SEDATION EA ADDL 15M,EAPG,DEF,,,,,NA,NA,NA,N,
="D9610",DENT THERAPEUTIC DRUG INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9610",DENT THERAPEUTIC DRUG INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="D9930",TREATMENT OF COMPLICATIONS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9930",TREATMENT OF COMPLICATIONS,EAPG,DEF,,,,,NA,NA,NA,N,
="D9944",OCC GUARD; HARD; FULL ARCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9944",OCC GUARD; HARD; FULL ARCH,EAPG,DEF,,,,,NA,NA,NA,N,
="D9945",OCC GUARD; SOFT; FULL ARCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9945",OCC GUARD; SOFT; FULL ARCH,EAPG,DEF,,,,,NA,NA,NA,N,
="D9946",OCC GUARD; HARD; PART ARCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9946",OCC GUARD; HARD; PART ARCH,EAPG,DEF,,,,,NA,NA,NA,N,
="D9950",OCCLUSION ANALYSIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9950",OCCLUSION ANALYSIS,EAPG,DEF,,,,,NA,NA,NA,N,
="D9951",LIMITED OCCLUSAL ADJUSTMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9951",LIMITED OCCLUSAL ADJUSTMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="D9952",COMPLETE OCCLUSAL ADJUSTMENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="D9952",COMPLETE OCCLUSAL ADJUSTMENT,EAPG,DEF,,,,,NA,NA,NA,N,
="G0104",CA SCREEN;FLEXI SIGMOIDSCOPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0104",CA SCREEN;FLEXI SIGMOIDSCOPE,EAPG,DEF,,,,,NA,NA,NA,N,
="G0105",COLORECTAL SCRN; HI RISK IND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0105",COLORECTAL SCRN; HI RISK IND,EAPG,DEF,,,,,NA,NA,NA,N,
="G0121",COLON CA SCRN NOT HI RSK IND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0121",COLON CA SCRN NOT HI RSK IND,EAPG,DEF,,,,,NA,NA,NA,N,
="G0130",SINGLE ENERGY X-RAY STUDY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0130",SINGLE ENERGY X-RAY STUDY,EAPG,DEF,,,,,NA,NA,NA,N,
="G0186",DSTRY EYE LESN;FDR VSSL TECH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0186",DSTRY EYE LESN;FDR VSSL TECH,EAPG,DEF,,,,,NA,NA,NA,N,
="G0260",INJ FOR SACROILIAC JT ANESTH,PRXOVR,DEF,,,,,NA,NA,NA,E,
="G0260",INJ FOR SACROILIAC JT ANESTH,EAPG,DEF,,,,,NA,NA,NA,E,
="G0308",180 D IMPLANT GLUCOSE SENSOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0308",180 D IMPLANT GLUCOSE SENSOR,EAPG,DEF,,,,,NA,NA,NA,N,
="G0309",REM/INSER GLU SENSOR DIF SIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0309",REM/INSER GLU SENSOR DIF SIT,EAPG,DEF,,,,,NA,NA,NA,N,
="G0365",VESSEL MAPPING HEMO ACCESS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0365",VESSEL MAPPING HEMO ACCESS,EAPG,DEF,,,,,NA,NA,NA,N,
="G0516",INSERT DRUG DEL IMPLANT; >=4,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0516",INSERT DRUG DEL IMPLANT; >=4,EAPG,DEF,,,,,NA,NA,NA,N,
="G0517",REMOVE DRUG IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0517",REMOVE DRUG IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="G0518",REMOVE W INSERT DRUG IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="G0518",REMOVE W INSERT DRUG IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J0120",TETRACYCLIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0120",TETRACYCLIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0121",INJ.; OMADACYCLINE; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0121",INJ.; OMADACYCLINE; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0122",INJ.; ERAVACYCLINE; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0122",INJ.; ERAVACYCLINE; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0129",ABATACEPT INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0129",ABATACEPT INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0130",ABCIXIMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0130",ABCIXIMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0131",INJ; ACETAMINOPHEN (NOS),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0131",INJ; ACETAMINOPHEN (NOS),EAPG,DEF,,,,,NA,NA,NA,N,
="J0132",ACETYLCYSTEINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0132",ACETYLCYSTEINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0133",ACYCLOVIR INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0133",ACYCLOVIR INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0134",INJ ACETAMINOPHEN -FRESENIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0134",INJ ACETAMINOPHEN -FRESENIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="J0135",ADALIMUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0135",ADALIMUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0136",INJ; ACETAMINOPHEN (B BRAUN),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0136",INJ; ACETAMINOPHEN (B BRAUN),EAPG,DEF,,,,,NA,NA,NA,N,
="J0137",Inj; acetaminophen (hikma),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0137",Inj; acetaminophen (hikma),EAPG,DEF,,,,,NA,NA,NA,N,
="J0153",ADENOSINE INJ 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0153",ADENOSINE INJ 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0171",ADRENALIN EPINEPHRINE INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0171",ADRENALIN EPINEPHRINE INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="J0172",INJ; ADUCANUMAB-AVWA; 2 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0172",INJ; ADUCANUMAB-AVWA; 2 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0173",INJ; EPINEPHRINE (BELCHER),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0173",INJ; EPINEPHRINE (BELCHER),EAPG,DEF,,,,,NA,NA,NA,N,
="J0178",AFLIBERCEPT INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0178",AFLIBERCEPT INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0179",INJ; BROLUCIZUMAB-DBLL; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0179",INJ; BROLUCIZUMAB-DBLL; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0180",AGALSIDASE BETA INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0180",AGALSIDASE BETA INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0185",INJ.; APREPITANT; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0185",INJ.; APREPITANT; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0202",INJECTION; ALEMTUZUMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0202",INJECTION; ALEMTUZUMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J0206",Inj allopurinol sodium 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0206",Inj allopurinol sodium 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J0207",AMIFOSTINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0207",AMIFOSTINE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0208",INJ SODIUM THIOSULFATE 100MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0208",INJ SODIUM THIOSULFATE 100MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0210",METHYLDOPATE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0210",METHYLDOPATE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0215",ALEFACEPT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0215",ALEFACEPT,EAPG,DEF,,,,,NA,NA,NA,N,
="J0216",Inj; alfentanil hcl; 500mcg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0216",Inj; alfentanil hcl; 500mcg,EAPG,DEF,,,,,NA,NA,NA,N,
="J0218",INJ OLIPUDASE ALFA-RPCP 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0218",INJ OLIPUDASE ALFA-RPCP 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0219",INJ AVAL ALFA-NQPT 4MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0219",INJ AVAL ALFA-NQPT 4MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0220",ALGLUCOSIDASE ALFA INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0220",ALGLUCOSIDASE ALFA INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0221",LUMIZYME INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0221",LUMIZYME INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0222",INJ.; PATISIRAN; 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0222",INJ.; PATISIRAN; 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0224",INJ. LUMASIRAN; 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J0224",INJ. LUMASIRAN; 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J0225",INJ; VUTRISIRAN; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J0225",INJ; VUTRISIRAN; 1 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J0248",INJ; REMDESIVIR; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0248",INJ; REMDESIVIR; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0256",ALPHA 1 PROTEINASE INHIBITOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0256",ALPHA 1 PROTEINASE INHIBITOR,EAPG,DEF,,,,,NA,NA,NA,N,
="J0257",GLASSIA INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0257",GLASSIA INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0278",AMIKACIN SULFATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0278",AMIKACIN SULFATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0280",AMINOPHYLLIN 250 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0280",AMINOPHYLLIN 250 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0282",AMIODARONE HCL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0282",AMIODARONE HCL,EAPG,DEF,,,,,NA,NA,NA,N,
="J0283",INJ; AMIODARONE (NEXTERONE),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0283",INJ; AMIODARONE (NEXTERONE),EAPG,DEF,,,,,NA,NA,NA,N,
="J0285",AMPHOTERICIN B,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0285",AMPHOTERICIN B,EAPG,DEF,,,,,NA,NA,NA,N,
="J0287",AMPHOTERICIN B LIPID COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0287",AMPHOTERICIN B LIPID COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="J0288",AMPHO B CHOLESTERYL SULFATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0288",AMPHO B CHOLESTERYL SULFATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0289",AMPHOTERICIN B LIPOSOME INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0289",AMPHOTERICIN B LIPOSOME INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0290",AMPICILLIN 500 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0290",AMPICILLIN 500 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0291",INJ.; PLAZOMICIN; 5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0291",INJ.; PLAZOMICIN; 5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0295",AMPICILLIN SULBACTAM 1.5 GM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0295",AMPICILLIN SULBACTAM 1.5 GM,EAPG,DEF,,,,,NA,NA,NA,N,
="J0300",AMOBARBITAL 125 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0300",AMOBARBITAL 125 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0330",SUCCINYCHOLINE CHLORIDE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0330",SUCCINYCHOLINE CHLORIDE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0348",ANIDULAFUNGIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0348",ANIDULAFUNGIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0360",HYDRALAZINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0360",HYDRALAZINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0380",INJ METARAMINOL BITARTRATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0380",INJ METARAMINOL BITARTRATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0390",CHLOROQUINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0390",CHLOROQUINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0400",ARIPIPRAZOLE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0400",ARIPIPRAZOLE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0401",INJ ARIPIPRAZOLE EXT REL 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0401",INJ ARIPIPRAZOLE EXT REL 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0456",AZITHROMYCIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0456",AZITHROMYCIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J0457",Injection; aztreonam; 100 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0457",Injection; aztreonam; 100 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J0461",ATROPINE SULFATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0461",ATROPINE SULFATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0470",DIMECAPROL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0470",DIMECAPROL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0475",BACLOFEN 10 MG INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0475",BACLOFEN 10 MG INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0476",BACLOFEN INTRATHECAL TRIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0476",BACLOFEN INTRATHECAL TRIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J0480",BASILIXIMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0480",BASILIXIMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J0485",BELATACEPT INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0485",BELATACEPT INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0490",BELIMUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0490",BELIMUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0491",INJ ANIFROLUMAB-FNIA 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0491",INJ ANIFROLUMAB-FNIA 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0500",DICYCLOMINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0500",DICYCLOMINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0515",INJ BENZTROPINE MESYLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0515",INJ BENZTROPINE MESYLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0517",INJ.; BENRALIZUMAB; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0517",INJ.; BENRALIZUMAB; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0520",BETHANECHOL CHLORIDE INJECT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0520",BETHANECHOL CHLORIDE INJECT,EAPG,DEF,,,,,NA,NA,NA,N,
="J0558",PENG BENZATHINE/PROCAINE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0558",PENG BENZATHINE/PROCAINE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0561",PENICILLIN G BENZATHINE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0561",PENICILLIN G BENZATHINE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0565",INJ; BEZLOTOXUMAB; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0565",INJ; BEZLOTOXUMAB; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0567",INJ.; CERLIPONASE ALFA 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0567",INJ.; CERLIPONASE ALFA 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0570",BUPRENORPHINE IMPLANT 74.2MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0570",BUPRENORPHINE IMPLANT 74.2MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0583",BIVALIRUDIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0583",BIVALIRUDIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J0584",INJECTION; BUROSUMAB-TWZA 1M,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J0584",INJECTION; BUROSUMAB-TWZA 1M,EAPG,DEF,,,,,NA,NA,NA,Y,
="J0585",INJECTION;ONABOTULINUMTOXINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0585",INJECTION;ONABOTULINUMTOXINA,EAPG,DEF,,,,,NA,NA,NA,N,
="J0586",ABOBOTULINUMTOXINA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0586",ABOBOTULINUMTOXINA,EAPG,DEF,,,,,NA,NA,NA,N,
="J0587",INJ; RIMABOTULINUMTOXINB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0587",INJ; RIMABOTULINUMTOXINB,EAPG,DEF,,,,,NA,NA,NA,N,
="J0588",INCOBOTULINUMTOXIN A,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0588",INCOBOTULINUMTOXIN A,EAPG,DEF,,,,,NA,NA,NA,N,
="J0592",BUPRENORPHINE HYDROCHLORIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0592",BUPRENORPHINE HYDROCHLORIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0593",INJ.; LANADELUMAB-FLYO; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0593",INJ.; LANADELUMAB-FLYO; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0594",BUSULFAN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0594",BUSULFAN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0595",BUTORPHANOL TARTRATE 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0595",BUTORPHANOL TARTRATE 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0596",INJECTION; RUCONEST,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0596",INJECTION; RUCONEST,EAPG,DEF,,,,,NA,NA,NA,N,
="J0597",C-1 ESTERASE; BERINERT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0597",C-1 ESTERASE; BERINERT,EAPG,DEF,,,,,NA,NA,NA,N,
="J0598",C-1 ESTERASE; CINRYZE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0598",C-1 ESTERASE; CINRYZE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0599",INJ.; HAEGARDA 10 UNITS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0599",INJ.; HAEGARDA 10 UNITS,EAPG,DEF,,,,,NA,NA,NA,N,
="J0600",EDETATE CALCIUM DISODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0600",EDETATE CALCIUM DISODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0606",INJ; ETELCALCETIDE; 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0606",INJ; ETELCALCETIDE; 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0610",CALCIUM GLUCON (FRESENIUS),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0610",CALCIUM GLUCON (FRESENIUS),EAPG,DEF,,,,,NA,NA,NA,N,
="J0611",CALCIUM GLUCON (WG CRITICAL),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0611",CALCIUM GLUCON (WG CRITICAL),EAPG,DEF,,,,,NA,NA,NA,N,
="J0612",CALCIUM GLUCON (FRESENIUS),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0612",CALCIUM GLUCON (FRESENIUS),EAPG,DEF,,,,,NA,NA,NA,N,
="J0613",CALCIUM GLUCON (WG CRITICAL),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0613",CALCIUM GLUCON (WG CRITICAL),EAPG,DEF,,,,,NA,NA,NA,N,
="J0620",CALCIUM GLYCER & LACT/10 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0620",CALCIUM GLYCER & LACT/10 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="J0630",CALCITONIN SALMON INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0630",CALCITONIN SALMON INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0636",INJ CALCITRIOL PER 0.1 MCG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0636",INJ CALCITRIOL PER 0.1 MCG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0637",CASPOFUNGIN ACETATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0637",CASPOFUNGIN ACETATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0638",CANAKINUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0638",CANAKINUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0640",LEUCOVORIN CALCIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0640",LEUCOVORIN CALCIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0641",INJ LEVOLEUCOVORIN NOS 0.5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0641",INJ LEVOLEUCOVORIN NOS 0.5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0642",INJECTION; KHAPZORY; 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0642",INJECTION; KHAPZORY; 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0665",Inj; bupivacaine; nos; 0.5mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0665",Inj; bupivacaine; nos; 0.5mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J0670",INJ MEPIVACAINE HCL/10 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0670",INJ MEPIVACAINE HCL/10 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="J0689",INJ CEFAZOLIN SODIUM; BAXTER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0689",INJ CEFAZOLIN SODIUM; BAXTER,EAPG,DEF,,,,,NA,NA,NA,N,
="J0690",CEFAZOLIN SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0690",CEFAZOLIN SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0692",CEFEPIME HCL FOR INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0692",CEFEPIME HCL FOR INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0693",INJ.; CEFIDEROCOL; 5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0693",INJ.; CEFIDEROCOL; 5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0694",CEFOXITIN SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0694",CEFOXITIN SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0695",INJ CEFTOLOZANE TAZOBACTAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0695",INJ CEFTOLOZANE TAZOBACTAM,EAPG,DEF,,,,,NA,NA,NA,N,
="J0696",CEFTRIAXONE SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0696",CEFTRIAXONE SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0697",STERILE CEFUROXIME INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0697",STERILE CEFUROXIME INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0698",CEFOTAXIME SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0698",CEFOTAXIME SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0699",INJ; CEFIDEROCOL; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0699",INJ; CEFIDEROCOL; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0701",INJ. CEFEPIME HCL (BAXTER),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0701",INJ. CEFEPIME HCL (BAXTER),EAPG,DEF,,,,,NA,NA,NA,N,
="J0702",BETAMETHASONE ACET&SOD PHOSP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0702",BETAMETHASONE ACET&SOD PHOSP,EAPG,DEF,,,,,NA,NA,NA,N,
="J0703",INJ; CEFEPIME HCL (B BRAUN),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0703",INJ; CEFEPIME HCL (B BRAUN),EAPG,DEF,,,,,NA,NA,NA,N,
="J0706",CAFFEINE CITRATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0706",CAFFEINE CITRATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0712",CEFTAROLINE FOSAMIL INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0712",CEFTAROLINE FOSAMIL INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0713",INJ CEFTAZIDIME PER 500 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0713",INJ CEFTAZIDIME PER 500 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0714",CEFTAZIDIME AND AVIBACTAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0714",CEFTAZIDIME AND AVIBACTAM,EAPG,DEF,,,,,NA,NA,NA,N,
="J0715",CEFTIZOXIME SODIUM / 500 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0715",CEFTIZOXIME SODIUM / 500 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0716",CENTRUROIDES IMMUNE F(AB),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0716",CENTRUROIDES IMMUNE F(AB),EAPG,DEF,,,,,NA,NA,NA,N,
="J0717",CERTOLIZUMAB PEGOL INJ 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0717",CERTOLIZUMAB PEGOL INJ 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0720",CHLORAMPHENICOL SODIUM INJEC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0720",CHLORAMPHENICOL SODIUM INJEC,EAPG,DEF,,,,,NA,NA,NA,N,
="J0725",CHORIONIC GONADOTROPIN/1000U,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0725",CHORIONIC GONADOTROPIN/1000U,EAPG,DEF,,,,,NA,NA,NA,N,
="J0735",CLONIDINE HYDROCHLORIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0735",CLONIDINE HYDROCHLORIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0736",Inj; clindamycin phosp 300mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0736",Inj; clindamycin phosp 300mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J0737",Inj; clindamycin (baxter),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0737",Inj; clindamycin (baxter),EAPG,DEF,,,,,NA,NA,NA,N,
="J0739",INJECTION; CABOTEGRAVIR 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0739",INJECTION; CABOTEGRAVIR 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0740",CIDOFOVIR INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0740",CIDOFOVIR INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0741",INJ; CABOTE RILPIVIR 2MG 3MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0741",INJ; CABOTE RILPIVIR 2MG 3MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0743",CILASTATIN SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0743",CILASTATIN SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0744",CIPROFLOXACIN IV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0744",CIPROFLOXACIN IV,EAPG,DEF,,,,,NA,NA,NA,N,
="J0745",INJ CODEINE PHOSPHATE /30 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0745",INJ CODEINE PHOSPHATE /30 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0770",COLISTIMETHATE SODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0770",COLISTIMETHATE SODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0775",COLLAGENASE; CLOST HIST INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0775",COLLAGENASE; CLOST HIST INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0780",PROCHLORPERAZINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0780",PROCHLORPERAZINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0791",INJ CRIZANLIZUMAB-TMCA 5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0791",INJ CRIZANLIZUMAB-TMCA 5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0795",CORTICORELIN OVINE TRIFLUTAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0795",CORTICORELIN OVINE TRIFLUTAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J0800",CORTICOTROPIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0800",CORTICOTROPIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0833",COSYNTROPIN INJECTION NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0833",COSYNTROPIN INJECTION NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J0834",INJ.; COSYNTROPIN; 0.25 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0834",INJ.; COSYNTROPIN; 0.25 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0840",CROTALIDAE POLY IMMUNE FAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0840",CROTALIDAE POLY IMMUNE FAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J0841",INJ CROTALIDAE IM F(AB')2 EQ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0841",INJ CROTALIDAE IM F(AB')2 EQ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0850",CYTOMEGALOVIRUS IMM IV /VIAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0850",CYTOMEGALOVIRUS IMM IV /VIAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J0875",INJECTION; DALBAVANCIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0875",INJECTION; DALBAVANCIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J0877",INJ; DAPTOMYCIN (HOSPIRA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0877",INJ; DAPTOMYCIN (HOSPIRA),EAPG,DEF,,,,,NA,NA,NA,N,
="J0878",DAPTOMYCIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0878",DAPTOMYCIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0879",DIFELIKEFALIN; ESRD ON DIALY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0879",DIFELIKEFALIN; ESRD ON DIALY,EAPG,DEF,,,,,NA,NA,NA,N,
="J0881",DARBEPOETIN ALFA; NON-ESRD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0881",DARBEPOETIN ALFA; NON-ESRD,EAPG,DEF,,,,,NA,NA,NA,N,
="J0882",DARBEPOETIN ALFA; ESRD USE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0882",DARBEPOETIN ALFA; ESRD USE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0883",ARGATROBAN NONESRD USE 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0883",ARGATROBAN NONESRD USE 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0884",ARGATROBAN ESRD DIALYSIS 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0884",ARGATROBAN ESRD DIALYSIS 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0885",EPOETIN ALFA; NON-ESRD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0885",EPOETIN ALFA; NON-ESRD,EAPG,DEF,,,,,NA,NA,NA,N,
="J0887",EPOETIN BETA ESRD USE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0887",EPOETIN BETA ESRD USE,EAPG,DEF,,,,,NA,NA,NA,N,
="J0888",EPOETIN BETA NON ESRD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0888",EPOETIN BETA NON ESRD,EAPG,DEF,,,,,NA,NA,NA,N,
="J0891",ARGATROBAN NONESRD (ACCORD),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0891",ARGATROBAN NONESRD (ACCORD),EAPG,DEF,,,,,NA,NA,NA,N,
="J0892",ARGATROBAN DIALYSIS (ACCORD),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0892",ARGATROBAN DIALYSIS (ACCORD),EAPG,DEF,,,,,NA,NA,NA,N,
="J0893",INJ; DECITABINE (SUN PHARMA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0893",INJ; DECITABINE (SUN PHARMA),EAPG,DEF,,,,,NA,NA,NA,N,
="J0894",DECITABINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0894",DECITABINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0895",DEFEROXAMINE MESYLATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0895",DEFEROXAMINE MESYLATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J0896",INJ LUSPATERCEPT-AAMT 0.25MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0896",INJ LUSPATERCEPT-AAMT 0.25MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J0897",DENOSUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0897",DENOSUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J0898",ARGATROBAN NONESRD (AUROMED),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0898",ARGATROBAN NONESRD (AUROMED),EAPG,DEF,,,,,NA,NA,NA,N,
="J0899",ARGATROBAN DIALYSIS; AUROMED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0899",ARGATROBAN DIALYSIS; AUROMED,EAPG,DEF,,,,,NA,NA,NA,N,
="J0945",BROMPHENIRAMINE MALEATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J0945",BROMPHENIRAMINE MALEATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1000",DEPO-ESTRADIOL CYPIONATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1000",DEPO-ESTRADIOL CYPIONATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1020",METHYLPREDNISOLONE 20 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1020",METHYLPREDNISOLONE 20 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1030",METHYLPREDNISOLONE 40 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1030",METHYLPREDNISOLONE 40 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1040",METHYLPREDNISOLONE 80 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1040",METHYLPREDNISOLONE 80 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1050",MEDROXYPROGESTERONE ACETATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1050",MEDROXYPROGESTERONE ACETATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1071",INJ TESTOSTERONE CYPIONATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1071",INJ TESTOSTERONE CYPIONATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1094",INJ DEXAMETHASONE ACETATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1094",INJ DEXAMETHASONE ACETATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1095",INJECTION; DEXAMETHASONE 9%,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1095",INJECTION; DEXAMETHASONE 9%,EAPG,DEF,,,,,NA,NA,NA,N,
="J1096",DEXAMETHA OPTH INSERT 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1096",DEXAMETHA OPTH INSERT 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1097",PHENYLEP KETOROLAC OPTH SOLN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1097",PHENYLEP KETOROLAC OPTH SOLN,EAPG,DEF,,,,,NA,NA,NA,N,
="J1100",DEXAMETHASONE SODIUM PHOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1100",DEXAMETHASONE SODIUM PHOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J1110",INJ DIHYDROERGOTAMINE MESYLT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1110",INJ DIHYDROERGOTAMINE MESYLT,EAPG,DEF,,,,,NA,NA,NA,N,
="J1120",ACETAZOLAMID SODIUM INJECTIO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1120",ACETAZOLAMID SODIUM INJECTIO,EAPG,DEF,,,,,NA,NA,NA,N,
="J1160",DIGOXIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1160",DIGOXIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1162",DIGOXIN IMMUNE FAB (OVINE),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1162",DIGOXIN IMMUNE FAB (OVINE),EAPG,DEF,,,,,NA,NA,NA,N,
="J1165",PHENYTOIN SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1165",PHENYTOIN SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1170",HYDROMORPHONE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1170",HYDROMORPHONE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1190",DEXRAZOXANE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1190",DEXRAZOXANE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1200",DIPHENHYDRAMINE HCL INJECTIO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1200",DIPHENHYDRAMINE HCL INJECTIO,EAPG,DEF,,,,,NA,NA,NA,N,
="J1201",INJ. CETIRIZINE HCL 0.5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1201",INJ. CETIRIZINE HCL 0.5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1205",CHLOROTHIAZIDE SODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1205",CHLOROTHIAZIDE SODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1212",DIMETHYL SULFOXIDE 50% 50 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1212",DIMETHYL SULFOXIDE 50% 50 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="J1230",METHADONE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1230",METHADONE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1240",DIMENHYDRINATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1240",DIMENHYDRINATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1245",DIPYRIDAMOLE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1245",DIPYRIDAMOLE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1250",INJ DOBUTAMINE HCL/250 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1250",INJ DOBUTAMINE HCL/250 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1260",DOLASETRON MESYLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1260",DOLASETRON MESYLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1265",DOPAMINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1265",DOPAMINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1267",DORIPENEM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1267",DORIPENEM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1270",INJECTION; DOXERCALCIFEROL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1270",INJECTION; DOXERCALCIFEROL,EAPG,DEF,,,,,NA,NA,NA,N,
="J1290",ECALLANTIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1290",ECALLANTIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1300",ECULIZUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1300",ECULIZUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1301",INJECTION; EDARAVONE; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1301",INJECTION; EDARAVONE; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1303",INJ.; RAVULIZUMAB-CWVZ 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1303",INJ.; RAVULIZUMAB-CWVZ 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1305",INJ; EVINACUMAB-DGNB; 5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1305",INJ; EVINACUMAB-DGNB; 5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1306",INJECTION; INCLISIRAN; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1306",INJECTION; INCLISIRAN; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1320",AMITRIPTYLINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1320",AMITRIPTYLINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1322",ELOSULFASE ALFA; INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1322",ELOSULFASE ALFA; INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1324",ENFUVIRTIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1324",ENFUVIRTIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1325",EPOPROSTENOL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1325",EPOPROSTENOL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1327",EPTIFIBATIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1327",EPTIFIBATIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1330",ERGONOVINE MALEATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1330",ERGONOVINE MALEATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1335",ERTAPENEM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1335",ERTAPENEM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1364",ERYTHRO LACTOBIONATE /500 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1364",ERYTHRO LACTOBIONATE /500 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1380",ESTRADIOL VALERATE 10 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1380",ESTRADIOL VALERATE 10 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1410",INJ ESTROGEN CONJUGATE 25 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1410",INJ ESTROGEN CONJUGATE 25 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1411",INJ; HEMGENIX; PER TX DOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1411",INJ; HEMGENIX; PER TX DOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1426",INJECTION; CASIMERSEN; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1426",INJECTION; CASIMERSEN; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1427",INJ. VILTOLARSEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1427",INJ. VILTOLARSEN,EAPG,DEF,,,,,NA,NA,NA,N,
="J1428",INJ; ETEPLIRSEN; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1428",INJ; ETEPLIRSEN; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1429",INJ GOLODIRSEN 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1429",INJ GOLODIRSEN 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1430",ETHANOLAMINE OLEATE 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1430",ETHANOLAMINE OLEATE 100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1436",ETIDRONATE DISODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1436",ETIDRONATE DISODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1437",INJ. FE DERISOMALTOSE 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1437",INJ. FE DERISOMALTOSE 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1438",ETANERCEPT INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1438",ETANERCEPT INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1439",INJ FERRIC CARBOXYMALTOS 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1439",INJ FERRIC CARBOXYMALTOS 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1442",INJ FILGRASTIM EXCL BIOSIMIL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1442",INJ FILGRASTIM EXCL BIOSIMIL,EAPG,DEF,,,,,NA,NA,NA,N,
="J1443",INJ FERRIC PYROPHOSPHATE CIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1443",INJ FERRIC PYROPHOSPHATE CIT,EAPG,DEF,,,,,NA,NA,NA,N,
="J1445",INJ TRIFERIC AVNU 0.1MG IRON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1445",INJ TRIFERIC AVNU 0.1MG IRON,EAPG,DEF,,,,,NA,NA,NA,N,
="J1447",INJ TBO FILGRASTIM 1 MICROG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1447",INJ TBO FILGRASTIM 1 MICROG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1448",INJECTION; TRILACICLIB; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1448",INJECTION; TRILACICLIB; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1449",INJ EFLAPEGRASTIM-XNST 0.1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1449",INJ EFLAPEGRASTIM-XNST 0.1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1450",FLUCONAZOLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1450",FLUCONAZOLE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1451",FOMEPIZOLE; 15 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1451",FOMEPIZOLE; 15 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1452",INTRAOCULAR FOMIVIRSEN NA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1452",INTRAOCULAR FOMIVIRSEN NA,EAPG,DEF,,,,,NA,NA,NA,N,
="J1453",FOSAPREPITANT INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1453",FOSAPREPITANT INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1454",INJ FOSNETUPITANT; PALONOSET,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1454",INJ FOSNETUPITANT; PALONOSET,EAPG,DEF,,,,,NA,NA,NA,N,
="J1455",FOSCARNET SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1455",FOSCARNET SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1456",INJ; FOSAPREPITANT (TEVA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1456",INJ; FOSAPREPITANT (TEVA),EAPG,DEF,,,,,NA,NA,NA,N,
="J1458",GALSULFASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1458",GALSULFASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1459",INJ IVIG PRIVIGEN 500 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1459",INJ IVIG PRIVIGEN 500 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1460",GAMMA GLOBULIN 1 CC INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1460",GAMMA GLOBULIN 1 CC INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1551",INJ CUTAQUIG 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1551",INJ CUTAQUIG 100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1554",INJ. ASCENIV,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1554",INJ. ASCENIV,EAPG,DEF,,,,,NA,NA,NA,N,
="J1555",INJ CUVITRU; 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1555",INJ CUVITRU; 100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1556",INJ; IMM GLOB BIVIGAM; 500MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1556",INJ; IMM GLOB BIVIGAM; 500MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1557",GAMMAPLEX INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1557",GAMMAPLEX INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1559",HIZENTRA INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1559",HIZENTRA INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1560",GAMMA GLOBULIN > 10 CC INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1560",GAMMA GLOBULIN > 10 CC INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1561",GAMUNEX-C/GAMMAKED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1561",GAMUNEX-C/GAMMAKED,EAPG,DEF,,,,,NA,NA,NA,N,
="J1566",IMMUNE GLOBULIN; POWDER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1566",IMMUNE GLOBULIN; POWDER,EAPG,DEF,,,,,NA,NA,NA,N,
="J1568",OCTAGAM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1568",OCTAGAM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1569",GAMMAGARD LIQUID INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1569",GAMMAGARD LIQUID INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1570",GANCICLOVIR SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1570",GANCICLOVIR SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1571",HEPAGAM B IM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1571",HEPAGAM B IM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1572",FLEBOGAMMA INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1572",FLEBOGAMMA INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1573",HEPAGAM B INTRAVENOUS; INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1573",HEPAGAM B INTRAVENOUS; INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1574",INJ; GANCICLOVIR (EXELA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1574",INJ; GANCICLOVIR (EXELA),EAPG,DEF,,,,,NA,NA,NA,N,
="J1575",HYQVIA 100MG IMMUNEGLOBULIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1575",HYQVIA 100MG IMMUNEGLOBULIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J1576",Inj; panzyga; 500 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1576",Inj; panzyga; 500 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J1580",GARAMYCIN GENTAMICIN INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1580",GARAMYCIN GENTAMICIN INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1595",INJECTION GLATIRAMER ACETATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1595",INJECTION GLATIRAMER ACETATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1599",IVIG NON-LYOPHILIZED; NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1599",IVIG NON-LYOPHILIZED; NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J1600",GOLD SODIUM THIOMALEATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1600",GOLD SODIUM THIOMALEATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1602",GOLIMUMAB FOR IV USE 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1602",GOLIMUMAB FOR IV USE 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1610",GLUCAGON HYDROCHLORIDE/1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1610",GLUCAGON HYDROCHLORIDE/1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1611",INJ GLUCAGON HCL; FRESENIUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1611",INJ GLUCAGON HCL; FRESENIUS,EAPG,DEF,,,,,NA,NA,NA,N,
="J1626",GRANISETRON HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1626",GRANISETRON HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1627",INJ; GRANISETRON; XR; 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1627",INJ; GRANISETRON; XR; 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1628",INJ.; GUSELKUMAB; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J1628",INJ.; GUSELKUMAB; 1 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J1630",HALOPERIDOL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1630",HALOPERIDOL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1631",HALOPERIDOL DECANOATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1631",HALOPERIDOL DECANOATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1632",INJ.; BREXANOLONE; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1632",INJ.; BREXANOLONE; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1640",HEMIN; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1640",HEMIN; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1642",INJ HEPARIN SODIUM PER 10 U,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1642",INJ HEPARIN SODIUM PER 10 U,EAPG,DEF,,,,,NA,NA,NA,N,
="J1643",INJ HEPARIN; PFIZER; 1000U,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1643",INJ HEPARIN; PFIZER; 1000U,EAPG,DEF,,,,,NA,NA,NA,N,
="J1644",INJ HEPARIN SODIUM PER 1000U,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1644",INJ HEPARIN SODIUM PER 1000U,EAPG,DEF,,,,,NA,NA,NA,N,
="J1645",DALTEPARIN SODIUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1645",DALTEPARIN SODIUM,EAPG,DEF,,,,,NA,NA,NA,N,
="J1650",INJ ENOXAPARIN SODIUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1650",INJ ENOXAPARIN SODIUM,EAPG,DEF,,,,,NA,NA,NA,N,
="J1652",FONDAPARINUX SODIUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1652",FONDAPARINUX SODIUM,EAPG,DEF,,,,,NA,NA,NA,N,
="J1670",TETANUS IMMUNE GLOBULIN INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1670",TETANUS IMMUNE GLOBULIN INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1700",HYDROCORTISONE ACETATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1700",HYDROCORTISONE ACETATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1710",HYDROCORTISONE SODIUM PH INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1710",HYDROCORTISONE SODIUM PH INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1720",HYDROCORTISONE SODIUM SUCC I,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1720",HYDROCORTISONE SODIUM SUCC I,EAPG,DEF,,,,,NA,NA,NA,N,
="J1725",HYDROXYPROGESTERONE CAPROATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1725",HYDROXYPROGESTERONE CAPROATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1726",MAKENA; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1726",MAKENA; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1729",INJ HYDROXYPROGST CAPOAT NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1729",INJ HYDROXYPROGST CAPOAT NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J1730",DIAZOXIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1730",DIAZOXIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1738",INJ. MELOXICAM 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1738",INJ. MELOXICAM 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1740",IBANDRONATE SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1740",IBANDRONATE SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1741",IBUPROFEN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1741",IBUPROFEN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1742",IBUTILIDE FUMARATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1742",IBUTILIDE FUMARATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1743",IDURSULFASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1743",IDURSULFASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1744",ICATIBANT INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1744",ICATIBANT INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1745",INFLIXIMAB NOT BIOSIMIL 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1745",INFLIXIMAB NOT BIOSIMIL 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1746",INJ.; IBALIZUMAB-UIYK; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J1746",INJ.; IBALIZUMAB-UIYK; 10 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J1747",INJ; SPESOLIMAB-SBZO; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J1747",INJ; SPESOLIMAB-SBZO; 1 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J1750",INJ IRON DEXTRAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1750",INJ IRON DEXTRAN,EAPG,DEF,,,,,NA,NA,NA,N,
="J1756",IRON SUCROSE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1756",IRON SUCROSE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1786",IMUGLUCERASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1786",IMUGLUCERASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1790",DROPERIDOL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1790",DROPERIDOL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1800",PROPRANOLOL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1800",PROPRANOLOL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1805",Inj; esmolol hcl; 10mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1805",Inj; esmolol hcl; 10mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J1806",Inj esmolol hcl wg crit care,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1806",Inj esmolol hcl wg crit care,EAPG,DEF,,,,,NA,NA,NA,N,
="J1811",Fiasp for insulin pump use,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1811",Fiasp for insulin pump use,EAPG,DEF,,,,,NA,NA,NA,N,
="J1812",Inj. insulin (fiasp),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1812",Inj. insulin (fiasp),EAPG,DEF,,,,,NA,NA,NA,N,
="J1813",Lyumjev for insulin pump use,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1813",Lyumjev for insulin pump use,EAPG,DEF,,,,,NA,NA,NA,N,
="J1814",Inj. insulin (lyumjev),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1814",Inj. insulin (lyumjev),EAPG,DEF,,,,,NA,NA,NA,N,
="J1815",INSULIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1815",INSULIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1817",INSULIN FOR INSULIN PUMP USE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1817",INSULIN FOR INSULIN PUMP USE,EAPG,DEF,,,,,NA,NA,NA,N,
="J1823",INJ. INEBILIZUMAB-CDON; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1823",INJ. INEBILIZUMAB-CDON; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1826",INTERFERON BETA-1A INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1826",INTERFERON BETA-1A INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1830",INTERFERON BETA-1B / .25 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1830",INTERFERON BETA-1B / .25 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1833",INJECTION; ISAVUCONAZONIUM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1833",INJECTION; ISAVUCONAZONIUM,EAPG,DEF,,,,,NA,NA,NA,N,
="J1836",Inj; metronidazole; 10 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1836",Inj; metronidazole; 10 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J1840",KANAMYCIN SULFATE 500 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1840",KANAMYCIN SULFATE 500 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1850",KANAMYCIN SULFATE 75 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1850",KANAMYCIN SULFATE 75 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1885",KETOROLAC TROMETHAMINE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1885",KETOROLAC TROMETHAMINE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1890",CEPHALOTHIN SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1890",CEPHALOTHIN SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1920",Inj; labetalol hcl; 5mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1920",Inj; labetalol hcl; 5mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J1921",Inj labetalol hcl hikma; 5mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1921",Inj labetalol hcl hikma; 5mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J1930",LANREOTIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1930",LANREOTIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1931",LARONIDASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1931",LARONIDASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1940",FUROSEMIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1940",FUROSEMIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1941",Inj; furoscix; 20 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1941",Inj; furoscix; 20 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J1942",ARIPIPRAZOLE LAUROXIL 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1942",ARIPIPRAZOLE LAUROXIL 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1943",INJ.; ARISTADA INITIO; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1943",INJ.; ARISTADA INITIO; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1944",ARIPIPRAZOLE LAUROXIL 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1944",ARIPIPRAZOLE LAUROXIL 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1945",LEPIRUDIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1945",LEPIRUDIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J1950",LEUPROLIDE ACETATE /3.75 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1950",LEUPROLIDE ACETATE /3.75 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1951",INJ FENSOLVI 0.25 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J1951",INJ FENSOLVI 0.25 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J1952",LEUPROLIDE INJ; CAMCEVI; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1952",LEUPROLIDE INJ; CAMCEVI; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1953",LEVETIRACETAM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1953",LEVETIRACETAM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1954",LEUPROLIDE DEPOT CIPLA 7.5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1954",LEUPROLIDE DEPOT CIPLA 7.5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J1956",LEVOFLOXACIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1956",LEVOFLOXACIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J1960",LEVORPHANOL TARTRATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1960",LEVORPHANOL TARTRATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1961",Inj; lenacapavir; 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1961",Inj; lenacapavir; 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J1980",HYOSCYAMINE SULFATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1980",HYOSCYAMINE SULFATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J1990",CHLORDIAZEPOXIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J1990",CHLORDIAZEPOXIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2001",LIDOCAINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2001",LIDOCAINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2010",LINCOMYCIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2010",LINCOMYCIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2020",LINEZOLID INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2020",LINEZOLID INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2021",INJ; LINEZOLID (HOSPIRA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2021",INJ; LINEZOLID (HOSPIRA),EAPG,DEF,,,,,NA,NA,NA,N,
="J2060",LORAZEPAM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2060",LORAZEPAM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2062",LOXAPINE FOR INHALATION 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2062",LOXAPINE FOR INHALATION 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2150",MANNITOL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2150",MANNITOL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2170",MECASERMIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2170",MECASERMIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2175",MEPERIDINE HYDROCHL /100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2175",MEPERIDINE HYDROCHL /100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2180",MEPERIDINE/PROMETHAZINE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2180",MEPERIDINE/PROMETHAZINE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2182",INJECTION; MEPOLIZUMAB; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2182",INJECTION; MEPOLIZUMAB; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2184",INJ; MEROPENEM (B. BRAUN),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2184",INJ; MEROPENEM (B. BRAUN),EAPG,DEF,,,,,NA,NA,NA,N,
="J2185",MEROPENEM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2185",MEROPENEM,EAPG,DEF,,,,,NA,NA,NA,N,
="J2186",INJ.; MEROPENEM; VABORBACTAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2186",INJ.; MEROPENEM; VABORBACTAM,EAPG,DEF,,,,,NA,NA,NA,N,
="J2210",METHYLERGONOVIN MALEATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2210",METHYLERGONOVIN MALEATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2212",METHYLNALTREXONE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2212",METHYLNALTREXONE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2247",INJ; MICAFUNGIN (PAR PHARM),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2247",INJ; MICAFUNGIN (PAR PHARM),EAPG,DEF,,,,,NA,NA,NA,N,
="J2248",MICAFUNGIN SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2248",MICAFUNGIN SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2249",Inj; remimazolam; 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2249",Inj; remimazolam; 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J2250",INJ MIDAZOLAM HYDROCHLORIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2250",INJ MIDAZOLAM HYDROCHLORIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="J2251",INJ MIDAZOLAM (WG CRIT CARE),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2251",INJ MIDAZOLAM (WG CRIT CARE),EAPG,DEF,,,,,NA,NA,NA,N,
="J2260",INJ MILRINONE LACTATE / 5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2260",INJ MILRINONE LACTATE / 5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2265",MINOCYCLINE HYDROCHLORIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2265",MINOCYCLINE HYDROCHLORIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="J2270",MORPHINE SULFATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2270",MORPHINE SULFATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2272",INJ; MORPHINE (FRESENIUS),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2272",INJ; MORPHINE (FRESENIUS),EAPG,DEF,,,,,NA,NA,NA,N,
="J2274",INJ MORPHINE PF EPID ITHC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2274",INJ MORPHINE PF EPID ITHC,EAPG,DEF,,,,,NA,NA,NA,N,
="J2278",ZICONOTIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2278",ZICONOTIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2280",INJ; MOXIFLOXACIN 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2280",INJ; MOXIFLOXACIN 100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2281",INJ MOXIFLOXACIN (FRES KABI),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2281",INJ MOXIFLOXACIN (FRES KABI),EAPG,DEF,,,,,NA,NA,NA,N,
="J2300",INJ NALBUPHINE HYDROCHLORIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2300",INJ NALBUPHINE HYDROCHLORIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="J2305",Inj; nitroglycerin; 5 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2305",Inj; nitroglycerin; 5 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J2310",INJ NALOXONE HYDROCHLORIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2310",INJ NALOXONE HYDROCHLORIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="J2311",INJ; NALOXONE HCL (ZIMHI),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2311",INJ; NALOXONE HCL (ZIMHI),EAPG,DEF,,,,,NA,NA,NA,N,
="J2315",NALTREXONE; DEPOT FORM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2315",NALTREXONE; DEPOT FORM,EAPG,DEF,,,,,NA,NA,NA,N,
="J2320",NANDROLONE DECANOATE 50 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2320",NANDROLONE DECANOATE 50 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2323",NATALIZUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2323",NATALIZUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2325",NESIRITIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2325",NESIRITIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2326",INJ; NUSINERSEN; 0.1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2326",INJ; NUSINERSEN; 0.1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2327",INJ RISANKIZUMAB-RZAA 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J2327",INJ RISANKIZUMAB-RZAA 1 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J2329",Inj ublituximab-xiiy; 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2329",Inj ublituximab-xiiy; 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J2350",INJECTION; OCRELIZUMAB; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2350",INJECTION; OCRELIZUMAB; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2353",OCTREOTIDE INJECTION; DEPOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2353",OCTREOTIDE INJECTION; DEPOT,EAPG,DEF,,,,,NA,NA,NA,N,
="J2354",OCTREOTIDE INJ; NON-DEPOT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2354",OCTREOTIDE INJ; NON-DEPOT,EAPG,DEF,,,,,NA,NA,NA,N,
="J2355",OPRELVEKIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2355",OPRELVEKIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2356",INJ TEZEPELUMAB-EKKO; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2356",INJ TEZEPELUMAB-EKKO; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2357",OMALIZUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2357",OMALIZUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2358",OLANZAPINE LONG-ACTING INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2358",OLANZAPINE LONG-ACTING INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2360",ORPHENADRINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2360",ORPHENADRINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2370",PHENYLEPHRINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2370",PHENYLEPHRINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2371",Inj phenylephrine hcl 20 mcg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2371",Inj phenylephrine hcl 20 mcg,EAPG,DEF,,,,,NA,NA,NA,N,
="J2372",Inj; biorphen; 20 micrograms,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2372",Inj; biorphen; 20 micrograms,EAPG,DEF,,,,,NA,NA,NA,N,
="J2400",CHLOROPROCAINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2400",CHLOROPROCAINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2401",CHLOROPROCAINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2401",CHLOROPROCAINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2402",CHLOROPROCAINE (CLOROTEKAL),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2402",CHLOROPROCAINE (CLOROTEKAL),EAPG,DEF,,,,,NA,NA,NA,N,
="J2403",CHLOROPROCAINE OPHT GEL; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2403",CHLOROPROCAINE OPHT GEL; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2405",ONDANSETRON HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2405",ONDANSETRON HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2406",INJECTION; ORITAVANCIN 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2406",INJECTION; ORITAVANCIN 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2407",INJECTION; ORITAVANCIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2407",INJECTION; ORITAVANCIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J2410",OXYMORPHONE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2410",OXYMORPHONE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2425",PALIFERMIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2425",PALIFERMIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2426",PALIPERIDONE PALMITATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2426",PALIPERIDONE PALMITATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2427",Inj; invega hafyera/trinza,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2427",Inj; invega hafyera/trinza,EAPG,DEF,,,,,NA,NA,NA,N,
="J2430",PAMIDRONATE DISODIUM /30 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2430",PAMIDRONATE DISODIUM /30 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2440",PAPAVERIN HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2440",PAPAVERIN HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2460",OXYTETRACYCLINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2460",OXYTETRACYCLINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2469",PALONOSETRON HCL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2469",PALONOSETRON HCL,EAPG,DEF,,,,,NA,NA,NA,N,
="J2501",PARICALCITOL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2501",PARICALCITOL,EAPG,DEF,,,,,NA,NA,NA,N,
="J2502",INJ; PASIREOTIDE LONG ACTING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2502",INJ; PASIREOTIDE LONG ACTING,EAPG,DEF,,,,,NA,NA,NA,N,
="J2503",PEGAPTANIB SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2503",PEGAPTANIB SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2504",PEGADEMASE BOVINE; 25 IU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2504",PEGADEMASE BOVINE; 25 IU,EAPG,DEF,,,,,NA,NA,NA,N,
="J2505",INJECTION; PEGFILGRASTIM 6MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2505",INJECTION; PEGFILGRASTIM 6MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2506",INJ PEGFILGRAST EX BIO 0.5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2506",INJ PEGFILGRAST EX BIO 0.5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2507",PEGLOTICASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2507",PEGLOTICASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2510",PENICILLIN G PROCAINE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2510",PENICILLIN G PROCAINE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2515",PENTOBARBITAL SODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2515",PENTOBARBITAL SODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2540",PENICILLIN G POTASSIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2540",PENICILLIN G POTASSIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2543",PIPERACILLIN/TAZOBACTAM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2543",PIPERACILLIN/TAZOBACTAM,EAPG,DEF,,,,,NA,NA,NA,N,
="J2547",INJECTION; PERAMIVIR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2547",INJECTION; PERAMIVIR,EAPG,DEF,,,,,NA,NA,NA,N,
="J2550",PROMETHAZINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2550",PROMETHAZINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2560",PHENOBARBITAL SODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2560",PHENOBARBITAL SODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2561",Inj; sezaby; 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2561",Inj; sezaby; 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J2562",PLERIXAFOR INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2562",PLERIXAFOR INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2590",OXYTOCIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2590",OXYTOCIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2597",INJ DESMOPRESSIN ACETATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2597",INJ DESMOPRESSIN ACETATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J2598",Inj; vasopressin; 1 unit,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2598",Inj; vasopressin; 1 unit,EAPG,DEF,,,,,NA,NA,NA,N,
="J2599",Inj vasopressin (am reg) 1 u,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2599",Inj vasopressin (am reg) 1 u,EAPG,DEF,,,,,NA,NA,NA,N,
="J2650",PREDNISOLONE ACETATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2650",PREDNISOLONE ACETATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2670",TOTAZOLINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2670",TOTAZOLINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2675",INJ PROGESTERONE PER 50 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2675",INJ PROGESTERONE PER 50 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2680",FLUPHENAZINE DECANOATE 25 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2680",FLUPHENAZINE DECANOATE 25 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2690",PROCAINAMIDE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2690",PROCAINAMIDE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2700",OXACILLIN SODIUM INJECITON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2700",OXACILLIN SODIUM INJECITON,EAPG,DEF,,,,,NA,NA,NA,N,
="J2704",INJ; PROPOFOL; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2704",INJ; PROPOFOL; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2710",NEOSTIGMINE METHYLSLFTE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2710",NEOSTIGMINE METHYLSLFTE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2720",INJ PROTAMINE SULFATE/10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2720",INJ PROTAMINE SULFATE/10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2724",PROTEIN C CONCENTRATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2724",PROTEIN C CONCENTRATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J2730",PRALIDOXIME CHLORIDE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2730",PRALIDOXIME CHLORIDE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2760",PHENTOLAINE MESYLATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2760",PHENTOLAINE MESYLATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2765",METOCLOPRAMIDE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2765",METOCLOPRAMIDE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2770",QUINUPRISTIN/DALFOPRISTIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2770",QUINUPRISTIN/DALFOPRISTIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J2778",RANIBIZUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2778",RANIBIZUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2779",INJ; SUSVIMO 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2779",INJ; SUSVIMO 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2780",RANITIDINE HYDROCHLORIDE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2780",RANITIDINE HYDROCHLORIDE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2783",RASBURICASE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2783",RASBURICASE,EAPG,DEF,,,,,NA,NA,NA,N,
="J2785",REGADENOSON INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2785",REGADENOSON INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2786",INJECTION; RESLIZUMAB; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2786",INJECTION; RESLIZUMAB; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2788",RHO D IMMUNE GLOBULIN 50 MCG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2788",RHO D IMMUNE GLOBULIN 50 MCG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2790",RHO D IMMUNE GLOBULIN INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2790",RHO D IMMUNE GLOBULIN INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J2791",RHOPHYLAC INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2791",RHOPHYLAC INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2792",RHO(D) IMMUNE GLOBULIN H; SD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2792",RHO(D) IMMUNE GLOBULIN H; SD,EAPG,DEF,,,,,NA,NA,NA,N,
="J2793",RILONACEPT INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2793",RILONACEPT INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2794",INJ RISPERDAL CONSTA; 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2794",INJ RISPERDAL CONSTA; 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2795",ROPIVACAINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2795",ROPIVACAINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2796",ROMIPLOSTIM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2796",ROMIPLOSTIM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2797",INJ.; ROLAPITANT; 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2797",INJ.; ROLAPITANT; 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2798",INJ.; PERSERIS; 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2798",INJ.; PERSERIS; 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2800",METHOCARBAMOL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2800",METHOCARBAMOL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2805",SINCALIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2805",SINCALIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2806",Inj sincalide; maia; 5 mcg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2806",Inj sincalide; maia; 5 mcg,EAPG,DEF,,,,,NA,NA,NA,N,
="J2810",INJ THEOPHYLLINE PER 40 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2810",INJ THEOPHYLLINE PER 40 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2820",SARGRAMOSTIM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2820",SARGRAMOSTIM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2840",INJ SEBELIPASE ALFA 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2840",INJ SEBELIPASE ALFA 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J2850",INJ SECRETIN SYNTHETIC HUMAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2850",INJ SECRETIN SYNTHETIC HUMAN,EAPG,DEF,,,,,NA,NA,NA,N,
="J2860",INJECTION; SILTUXIMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2860",INJECTION; SILTUXIMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J2910",AUROTHIOGLUCOSE INJECITON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2910",AUROTHIOGLUCOSE INJECITON,EAPG,DEF,,,,,NA,NA,NA,N,
="J2916",NA FERRIC GLUCONATE COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2916",NA FERRIC GLUCONATE COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="J2920",METHYLPREDNISOLONE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2920",METHYLPREDNISOLONE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2930",METHYLPREDNISOLONE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2930",METHYLPREDNISOLONE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2941",SOMATROPIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2941",SOMATROPIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2950",PROMAZINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2950",PROMAZINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2993",RETEPLASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2993",RETEPLASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J2995",INJ STREPTOKINASE /250000 IU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2995",INJ STREPTOKINASE /250000 IU,EAPG,DEF,,,,,NA,NA,NA,N,
="J2997",ALTEPLASE RECOMBINANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2997",ALTEPLASE RECOMBINANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J2998",INJ PLASMINOGEN TVMH 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J2998",INJ PLASMINOGEN TVMH 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3000",STREPTOMYCIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3000",STREPTOMYCIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3010",FENTANYL CITRATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3010",FENTANYL CITRATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3030",SUMATRIPTAN SUCCINATE / 6 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3030",SUMATRIPTAN SUCCINATE / 6 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3031",INJ.; FREMANEZUMAB-VFRM 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3031",INJ.; FREMANEZUMAB-VFRM 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3032",INJ. EPTINEZUMAB-JJMR 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3032",INJ. EPTINEZUMAB-JJMR 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3060",INJ; TALIGLUCERASE ALFA 10 U,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3060",INJ; TALIGLUCERASE ALFA 10 U,EAPG,DEF,,,,,NA,NA,NA,N,
="J3070",PENTAZOCINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3070",PENTAZOCINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3090",INJ TEDIZOLID PHOSPHATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3090",INJ TEDIZOLID PHOSPHATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3095",TELAVANCIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3095",TELAVANCIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3101",TENECTEPLASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3101",TENECTEPLASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3105",TERBUTALINE SULFATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3105",TERBUTALINE SULFATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J3111",INJ. ROMOSOZUMAB-AQQG 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3111",INJ. ROMOSOZUMAB-AQQG 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3121",INJ TESTOSTERO ENANTHATE 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3121",INJ TESTOSTERO ENANTHATE 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3145",TESTOSTERONE UNDECANOATE 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3145",TESTOSTERONE UNDECANOATE 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3230",CHLORPROMAZINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3230",CHLORPROMAZINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3240",THYROTROPIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3240",THYROTROPIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3241",INJ. TEPROTUMUMAB-TRBW 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3241",INJ. TEPROTUMUMAB-TRBW 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3243",TIGECYCLINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3243",TIGECYCLINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3244",INJ. TIGECYCLINE (ACCORD),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3244",INJ. TIGECYCLINE (ACCORD),EAPG,DEF,,,,,NA,NA,NA,N,
="J3246",TIROFIBAN HCL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3246",TIROFIBAN HCL,EAPG,DEF,,,,,NA,NA,NA,N,
="J3250",TRIMETHOBENZAMIDE HCL INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3250",TRIMETHOBENZAMIDE HCL INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J3260",TOBRAMYCIN SULFATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3260",TOBRAMYCIN SULFATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3262",TOCILIZUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3262",TOCILIZUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3265",INJECTION TORSEMIDE 10 MG/ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3265",INJECTION TORSEMIDE 10 MG/ML,EAPG,DEF,,,,,NA,NA,NA,N,
="J3280",THIETHYLPERAZINE MALEATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3280",THIETHYLPERAZINE MALEATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J3285",TREPROSTINIL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3285",TREPROSTINIL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3299",INJ XIPERE 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3299",INJ XIPERE 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3300",TRIAMCINOLONE A INJ PRS-FREE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3300",TRIAMCINOLONE A INJ PRS-FREE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3301",TRIAMCINOLONE ACET INJ NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3301",TRIAMCINOLONE ACET INJ NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J3302",TRIAMCINOLONE DIACETATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3302",TRIAMCINOLONE DIACETATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J3303",TRIAMCINOLONE HEXACETONL INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3303",TRIAMCINOLONE HEXACETONL INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J3304",INJ TRIAMCINOLONE ACE XR 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3304",INJ TRIAMCINOLONE ACE XR 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3305",INJ TRIMETREXATE GLUCORONATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3305",INJ TRIMETREXATE GLUCORONATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3310",PERPHENAZINE INJECITON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3310",PERPHENAZINE INJECITON,EAPG,DEF,,,,,NA,NA,NA,N,
="J3315",TRIPTORELIN PAMOATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3315",TRIPTORELIN PAMOATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3316",INJ.; TRIPTORELIN XR 3.75 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J3316",INJ.; TRIPTORELIN XR 3.75 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J3355",UROFOLLITROPIN; 75 IU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3355",UROFOLLITROPIN; 75 IU,EAPG,DEF,,,,,NA,NA,NA,N,
="J3357",USTEKINUMAB SUB CU INJ; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3357",USTEKINUMAB SUB CU INJ; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3358",USTEKINUMAB; IV INJECT; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3358",USTEKINUMAB; IV INJECT; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3360",DIAZEPAM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3360",DIAZEPAM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3364",UROKINASE 5000 IU INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3364",UROKINASE 5000 IU INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3365",UROKINASE 250;000 IU INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3365",UROKINASE 250;000 IU INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J3370",VANCOMYCIN HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3370",VANCOMYCIN HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3371",INJ; VANCOMYCIN HCL (MYLAN),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3371",INJ; VANCOMYCIN HCL (MYLAN),EAPG,DEF,,,,,NA,NA,NA,N,
="J3372",INJ; VANCOMYCIN HCL (XELLIA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3372",INJ; VANCOMYCIN HCL (XELLIA),EAPG,DEF,,,,,NA,NA,NA,N,
="J3380",INJECTION; VEDOLIZUMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3380",INJECTION; VEDOLIZUMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J3385",VELAGLUCERASE ALFA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3385",VELAGLUCERASE ALFA,EAPG,DEF,,,,,NA,NA,NA,N,
="J3396",VERTEPORFIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3396",VERTEPORFIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3397",INJ.; VESTRONIDASE ALFA-VJBK,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J3397",INJ.; VESTRONIDASE ALFA-VJBK,EAPG,DEF,,,,,NA,NA,NA,Y,
="J3398",INJ LUXTURNA 1 BILLION VEC G,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J3398",INJ LUXTURNA 1 BILLION VEC G,EAPG,DEF,,,,,NA,NA,NA,Y,
="J3410",HYDROXYZINE HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3410",HYDROXYZINE HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3411",THIAMINE HCL 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3411",THIAMINE HCL 100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3415",PYRIDOXINE HCL 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3415",PYRIDOXINE HCL 100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3420",VITAMIN B12 INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3420",VITAMIN B12 INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3430",VITAMIN K PHYTONADIONE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3430",VITAMIN K PHYTONADIONE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J3465",INJECTION; VORICONAZOLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3465",INJECTION; VORICONAZOLE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3470",HYALURONIDASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3470",HYALURONIDASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3471",OVINE; UP TO 999 USP UNITS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3471",OVINE; UP TO 999 USP UNITS,EAPG,DEF,,,,,NA,NA,NA,N,
="J3472",OVINE; 1000 USP UNITS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3472",OVINE; 1000 USP UNITS,EAPG,DEF,,,,,NA,NA,NA,N,
="J3473",HYALURONIDASE RECOMBINANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3473",HYALURONIDASE RECOMBINANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J3475",INJ MAGNESIUM SULFATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3475",INJ MAGNESIUM SULFATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3480",INJ POTASSIUM CHLORIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3480",INJ POTASSIUM CHLORIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3485",ZIDOVUDINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3485",ZIDOVUDINE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3486",ZIPRASIDONE MESYLATE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3486",ZIPRASIDONE MESYLATE,EAPG,DEF,,,,,NA,NA,NA,N,
="J3489",ZOLEDRONIC ACID 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3489",ZOLEDRONIC ACID 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J3490",DRUGS UNCLASSIFIED INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3490",DRUGS UNCLASSIFIED INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3530",NASAL VACCINE INHALATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3530",NASAL VACCINE INHALATION,EAPG,DEF,,,,,NA,NA,NA,N,
="J3590",UNCLASSIFIED BIOLOGICS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J3590",UNCLASSIFIED BIOLOGICS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7030",NORMAL SALINE SOLUTION INFUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7030",NORMAL SALINE SOLUTION INFUS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7040",NORMAL SALINE SOLUTION INFUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7040",NORMAL SALINE SOLUTION INFUS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7042",5% DEXTROSE/NORMAL SALINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7042",5% DEXTROSE/NORMAL SALINE,EAPG,DEF,,,,,NA,NA,NA,N,
="J7050",NORMAL SALINE SOLUTION INFUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7050",NORMAL SALINE SOLUTION INFUS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7060",5% DEXTROSE/WATER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7060",5% DEXTROSE/WATER,EAPG,DEF,,,,,NA,NA,NA,N,
="J7070",D5W INFUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7070",D5W INFUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="J7100",DEXTRAN 40 INFUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7100",DEXTRAN 40 INFUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="J7110",DEXTRAN 75 INFUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7110",DEXTRAN 75 INFUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="J7120",RINGERS LACTATE INFUSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7120",RINGERS LACTATE INFUSION,EAPG,DEF,,,,,NA,NA,NA,N,
="J7131",HYPERTONIC SALINE SOL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7131",HYPERTONIC SALINE SOL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7168",PROTHROMBIN COMPLEX KCENTRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7168",PROTHROMBIN COMPLEX KCENTRA,EAPG,DEF,,,,,NA,NA,NA,N,
="J7169",INJ ANDEXXA; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7169",INJ ANDEXXA; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7170",INJ.; EMICIZUMAB-KXWH 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7170",INJ.; EMICIZUMAB-KXWH 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7175",INJ; FACTOR X; (HUMAN); 1IU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7175",INJ; FACTOR X; (HUMAN); 1IU,EAPG,DEF,,,,,NA,NA,NA,N,
="J7177",INJ.; FIBRYGA; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7177",INJ.; FIBRYGA; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7178",INJ HUMAN FIBRINOGEN CON NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7178",INJ HUMAN FIBRINOGEN CON NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7179",VONVENDI INJ 1 IU VWF:RCO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7179",VONVENDI INJ 1 IU VWF:RCO,EAPG,DEF,,,,,NA,NA,NA,N,
="J7180",FACTOR XIII ANTI-HEM FACTOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7180",FACTOR XIII ANTI-HEM FACTOR,EAPG,DEF,,,,,NA,NA,NA,N,
="J7181",FACTOR XIII RECOMB A-SUBUNIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7181",FACTOR XIII RECOMB A-SUBUNIT,EAPG,DEF,,,,,NA,NA,NA,N,
="J7182",FACTOR VIII RECOMB NOVOEIGHT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7182",FACTOR VIII RECOMB NOVOEIGHT,EAPG,DEF,,,,,NA,NA,NA,N,
="J7183",WILATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7183",WILATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J7185",XYNTHA INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7185",XYNTHA INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J7186",ANTIHEMOPHILIC VIII/VWF COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7186",ANTIHEMOPHILIC VIII/VWF COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="J7187",HUMATE-P; INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7187",HUMATE-P; INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J7188",FACTOR VIII RECOMB OBIZUR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7188",FACTOR VIII RECOMB OBIZUR,EAPG,DEF,,,,,NA,NA,NA,N,
="J7189",FACTOR VIIA RECOMB NOVOSEVEN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7189",FACTOR VIIA RECOMB NOVOSEVEN,EAPG,DEF,,,,,NA,NA,NA,N,
="J7190",FACTOR VIII,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7190",FACTOR VIII,EAPG,DEF,,,,,NA,NA,NA,N,
="J7191",FACTOR VIII (PORCINE),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7191",FACTOR VIII (PORCINE),EAPG,DEF,,,,,NA,NA,NA,N,
="J7192",FACTOR VIII RECOMBINANT NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7192",FACTOR VIII RECOMBINANT NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7193",FACTOR IX NON-RECOMBINANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7193",FACTOR IX NON-RECOMBINANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J7194",FACTOR IX COMPLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7194",FACTOR IX COMPLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="J7195",FACTOR IX RECOMBINANT NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7195",FACTOR IX RECOMBINANT NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7196",ANTITHROMBIN RECOMBINANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7196",ANTITHROMBIN RECOMBINANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J7197",ANTITHROMBIN III INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7197",ANTITHROMBIN III INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J7198",ANTI-INHIBITOR,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7198",ANTI-INHIBITOR,EAPG,DEF,,,,,NA,NA,NA,N,
="J7200",FACTOR IX RECOMBINAN RIXUBIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7200",FACTOR IX RECOMBINAN RIXUBIS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7201",FACTOR IX ALPROLIX RECOMB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7201",FACTOR IX ALPROLIX RECOMB,EAPG,DEF,,,,,NA,NA,NA,N,
="J7202",FACTOR IX IDELVION INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7202",FACTOR IX IDELVION INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J7203",FACTOR IX RECOMB GLY REBINYN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7203",FACTOR IX RECOMB GLY REBINYN,EAPG,DEF,,,,,NA,NA,NA,N,
="J7205",FACTOR VIII FC FUSION RECOMB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7205",FACTOR VIII FC FUSION RECOMB,EAPG,DEF,,,,,NA,NA,NA,N,
="J7207",FACTOR VIII PEGYLATED RECOMB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7207",FACTOR VIII PEGYLATED RECOMB,EAPG,DEF,,,,,NA,NA,NA,N,
="J7208",INJ. JIVI 1 IU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7208",INJ. JIVI 1 IU,EAPG,DEF,,,,,NA,NA,NA,N,
="J7209",FACTOR VIII NUWIQ RECOMB 1IU,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7209",FACTOR VIII NUWIQ RECOMB 1IU,EAPG,DEF,,,,,NA,NA,NA,N,
="J7210",INJ; AFSTYLA; 1 I.U.,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7210",INJ; AFSTYLA; 1 I.U.,EAPG,DEF,,,,,NA,NA,NA,N,
="J7211",INJ; KOVALTRY; 1 I.U.,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7211",INJ; KOVALTRY; 1 I.U.,EAPG,DEF,,,,,NA,NA,NA,N,
="J7212",FACTOR VIIA RECOMB SEVENFACT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7212",FACTOR VIIA RECOMB SEVENFACT,EAPG,DEF,,,,,NA,NA,NA,N,
="J7213",Inj; ixinity; 1 i.u.,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7213",Inj; ixinity; 1 i.u.,EAPG,DEF,,,,,NA,NA,NA,N,
="J7294",SEG ACET AND ETH ESTR YEARLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7294",SEG ACET AND ETH ESTR YEARLY,EAPG,DEF,,,,,NA,NA,NA,N,
="J7295",ETH ESTR AND ETON MONTHLY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7295",ETH ESTR AND ETON MONTHLY,EAPG,DEF,,,,,NA,NA,NA,N,
="J7308",AMINOLEVULINIC ACID HCL TOP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7308",AMINOLEVULINIC ACID HCL TOP,EAPG,DEF,,,,,NA,NA,NA,N,
="J7309",METHYL AMINOLEVULINATE; TOP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7309",METHYL AMINOLEVULINATE; TOP,EAPG,DEF,,,,,NA,NA,NA,N,
="J7310",GANCICLOVIR LONG ACT IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7310",GANCICLOVIR LONG ACT IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J7311",INJ.; RETISERT; 0.01 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7311",INJ.; RETISERT; 0.01 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7312",DEXAMETHASONE INTRA IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7312",DEXAMETHASONE INTRA IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J7313",INJ.; ILUVIEN; 0.01 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7313",INJ.; ILUVIEN; 0.01 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7314",INJ.; YUTIQ; 0.01 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7314",INJ.; YUTIQ; 0.01 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7315",OPHTHALMIC MITOMYCIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7315",OPHTHALMIC MITOMYCIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J7316",INJ; OCRIPLASMIN; 0.125 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7316",INJ; OCRIPLASMIN; 0.125 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7318",INJ; DUROLANE 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7318",INJ; DUROLANE 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7321",HYALGAN SUPARTZ VISCO-3 DOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7321",HYALGAN SUPARTZ VISCO-3 DOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="J7322",HYMOVIS INJECTION 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7322",HYMOVIS INJECTION 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7323",EUFLEXXA INJ PER DOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7323",EUFLEXXA INJ PER DOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="J7324",ORTHOVISC INJ PER DOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7324",ORTHOVISC INJ PER DOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="J7325",SYNVISC OR SYNVISC-ONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7325",SYNVISC OR SYNVISC-ONE,EAPG,DEF,,,,,NA,NA,NA,N,
="J7326",GEL-ONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7326",GEL-ONE,EAPG,DEF,,,,,NA,NA,NA,N,
="J7327",MONOVISC INJ PER DOSE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7327",MONOVISC INJ PER DOSE,EAPG,DEF,,,,,NA,NA,NA,N,
="J7328",GELSYN-3 INJECTION 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7328",GELSYN-3 INJECTION 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7329",INJ; TRIVISC 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7329",INJ; TRIVISC 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7336",CAPSAICIN 8% PATCH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7336",CAPSAICIN 8% PATCH,EAPG,DEF,,,,,NA,NA,NA,N,
="J7340",CARBIDOPA LEVODOPA ENT 100ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7340",CARBIDOPA LEVODOPA ENT 100ML,EAPG,DEF,,,,,NA,NA,NA,N,
="J7342",CIPROFLOXACIN OTIC SUSP 6 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7342",CIPROFLOXACIN OTIC SUSP 6 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7345",AMINOLEVULINIC ACID; 10% GEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7345",AMINOLEVULINIC ACID; 10% GEL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7351",INJ BIMATOPROST ITC IMP1MCG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7351",INJ BIMATOPROST ITC IMP1MCG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7352",AFAMELANOTIDE IMPLANT; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7352",AFAMELANOTIDE IMPLANT; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7402",MOMETASONE SINUS SINUVA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7402",MOMETASONE SINUS SINUVA,EAPG,DEF,,,,,NA,NA,NA,N,
="J7500",AZATHIOPRINE ORAL 50MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7500",AZATHIOPRINE ORAL 50MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7501",AZATHIOPRINE PARENTERAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7501",AZATHIOPRINE PARENTERAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7502",CYCLOSPORINE ORAL 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7502",CYCLOSPORINE ORAL 100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7503",TACROL ENVARSUS EX REL ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7503",TACROL ENVARSUS EX REL ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7504",LYMPHOCYTE IMMUNE GLOBULIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7504",LYMPHOCYTE IMMUNE GLOBULIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J7505",MONOCLONAL ANTIBODIES,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7505",MONOCLONAL ANTIBODIES,EAPG,DEF,,,,,NA,NA,NA,N,
="J7507",TACROLIMUS IMME REL ORAL 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7507",TACROLIMUS IMME REL ORAL 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7508",TACROL ASTAGRAF EX REL ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7508",TACROL ASTAGRAF EX REL ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7509",METHYLPREDNISOLONE ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7509",METHYLPREDNISOLONE ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7510",PREDNISOLONE ORAL PER 5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7510",PREDNISOLONE ORAL PER 5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7511",ANTITHYMOCYTE GLOBULN RABBIT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7511",ANTITHYMOCYTE GLOBULN RABBIT,EAPG,DEF,,,,,NA,NA,NA,N,
="J7512",PREDNISONE IR OR DR ORAL 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7512",PREDNISONE IR OR DR ORAL 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7513",DACLIZUMAB; PARENTERAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7513",DACLIZUMAB; PARENTERAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7515",CYCLOSPORINE ORAL 25 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7515",CYCLOSPORINE ORAL 25 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7516",CYCLOSPORIN PARENTERAL 250MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7516",CYCLOSPORIN PARENTERAL 250MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J7517",MYCOPHENOLATE MOFETIL ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7517",MYCOPHENOLATE MOFETIL ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7518",MYCOPHENOLIC ACID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7518",MYCOPHENOLIC ACID,EAPG,DEF,,,,,NA,NA,NA,N,
="J7520",SIROLIMUS; ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7520",SIROLIMUS; ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J7525",TACROLIMUS INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7525",TACROLIMUS INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J7527",ORAL EVEROLIMUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7527",ORAL EVEROLIMUS,EAPG,DEF,,,,,NA,NA,NA,N,
="J7599",IMMUNOSUPPRESSIVE DRUG NOC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7599",IMMUNOSUPPRESSIVE DRUG NOC,EAPG,DEF,,,,,NA,NA,NA,N,
="J7665",MANNITOL FOR INHALER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7665",MANNITOL FOR INHALER,EAPG,DEF,,,,,NA,NA,NA,N,
="J7674",METHACHOLINE CHLORIDE; NEB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7674",METHACHOLINE CHLORIDE; NEB,EAPG,DEF,,,,,NA,NA,NA,N,
="J7799",NON-INHALATION DRUG FOR DME,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7799",NON-INHALATION DRUG FOR DME,EAPG,DEF,,,,,NA,NA,NA,N,
="J7999",COMPOUNDED DRUG; NOC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J7999",COMPOUNDED DRUG; NOC,EAPG,DEF,,,,,NA,NA,NA,N,
="J8501",ORAL APREPITANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8501",ORAL APREPITANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J8510",ORAL BUSULFAN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8510",ORAL BUSULFAN,EAPG,DEF,,,,,NA,NA,NA,N,
="J8520",CAPECITABINE; ORAL; 150 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8520",CAPECITABINE; ORAL; 150 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J8521",CAPECITABINE; ORAL; 500 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8521",CAPECITABINE; ORAL; 500 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J8530",CYCLOPHOSPHAMIDE ORAL 25 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8530",CYCLOPHOSPHAMIDE ORAL 25 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J8540",ORAL DEXAMETHASONE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8540",ORAL DEXAMETHASONE,EAPG,DEF,,,,,NA,NA,NA,N,
="J8560",ETOPOSIDE ORAL 50 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8560",ETOPOSIDE ORAL 50 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J8597",ANTIEMETIC DRUG ORAL NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8597",ANTIEMETIC DRUG ORAL NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J8600",MELPHALAN ORAL 2 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8600",MELPHALAN ORAL 2 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J8610",METHOTREXATE ORAL 2.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8610",METHOTREXATE ORAL 2.5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J8650",NABILONE ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8650",NABILONE ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J8655",ORAL NETUPITANT; PALONOSETRO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8655",ORAL NETUPITANT; PALONOSETRO,EAPG,DEF,,,,,NA,NA,NA,N,
="J8670",ROLAPITANT; ORAL; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8670",ROLAPITANT; ORAL; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J8700",TEMOZOLOMIDE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8700",TEMOZOLOMIDE,EAPG,DEF,,,,,NA,NA,NA,N,
="J8705",TOPOTECAN ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J8705",TOPOTECAN ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="J9000",DOXORUBICIN HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9000",DOXORUBICIN HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9015",ALDESLEUKIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9015",ALDESLEUKIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9017",ARSENIC TRIOXIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9017",ARSENIC TRIOXIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9019",ERWINAZE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9019",ERWINAZE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9020",ASPARAGINASE; NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9020",ASPARAGINASE; NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="J9021",INJ; ASPARA; RYLAZE; 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9021",INJ; ASPARA; RYLAZE; 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9022",INJ; ATEZOLIZUMAB;10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9022",INJ; ATEZOLIZUMAB;10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9023",INJECTION; AVELUMAB; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9023",INJECTION; AVELUMAB; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9025",AZACITIDINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9025",AZACITIDINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9027",CLOFARABINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9027",CLOFARABINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9029",Inj; adstiladrin; per tx dos,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9029",Inj; adstiladrin; per tx dos,EAPG,DEF,,,,,NA,NA,NA,N,
="J9030",BCG LIVE INTRAVESICAL 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9030",BCG LIVE INTRAVESICAL 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9031",BCG LIVE INTRAVESICAL VAC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9031",BCG LIVE INTRAVESICAL VAC,EAPG,DEF,,,,,NA,NA,NA,N,
="J9032",INJECTION; BELINOSTAT; 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9032",INJECTION; BELINOSTAT; 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9033",INJ.; TREANDA 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9033",INJ.; TREANDA 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9034",INJ.; BENDEKA 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9034",INJ.; BENDEKA 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9035",BEVACIZUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9035",BEVACIZUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9036",INJ. BELRAPZO/BENDAMUSTINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9036",INJ. BELRAPZO/BENDAMUSTINE,EAPG,DEF,,,,,NA,NA,NA,N,
="J9037",INJ BELANTAMAB MAFODOT BLMF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9037",INJ BELANTAMAB MAFODOT BLMF,EAPG,DEF,,,,,NA,NA,NA,N,
="J9039",INJECTION; BLINATUMOMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9039",INJECTION; BLINATUMOMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J9040",BLEOMYCIN SULFATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9040",BLEOMYCIN SULFATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9041",INJECTION; BORTEZOMIB; 0.1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9041",INJECTION; BORTEZOMIB; 0.1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9042",BRENTUXIMAB VEDOTIN INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9042",BRENTUXIMAB VEDOTIN INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9043",CABAZITAXEL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9043",CABAZITAXEL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9044",INJ; BORTEZOMIB; NOS; 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9044",INJ; BORTEZOMIB; NOS; 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9045",CARBOPLATIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9045",CARBOPLATIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9046",INJ; BORTEZOMIB; DR. REDDY'S,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9046",INJ; BORTEZOMIB; DR. REDDY'S,EAPG,DEF,,,,,NA,NA,NA,N,
="J9047",INJECTION; CARFILZOMIB; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9047",INJECTION; CARFILZOMIB; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9048",INJ; BORTEZOMIB FRESENIUSKAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9048",INJ; BORTEZOMIB FRESENIUSKAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J9049",INJ; BORTEZOMIB; HOSPIRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9049",INJ; BORTEZOMIB; HOSPIRA,EAPG,DEF,,,,,NA,NA,NA,N,
="J9050",CARMUSTINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9050",CARMUSTINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9055",CETUXIMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9055",CETUXIMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9056",Inj; bendamustine; 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9056",Inj; bendamustine; 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J9057",INJ.; COPANLISIB; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9057",INJ.; COPANLISIB; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9058",Inj apotex/bendamustine 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9058",Inj apotex/bendamustine 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J9059",Inj bendamustine; baxter 1mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9059",Inj bendamustine; baxter 1mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J9060",CISPLATIN 10 MG INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9060",CISPLATIN 10 MG INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9061",INJ; AMIVANTAMAB-VMJW,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9061",INJ; AMIVANTAMAB-VMJW,EAPG,DEF,,,,,NA,NA,NA,N,
="J9063",Inj; elahere; 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9063",Inj; elahere; 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J9065",INJ CLADRIBINE PER 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9065",INJ CLADRIBINE PER 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9070",CYCLOPHOSPHAMIDE 100 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9070",CYCLOPHOSPHAMIDE 100 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9071",INJ CYCLOPHOSPHAMD AUROMEDIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9071",INJ CYCLOPHOSPHAMD AUROMEDIC,EAPG,DEF,,,,,NA,NA,NA,N,
="J9098",CYTARABINE LIPOSOME INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9098",CYTARABINE LIPOSOME INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9100",CYTARABINE HCL 100 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9100",CYTARABINE HCL 100 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9119",INJ.; CEMIPLIMAB-RWLC; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9119",INJ.; CEMIPLIMAB-RWLC; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9120",DACTINOMYCIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9120",DACTINOMYCIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9130",DACARBAZINE 100 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9130",DACARBAZINE 100 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9144",DARATUMUMAB; HYALURONIDASE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9144",DARATUMUMAB; HYALURONIDASE,EAPG,DEF,,,,,NA,NA,NA,N,
="J9145",INJECTION; DARATUMUMAB 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9145",INJECTION; DARATUMUMAB 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9150",DAUNORUBICIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9150",DAUNORUBICIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9151",DAUNORUBICIN CITRATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9151",DAUNORUBICIN CITRATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9153",INJ DAUNORUBICIN; CYTARABINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9153",INJ DAUNORUBICIN; CYTARABINE,EAPG,DEF,,,,,NA,NA,NA,N,
="J9155",DEGARELIX INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9155",DEGARELIX INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9171",DOCETAXEL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9171",DOCETAXEL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9173",INJ.; DURVALUMAB; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9173",INJ.; DURVALUMAB; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9175",ELLIOTTS B SOLUTION PER ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9175",ELLIOTTS B SOLUTION PER ML,EAPG,DEF,,,,,NA,NA,NA,N,
="J9176",INJECTION; ELOTUZUMAB; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9176",INJECTION; ELOTUZUMAB; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9177",INJ ENFORT VEDO-EJFV 0.25MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9177",INJ ENFORT VEDO-EJFV 0.25MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9178",INJ; EPIRUBICIN HCL; 2 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9178",INJ; EPIRUBICIN HCL; 2 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9179",ERIBULIN MESYLATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9179",ERIBULIN MESYLATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9181",ETOPOSIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9181",ETOPOSIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9185",FLUDARABINE PHOSPHATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9185",FLUDARABINE PHOSPHATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9190",FLUOROURACIL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9190",FLUOROURACIL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9198",INJ. INFUGEM; 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9198",INJ. INFUGEM; 100 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9200",FLOXURIDINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9200",FLOXURIDINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9201",IN GEMCITABINE HCL NOS 200MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9201",IN GEMCITABINE HCL NOS 200MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9202",GOSERELIN ACETATE IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9202",GOSERELIN ACETATE IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J9203",GEMTUZUMAB OZOGAMICIN 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9203",GEMTUZUMAB OZOGAMICIN 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9204",INJ MOGAMULIZUMAB-KPKC; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9204",INJ MOGAMULIZUMAB-KPKC; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9205",INJ IRINOTECAN LIPOSOME 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9205",INJ IRINOTECAN LIPOSOME 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9206",IRINOTECAN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9206",IRINOTECAN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9207",IXABEPILONE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9207",IXABEPILONE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9208",IFOSFAMIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9208",IFOSFAMIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9209",MESNA INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9209",MESNA INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9210",INJ.; EMAPALUMAB-LZSG; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9210",INJ.; EMAPALUMAB-LZSG; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9211",IDARUBICIN HCL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9211",IDARUBICIN HCL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9213",INTERFERON ALFA-2A INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9213",INTERFERON ALFA-2A INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9214",INTERFERON ALFA-2B INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9214",INTERFERON ALFA-2B INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9216",INTERFERON GAMMA 1-B INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9216",INTERFERON GAMMA 1-B INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9217",LEUPROLIDE ACETATE SUSPNSION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9217",LEUPROLIDE ACETATE SUSPNSION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9218",LEUPROLIDE ACETATE INJECITON,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9218",LEUPROLIDE ACETATE INJECITON,EAPG,DEF,,,,,NA,NA,NA,N,
="J9219",LEUPROLIDE ACETATE IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9219",LEUPROLIDE ACETATE IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J9223",INJ. LURBINECTEDIN; 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9223",INJ. LURBINECTEDIN; 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9225",VANTAS IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9225",VANTAS IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J9226",SUPPRELIN LA IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9226",SUPPRELIN LA IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J9227",INJ. ISATUXIMAB-IRFC 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9227",INJ. ISATUXIMAB-IRFC 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9228",IPILIMUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9228",IPILIMUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9229",INJ INOTUZUMAB OZOGAM 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9229",INJ INOTUZUMAB OZOGAM 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9230",MECHLORETHAMINE HCL INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9230",MECHLORETHAMINE HCL INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9245",INJ MELPHA HYDROCH NOS 50 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9245",INJ MELPHA HYDROCH NOS 50 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9246",INJ.; EVOMELA; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9246",INJ.; EVOMELA; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9247",INJ; MELPHALAN FLUFENAMI 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9247",INJ; MELPHALAN FLUFENAMI 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9250",METHOTREXATE SODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9250",METHOTREXATE SODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9259",Paclitaxel (american regent),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9259",Paclitaxel (american regent),EAPG,DEF,,,,,NA,NA,NA,N,
="J9260",METHOTREXATE SODIUM INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9260",METHOTREXATE SODIUM INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9261",NELARABINE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9261",NELARABINE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9262",INJ; OMACETAXINE MEP; 0.01MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9262",INJ; OMACETAXINE MEP; 0.01MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9263",OXALIPLATIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9263",OXALIPLATIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J9264",PACLITAXEL PROTEIN BOUND,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9264",PACLITAXEL PROTEIN BOUND,EAPG,DEF,,,,,NA,NA,NA,N,
="J9266",PEGASPARGASE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9266",PEGASPARGASE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9267",PACLITAXEL INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9267",PACLITAXEL INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9268",PENTOSTATIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9268",PENTOSTATIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9269",INJ. TAGRAXOFUSP-ERZS 10 MCG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9269",INJ. TAGRAXOFUSP-ERZS 10 MCG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9270",PLICAMYCIN (MITHRAMYCIN) INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9270",PLICAMYCIN (MITHRAMYCIN) INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9271",INJ PEMBROLIZUMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9271",INJ PEMBROLIZUMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J9272",INJ; DOSTARLIMAB-GXLY; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9272",INJ; DOSTARLIMAB-GXLY; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9273",INJ TISOTU VEDOTIN-TFTV; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9273",INJ TISOTU VEDOTIN-TFTV; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9280",MITOMYCIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9280",MITOMYCIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9281",MITOMYCIN INSTILLATION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9281",MITOMYCIN INSTILLATION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9285",INJ; OLARATUMAB; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9285",INJ; OLARATUMAB; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9293",MITOXANTRONE HYDROCHL / 5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9293",MITOXANTRONE HYDROCHL / 5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9294",INJ PEMETREXED; HOSPIRA 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9294",INJ PEMETREXED; HOSPIRA 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9295",INJECTION; NECITUMUMAB; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9295",INJECTION; NECITUMUMAB; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9296",INJ PEMETREXED (ACCORD) 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9296",INJ PEMETREXED (ACCORD) 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9297",INJ PEMETREXED (SANDOZ) 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9297",INJ PEMETREXED (SANDOZ) 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9299",INJECTION; NIVOLUMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9299",INJECTION; NIVOLUMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J9301",OBINUTUZUMAB INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9301",OBINUTUZUMAB INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9302",OFATUMUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9302",OFATUMUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9303",PANITUMUMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9303",PANITUMUMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9305",INJ. PEMETREXED NOS 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9305",INJ. PEMETREXED NOS 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9306",INJECTION; PERTUZUMAB; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9306",INJECTION; PERTUZUMAB; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9307",PRALATREXATE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9307",PRALATREXATE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9308",INJECTION; RAMUCIRUMAB,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9308",INJECTION; RAMUCIRUMAB,EAPG,DEF,,,,,NA,NA,NA,N,
="J9309",INJ; POLATUZUMAB VEDOTIN 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9309",INJ; POLATUZUMAB VEDOTIN 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9310",RITUXIMAB INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9310",RITUXIMAB INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9311",INJ RITUXIMAB; HYALURONIDASE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9311",INJ RITUXIMAB; HYALURONIDASE,EAPG,DEF,,,,,NA,NA,NA,N,
="J9312",INJ.; RITUXIMAB; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9312",INJ.; RITUXIMAB; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9313",INJ.; LUMOXITI; 0.01 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9313",INJ.; LUMOXITI; 0.01 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9314",INJ PEMETREXED (TEVA) 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9314",INJ PEMETREXED (TEVA) 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9315",ROMIDEPSIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9315",ROMIDEPSIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9316",PERTUZU; TRASTUZU; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9316",PERTUZU; TRASTUZU; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9317",SACITUZUMAB GOVITECAN-HZIY,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9317",SACITUZUMAB GOVITECAN-HZIY,EAPG,DEF,,,,,NA,NA,NA,N,
="J9318",INJ ROMIDEPSIN NON-LYO 0.1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9318",INJ ROMIDEPSIN NON-LYO 0.1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9319",INJ ROMIDEPSIN LYOPHIL 0.1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9319",INJ ROMIDEPSIN LYOPHIL 0.1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9320",STREPTOZOCIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9320",STREPTOZOCIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9322",Inj pemetrexed (bluepoint),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9322",Inj pemetrexed (bluepoint),EAPG,DEF,,,,,NA,NA,NA,N,
="J9323",INJ PEMETREXED DITROMETHAMIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9323",INJ PEMETREXED DITROMETHAMIN,EAPG,DEF,,,,,NA,NA,NA,N,
="J9325",INJ TALIMOGENE LAHERPAREPVEC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9325",INJ TALIMOGENE LAHERPAREPVEC,EAPG,DEF,,,,,NA,NA,NA,N,
="J9328",TEMOZOLOMIDE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9328",TEMOZOLOMIDE INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9330",TEMSIROLIMUS INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9330",TEMSIROLIMUS INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9331",INJ SIROLIMUS PROT PART 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9331",INJ SIROLIMUS PROT PART 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9332",INJ EFGARTIGIMOD 2MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9332",INJ EFGARTIGIMOD 2MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9340",THIOTEPA INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9340",THIOTEPA INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9347",Inj; tremelimumab-actl; 1 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9347",Inj; tremelimumab-actl; 1 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="J9348",INJ. NAXITAMAB-GQGK; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="J9348",INJ. NAXITAMAB-GQGK; 1 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="J9349",INJ.; TAFASITAMAB-CXIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9349",INJ.; TAFASITAMAB-CXIX,EAPG,DEF,,,,,NA,NA,NA,N,
="J9350",TOPOTECAN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9350",TOPOTECAN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9351",TOPOTECAN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9351",TOPOTECAN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9352",INJECTION TRABECTEDIN 0.1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9352",INJECTION TRABECTEDIN 0.1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9353",INJ. MARGETUXIMAB-CMKB; 5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9353",INJ. MARGETUXIMAB-CMKB; 5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9354",INJ; ADO-TRASTUZUMAB EMT 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9354",INJ; ADO-TRASTUZUMAB EMT 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9355",INJ TRASTUZUMAB EXCL BIOSIMI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9355",INJ TRASTUZUMAB EXCL BIOSIMI,EAPG,DEF,,,,,NA,NA,NA,N,
="J9356",INJ. HERCEPTIN HYLECTA; 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9356",INJ. HERCEPTIN HYLECTA; 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9357",VALRUBICIN INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9357",VALRUBICIN INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9358",INJ FAM-TRASTU DERU-NXKI 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9358",INJ FAM-TRASTU DERU-NXKI 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9359",INJ LON TESIRIN-LPYL 0.075MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9359",INJ LON TESIRIN-LPYL 0.075MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9360",VINBLASTINE SULFATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9360",VINBLASTINE SULFATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9370",VINCRISTINE SULFATE 1 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9370",VINCRISTINE SULFATE 1 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9371",INJ; VINCRISTINE SUL LIP 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9371",INJ; VINCRISTINE SUL LIP 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9380",VINCRISTINE SULFATE 5 MG INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9380",VINCRISTINE SULFATE 5 MG INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9381",Inj teplizumab mzwv 5 mcg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9381",Inj teplizumab mzwv 5 mcg,EAPG,DEF,,,,,NA,NA,NA,N,
="J9390",VINORELBINE TARTRATE INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9390",VINORELBINE TARTRATE INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="J9393",INJ; FULVESTRANT (TEVA),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9393",INJ; FULVESTRANT (TEVA),EAPG,DEF,,,,,NA,NA,NA,N,
="J9394",INJ; FULVESTRANT (FRESENIUS),PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9394",INJ; FULVESTRANT (FRESENIUS),EAPG,DEF,,,,,NA,NA,NA,N,
="J9395",INJECTION; FULVESTRANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9395",INJECTION; FULVESTRANT,EAPG,DEF,,,,,NA,NA,NA,N,
="J9400",INJ; ZIV-AFLIBERCEPT; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9400",INJ; ZIV-AFLIBERCEPT; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="J9600",PORFIMER SODIUM INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9600",PORFIMER SODIUM INJECTION,EAPG,DEF,,,,,NA,NA,NA,N,
="J9999",CHEMOTHERAPY DRUG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="J9999",CHEMOTHERAPY DRUG,EAPG,DEF,,,,,NA,NA,NA,N,
="K1016",TRANS ELEC NERV FOR TRIGEMIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="K1016",TRANS ELEC NERV FOR TRIGEMIN,EAPG,DEF,,,,,NA,NA,NA,N,
="K1018",EXT UP LIMB TREMOR STIM WRIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="K1018",EXT UP LIMB TREMOR STIM WRIS,EAPG,DEF,,,,,NA,NA,NA,N,
="K1020",NON-INVASIVE VAGUS NERV STIM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="K1020",NON-INVASIVE VAGUS NERV STIM,EAPG,DEF,,,,,NA,NA,NA,N,
="L8600",IMPLANT BREAST SILICONE/EQ,PRXOVR,DEF,,,,,NA,NA,NA,E,
="L8600",IMPLANT BREAST SILICONE/EQ,EAPG,DEF,,,,,NA,NA,NA,E,
="L8603",COLLAGEN IMP URINARY 2.5 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8603",COLLAGEN IMP URINARY 2.5 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="L8604",DEXTRANOMER/HYALURONIC ACID,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8604",DEXTRANOMER/HYALURONIC ACID,EAPG,DEF,,,,,NA,NA,NA,N,
="L8605",INJ BULKING AGENT ANAL CANAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8605",INJ BULKING AGENT ANAL CANAL,EAPG,DEF,,,,,NA,NA,NA,N,
="L8606",SYNTHETIC IMPLNT URINARY 1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8606",SYNTHETIC IMPLNT URINARY 1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="L8607",INJ VOCAL CORD BULKING AGENT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8607",INJ VOCAL CORD BULKING AGENT,EAPG,DEF,,,,,NA,NA,NA,N,
="L8609",ARTIFICIAL CORNEA,PRXOVR,DEF,,,,,NA,NA,NA,E,
="L8609",ARTIFICIAL CORNEA,EAPG,DEF,,,,,NA,NA,NA,E,
="L8610",OCULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8610",OCULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="L8612",AQUEOUS SHUNT PROSTHESIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8612",AQUEOUS SHUNT PROSTHESIS,EAPG,DEF,,,,,NA,NA,NA,N,
="L8613",OSSICULAR IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8613",OSSICULAR IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="L8614",COCHLEAR DEVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8614",COCHLEAR DEVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="L8630",METACARPOPHALANGEAL IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8630",METACARPOPHALANGEAL IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="L8631",MCP JOINT REPL 2 PC OR MORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8631",MCP JOINT REPL 2 PC OR MORE,EAPG,DEF,,,,,NA,NA,NA,N,
="L8641",METATARSAL JOINT IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8641",METATARSAL JOINT IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="L8642",HALLUX IMPLANT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8642",HALLUX IMPLANT,EAPG,DEF,,,,,NA,NA,NA,N,
="L8658",INTERPHALANGEAL JOINT SPACER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8658",INTERPHALANGEAL JOINT SPACER,EAPG,DEF,,,,,NA,NA,NA,N,
="L8659",INTERPHALANGEAL JOINT REPL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8659",INTERPHALANGEAL JOINT REPL,EAPG,DEF,,,,,NA,NA,NA,N,
="L8670",VASCULAR GRAFT; SYNTHETIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8670",VASCULAR GRAFT; SYNTHETIC,EAPG,DEF,,,,,NA,NA,NA,N,
="L8679",IMP NEUROSTI PLS GN ANY TYPE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8679",IMP NEUROSTI PLS GN ANY TYPE,EAPG,DEF,,,,,NA,NA,NA,N,
="L8682",IMPLT NEUROSTIM RADIOFQ REC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8682",IMPLT NEUROSTIM RADIOFQ REC,EAPG,DEF,,,,,NA,NA,NA,N,
="L8690",AUD OSSEO DEV; INT/EXT COMP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8690",AUD OSSEO DEV; INT/EXT COMP,EAPG,DEF,,,,,NA,NA,NA,N,
="L8699",PROSTHETIC IMPLANT NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L8699",PROSTHETIC IMPLANT NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="L9900",O&P SUPPLY/ACCESSORY/SERVICE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="L9900",O&P SUPPLY/ACCESSORY/SERVICE,EAPG,DEF,,,,,NA,NA,NA,N,
="P9041",ALBUMIN (HUMAN);5%; 50ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="P9041",ALBUMIN (HUMAN);5%; 50ML,EAPG,DEF,,,,,NA,NA,NA,N,
="P9045",ALBUMIN (HUMAN); 5%; 250 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="P9045",ALBUMIN (HUMAN); 5%; 250 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="P9046",ALBUMIN (HUMAN); 25%; 20 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="P9046",ALBUMIN (HUMAN); 25%; 20 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="P9047",ALBUMIN (HUMAN); 25%; 50ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="P9047",ALBUMIN (HUMAN); 25%; 50ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0138",FERUMOXYTOL; NON-ESRD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0138",FERUMOXYTOL; NON-ESRD,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0139",FERUMOXYTOL; ESRD USE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0139",FERUMOXYTOL; ESRD USE,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0161",CHLORPROMAZINE HCL 5MG ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0161",CHLORPROMAZINE HCL 5MG ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0162",ONDANSETRON ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0162",ONDANSETRON ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0163",DIPHENHYDRAMINE HCL 50MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0163",DIPHENHYDRAMINE HCL 50MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0164",PROCHLORPERAZINE MALEATE 5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0164",PROCHLORPERAZINE MALEATE 5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0166",GRANISETRON HCL 1 MG ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0166",GRANISETRON HCL 1 MG ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0167",DRONABINOL 2.5MG ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0167",DRONABINOL 2.5MG ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0169",PROMETHAZINE HCL 12.5MG ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0169",PROMETHAZINE HCL 12.5MG ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0173",TRIMETHOBENZAMIDE HCL 250MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0173",TRIMETHOBENZAMIDE HCL 250MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0175",PERPHENAZINE 4MG ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0175",PERPHENAZINE 4MG ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0177",HYDROXYZINE PAMOATE 25MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0177",HYDROXYZINE PAMOATE 25MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0180",DOLASETRON MESYLATE ORAL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0180",DOLASETRON MESYLATE ORAL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q0181",UNSPECIFIED ORAL ANTI-EMETIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q0181",UNSPECIFIED ORAL ANTI-EMETIC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2004",BLADDER CALCULI IRRIG SOL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2004",BLADDER CALCULI IRRIG SOL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2009",FOSPHENYTOIN INJ PE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2009",FOSPHENYTOIN INJ PE,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2017",TENIPOSIDE; 50 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2017",TENIPOSIDE; 50 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2026",RADIESSE INJECTION,PRXOVR,DEF,,,,,NA,NA,NA,E,
="Q2026",RADIESSE INJECTION,EAPG,DEF,,,,,NA,NA,NA,E,
="Q2028",INJ; SCULPTRA; 0.5MG,PRXOVR,DEF,,,,,NA,NA,NA,E,
="Q2028",INJ; SCULPTRA; 0.5MG,EAPG,DEF,,,,,NA,NA,NA,E,
="Q2034",AGRIFLU VACCINE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2034",AGRIFLU VACCINE,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2035",AFLURIA VACC; 3 YRS & >; IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2035",AFLURIA VACC; 3 YRS & >; IM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2036",FLULAVAL VACC; 3 YRS & >; IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2036",FLULAVAL VACC; 3 YRS & >; IM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2037",FLUVIRIN VACC; 3 YRS & >; IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2037",FLUVIRIN VACC; 3 YRS & >; IM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2038",FLUZONE VACC; 3 YRS & >; IM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2038",FLUZONE VACC; 3 YRS & >; IM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2039",INFLUENZA VIRUS VACCINE; NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2039",INFLUENZA VIRUS VACCINE; NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2043",SIPULEUCEL-T AUTO CD54+,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2043",SIPULEUCEL-T AUTO CD54+,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2049",IMPORTED LIPODOX INJ,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2049",IMPORTED LIPODOX INJ,EAPG,DEF,,,,,NA,NA,NA,N,
="Q2050",DOXORUBICIN INJ 10MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q2050",DOXORUBICIN INJ 10MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q3027",INJ BETA INTERFERON IM 1 MCG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q3027",INJ BETA INTERFERON IM 1 MCG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q3031",COLLAGEN SKIN TEST,PRXOVR,DEF,,,,,NA,NA,NA,E,
="Q3031",COLLAGEN SKIN TEST,EAPG,DEF,,,,,NA,NA,NA,E,
="Q4100",SKIN SUBSTITUTE; NOS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4100",SKIN SUBSTITUTE; NOS,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4101",APLIGRAF,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4101",APLIGRAF,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4102",OASIS WOUND MATRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4102",OASIS WOUND MATRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4103",OASIS BURN MATRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4103",OASIS BURN MATRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4104",INTEGRA BMWD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4104",INTEGRA BMWD,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4105",INTEGRA DRT OR OMNIGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4105",INTEGRA DRT OR OMNIGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4106",DERMAGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4106",DERMAGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4107",GRAFTJACKET,PRXOVR,DEF,,,,,NA,NA,NA,E,
="Q4107",GRAFTJACKET,EAPG,DEF,,,,,NA,NA,NA,E,
="Q4108",INTEGRA MATRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4108",INTEGRA MATRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4110",PRIMATRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4110",PRIMATRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4111",GAMMAGRAFT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4111",GAMMAGRAFT,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4112",CYMETRA INJECTABLE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4112",CYMETRA INJECTABLE,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4113",GRAFTJACKET XPRESS,PRXOVR,DEF,,,,,NA,NA,NA,E,
="Q4113",GRAFTJACKET XPRESS,EAPG,DEF,,,,,NA,NA,NA,E,
="Q4114",INTEGRA FLOWABLE WOUND MATRI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4114",INTEGRA FLOWABLE WOUND MATRI,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4115",ALLOSKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4115",ALLOSKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4116",ALLODERM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4116",ALLODERM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4117",HYALOMATRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4117",HYALOMATRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4118",MATRISTEM MICROMATRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4118",MATRISTEM MICROMATRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4121",THERASKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4121",THERASKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4122",DERMACELL; AWM; POROUS SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4122",DERMACELL; AWM; POROUS SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4123",ALLOSKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4123",ALLOSKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4124",OASIS TRI-LAYER WOUND MATRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4124",OASIS TRI-LAYER WOUND MATRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4125",ARTHROFLEX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4125",ARTHROFLEX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4126",MEMODERM/DERMA/TRANZ/INTEGUP,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4126",MEMODERM/DERMA/TRANZ/INTEGUP,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4127",TALYMED,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4127",TALYMED,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4128",FLEXHD/ALLOPATCHHD/SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4128",FLEXHD/ALLOPATCHHD/SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4130",STRATTICE TM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4130",STRATTICE TM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4131",EPIFIX OR EPICORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4131",EPIFIX OR EPICORD,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4132",GRAFIX CORE; GRAFIXPL CORE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4132",GRAFIX CORE; GRAFIXPL CORE,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4133",GRAFIX STRAVIX PRIME PL SQCM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4133",GRAFIX STRAVIX PRIME PL SQCM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4134",HMATRIX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4134",HMATRIX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4135",MEDISKIN,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4135",MEDISKIN,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4136",EZDERM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4136",EZDERM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4137",AMNIOEXCEL BIODEXCEL 1SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4137",AMNIOEXCEL BIODEXCEL 1SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4138",BIODFENCE DRYFLEX; 1CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4138",BIODFENCE DRYFLEX; 1CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4139",AMNIO OR BIODMATRIX; INJ 1CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4139",AMNIO OR BIODMATRIX; INJ 1CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4140",BIODFENCE 1CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4140",BIODFENCE 1CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4141",ALLOSKIN AC; 1 CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4141",ALLOSKIN AC; 1 CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4142",XCM BIOLOGIC TISS MATRIX 1CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4142",XCM BIOLOGIC TISS MATRIX 1CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4143",REPRIZA; 1CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4143",REPRIZA; 1CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4145",EPIFIX; INJ; 1MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4145",EPIFIX; INJ; 1MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4146",TENSIX; 1CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4146",TENSIX; 1CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4147",ARCHITECT ECM PX FX 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4147",ARCHITECT ECM PX FX 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4148",NEOX NEOX RT OR CLARIX CORD,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4148",NEOX NEOX RT OR CLARIX CORD,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4149",EXCELLAGEN; 0.1 CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4149",EXCELLAGEN; 0.1 CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4150",ALLOWRAP DS OR DRY 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4150",ALLOWRAP DS OR DRY 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4151",AMNIOBAND; GUARDIAN 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4151",AMNIOBAND; GUARDIAN 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4152",DERMAPURE 1 SQUARE CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4152",DERMAPURE 1 SQUARE CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4153",DERMAVEST; PLURIVEST SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4153",DERMAVEST; PLURIVEST SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4154",BIOVANCE 1 SQUARE CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4154",BIOVANCE 1 SQUARE CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4155",NEOXFLO OR CLARIXFLO 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4155",NEOXFLO OR CLARIXFLO 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4156",NEOX 100 OR CLARIX 100,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4156",NEOX 100 OR CLARIX 100,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4157",REVITALON 1 SQUARE CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4157",REVITALON 1 SQUARE CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4158",KERECIS OMEGA3; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4158",KERECIS OMEGA3; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4159",AFFINITY1 SQUARE CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4159",AFFINITY1 SQUARE CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4160",NUSHIELD 1 SQUARE CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4160",NUSHIELD 1 SQUARE CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4161",BIO-CONNEKT PER SQUARE CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4161",BIO-CONNEKT PER SQUARE CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4162",WNDEX FLW; BIOSKN FLW; 0.5CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4162",WNDEX FLW; BIOSKN FLW; 0.5CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4163",WOUNDEX; BIOSKIN; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4163",WOUNDEX; BIOSKIN; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4164",HELICOLL; PER SQUARE CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4164",HELICOLL; PER SQUARE CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4165",KERAMATRIX; KERASORB SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4165",KERAMATRIX; KERASORB SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4166",CYTAL; PER SQUARE CENTIMETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4166",CYTAL; PER SQUARE CENTIMETER,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4167",TRUSKIN; PER SQ CENTIMETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4167",TRUSKIN; PER SQ CENTIMETER,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4168",AMNIOBAND; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4168",AMNIOBAND; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4169",ARTACENT WOUND; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4169",ARTACENT WOUND; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4170",CYGNUS; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4170",CYGNUS; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4171",INTERFYL; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4171",INTERFYL; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4172",PURAPLY OR PURAPLY AM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4172",PURAPLY OR PURAPLY AM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4173",PALINGEN OR PALINGEN XPLUS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4173",PALINGEN OR PALINGEN XPLUS,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4174",PALINGEN OR PROMATRX,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4174",PALINGEN OR PROMATRX,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4175",MIRODERM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4175",MIRODERM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4176",NEOPATCH OR THERION; 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4176",NEOPATCH OR THERION; 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4177",FLOWERAMNIOFLO; 0.1 CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4177",FLOWERAMNIOFLO; 0.1 CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4178",FLOWERAMNIOPATCH; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4178",FLOWERAMNIOPATCH; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4179",FLOWERDERM; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4179",FLOWERDERM; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4180",REVITA; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4180",REVITA; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4181",AMNIO WOUND; PER SQUARE CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4181",AMNIO WOUND; PER SQUARE CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4182",TRANSCYTE; PER SQ CENTIMETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4182",TRANSCYTE; PER SQ CENTIMETER,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4183",SURGIGRAFT; 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4183",SURGIGRAFT; 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4184",CELLESTA OR DUO PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4184",CELLESTA OR DUO PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4185",CELLESTA FLOWAB AMNION 0.5CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4185",CELLESTA FLOWAB AMNION 0.5CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4186",EPIFIX 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4186",EPIFIX 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4187",EPICORD 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4187",EPICORD 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4188",AMNIOARMOR 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4188",AMNIOARMOR 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4189",ARTACENT AC; 1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4189",ARTACENT AC; 1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4190",ARTACENT AC 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4190",ARTACENT AC 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4191",RESTORIGIN 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4191",RESTORIGIN 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4192",RESTORIGIN; 1 CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4192",RESTORIGIN; 1 CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4193",COLL-E-DERM 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4193",COLL-E-DERM 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4194",NOVACHOR 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4194",NOVACHOR 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4195",PURAPLY 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4195",PURAPLY 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4196",PURAPLY AM 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4196",PURAPLY AM 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4197",PURAPLY XT 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4197",PURAPLY XT 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4198",GENESIS AMNIO MEMBRANE 1SQCM,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="Q4198",GENESIS AMNIO MEMBRANE 1SQCM,EAPG,DEF,,,,,NA,NA,NA,Y,
="Q4200",SKIN TE 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="Q4200",SKIN TE 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,Y,
="Q4201",MATRION 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4201",MATRION 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4202",KEROXX (2.5G/CC); 1CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4202",KEROXX (2.5G/CC); 1CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4203",DERMA-GIDE; 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4203",DERMA-GIDE; 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4204",XWRAP 1 SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="Q4204",XWRAP 1 SQ CM,EAPG,DEF,,,,,NA,NA,NA,Y,
="Q4224",HHF10-P PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4224",HHF10-P PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4225",AMNIOBIND; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4225",AMNIOBIND; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4227",AMNIOCORE PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4227",AMNIOCORE PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4231",CORPLEX P; PER CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4231",CORPLEX P; PER CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4232",CORPLEX; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4232",CORPLEX; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4235",AMNIOREPAIR OR ALTIPLY SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4235",AMNIOREPAIR OR ALTIPLY SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4236",CAREPATCH PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4236",CAREPATCH PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4244",PROCENTA; PER 200 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4244",PROCENTA; PER 200 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4246",CORETEXT OR PROTEXT; PER CC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4246",CORETEXT OR PROTEXT; PER CC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4247",AMNIOTEXT PATCH; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4247",AMNIOTEXT PATCH; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4248",DERMACYTE AMN MEM ALLO SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4248",DERMACYTE AMN MEM ALLO SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4256",MLG COMPLET; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4256",MLG COMPLET; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4257",RELESE; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4257",RELESE; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4258",ENVERSE; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4258",ENVERSE; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4259",CELERA PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4259",CELERA PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4260",SIGNATURE APATCH; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4260",SIGNATURE APATCH; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4261",TAG; PER SQUARE CENTIMETER,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4261",TAG; PER SQUARE CENTIMETER,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4262",DUAL LAYER IMPAX; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4262",DUAL LAYER IMPAX; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4263",SURGRAFT TL; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4263",SURGRAFT TL; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4264",COCOON MEMBRANE; PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4264",COCOON MEMBRANE; PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4265",NEOSTIM TL PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4265",NEOSTIM TL PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4266",NEOSTIM PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4266",NEOSTIM PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4267",NEOSTIM DL PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4267",NEOSTIM DL PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4268",SURGRAFT FT PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4268",SURGRAFT FT PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4269",SURGRAFT XT PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4269",SURGRAFT XT PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4270",COMPLETE SL PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4270",COMPLETE SL PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4271",COMPLETE FT PER SQ CM,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4271",COMPLETE FT PER SQ CM,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4272",Esano a; per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4272",Esano a; per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4273",Esano aaa; per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4273",Esano aaa; per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4274",Esano ac; per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4274",Esano ac; per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4275",Esano aca; per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4275",Esano aca; per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4276",Orion; per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4276",Orion; per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4277",Woundplus e-grat; per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4277",Woundplus e-grat; per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4278",Epieffect; per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4278",Epieffect; per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4280",Xcell amnio matrix per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4280",Xcell amnio matrix per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4281",Barrera slor dl per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4281",Barrera slor dl per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4282",Cygnus dual per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4282",Cygnus dual per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4283",Biovance tri or 3l; sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4283",Biovance tri or 3l; sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q4284",Dermabind sl; per sq cm,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q4284",Dermabind sl; per sq cm,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5101",INJECTION; ZARXIO,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5101",INJECTION; ZARXIO,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5103",INJECTION; INFLECTRA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5103",INJECTION; INFLECTRA,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5104",INJECTION; RENFLEXIS,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5104",INJECTION; RENFLEXIS,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5105",INJ RETACRIT ESRD ON DIALYSI,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5105",INJ RETACRIT ESRD ON DIALYSI,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5106",INJ RETACRIT NON-ESRD USE,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5106",INJ RETACRIT NON-ESRD USE,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5108",INJECTION; FULPHILA,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5108",INJECTION; FULPHILA,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5111",INJECTION; UDENYCA 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="Q5111",INJECTION; UDENYCA 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="Q5119",INJ RUXIENCE; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5119",INJ RUXIENCE; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5120",INJ PEGFILGRASTIM-BMEZ 0.5MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5120",INJ PEGFILGRASTIM-BMEZ 0.5MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5121",INJ. AVSOLA; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5121",INJ. AVSOLA; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5123",INJ. RIABNI; 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5123",INJ. RIABNI; 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5124",INJ. BYOOVIZ; 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5124",INJ. BYOOVIZ; 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5126",INJ ALYMSYS 10 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5126",INJ ALYMSYS 10 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5127",INJ; STIMUFEND; 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="Q5127",INJ; STIMUFEND; 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="Q5128",INJ; CIMERLI; 0.1 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5128",INJ; CIMERLI; 0.1 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5130",INJ; FYLNETRA; 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5130",INJ; FYLNETRA; 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="Q5131",Inj; idacio; 20 mg,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q5131",Inj; idacio; 20 mg,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9950",INJ SULF HEXA LIPID MICROSPH,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9950",INJ SULF HEXA LIPID MICROSPH,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9951",LOCM >= 400 MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9951",LOCM >= 400 MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9953",INJ FE-BASED MR CONTRAST;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9953",INJ FE-BASED MR CONTRAST;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9954",ORAL MR CONTRAST; 100 ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9954",ORAL MR CONTRAST; 100 ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9955",INJ PERFLEXANE LIP MICROS;ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9955",INJ PERFLEXANE LIP MICROS;ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9956",INJ OCTAFLUOROPROPANE MIC;ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9956",INJ OCTAFLUOROPROPANE MIC;ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9957",INJ PERFLUTREN LIP MICROS;ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9957",INJ PERFLUTREN LIP MICROS;ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9958",HOCM <=149 MG/ML IODINE; 1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9958",HOCM <=149 MG/ML IODINE; 1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9959",HOCM 150-199MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9959",HOCM 150-199MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9960",HOCM 200-249MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9960",HOCM 200-249MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9961",HOCM 250-299MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9961",HOCM 250-299MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9962",HOCM 300-349MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9962",HOCM 300-349MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9963",HOCM 350-399MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9963",HOCM 350-399MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9964",HOCM>= 400MG/ML IODINE; 1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9964",HOCM>= 400MG/ML IODINE; 1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9965",LOCM 100-199MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9965",LOCM 100-199MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9966",LOCM 200-299MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9966",LOCM 200-299MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9967",LOCM 300-399MG/ML IODINE;1ML,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9967",LOCM 300-399MG/ML IODINE;1ML,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9968",VISUALIZATION ADJUNCT,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9968",VISUALIZATION ADJUNCT,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9982",FLUTEMETAMOL F18 DIAGNOSTIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9982",FLUTEMETAMOL F18 DIAGNOSTIC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9983",FLORBETABEN F18 DIAGNOSTIC,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9983",FLORBETABEN F18 DIAGNOSTIC,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9991",BUPRENORPH XR 100 MG OR LESS,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="Q9991",BUPRENORPH XR 100 MG OR LESS,EAPG,DEF,,,,,NA,NA,NA,Y,
="Q9992",BUPRENORPHINE XR OVER 100 MG,PRXOVR,DEF,,,,,NA,NA,NA,Y,
="Q9992",BUPRENORPHINE XR OVER 100 MG,EAPG,DEF,,,,,NA,NA,NA,Y,
="Q9993",INJ.; TRIAMCINOLONE EXT REL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9993",INJ.; TRIAMCINOLONE EXT REL,EAPG,DEF,,,,,NA,NA,NA,N,
="Q9995",INJ.; EMICIZUMAB-KXWH 0.5 MG,PRXOVR,DEF,,,,,NA,NA,NA,N,
="Q9995",INJ.; EMICIZUMAB-KXWH 0.5 MG,EAPG,DEF,,,,,NA,NA,NA,N,
="S1091",STENT NON-CORONARY PROPEL,PRXOVR,DEF,,,,,NA,NA,NA,N,
="S1091",STENT NON-CORONARY PROPEL,EAPG,DEF,,,,,NA,NA,NA,N,
="V2785",CORNEAL TISSUE PROCESSING,PRXOVR,DEF,,,,,NA,NA,NA,N,
="V2785",CORNEAL TISSUE PROCESSING,EAPG,DEF,,,,,NA,NA,NA,N,